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Risk Stratification and Venous Thromboembolic Disease – Induction

Suspected VTE is a common presentation in the ED, yet investigation and management of these conditions remains a challenge.
Patients with head injuries are the most common type of trauma seen in the Emergency Department and can represent up to 10% of all presentations.
It’s 5am, the pre-alert phone rings. The ambulance service are bringing in a patient with acute difficulty in breathing
Here are some tips on the common mental health presentations to the emergency department
You've just arrived for your first ED shift, excited to be allocated to resus. The red phone rings. A 45-year-old female, amitriptyline overdose, P120, BP85/45, GCS 5, ETA 5 minutes.
This is a hugely common presentation in the ED and often one many doctors try to avoid
Gynae presentations to the emergency department are fairly common, yet fill everyone with dread. The management is similar to any other medical problem
A patient attends majors, with sepsis. You overhear someone saying “they’re palliative care, so we don’t need to do anything
With the advent of urgent care centres, your exposure to orthopaedics won't be what it used to be. However, if you follow some of the basic tips here, your orthopaedic surgeons and patients will be happy!
It's a phrase you'll come to know well. Especially, you'll find, if you're sitting at a certain desk or in a certain area
The emergency department is a unique working environment. It will throw you in the deep end, testing your diagnostic and risk juggling skills, whilst being the most supported environment you're likely to work in.
When you tell people you work in the ED, they invariably ask you for your great stories but they also ask you for help and advice when needed
You are about to embark on one of the most challenging rotas of your career. I mean, let’s be honest, for many of you, you will consider this the worst rota of your career
This is a very common but also very varied ED presentation. A triage of “collapse ?cause” can mean anything from a young patient having fainted in phlebotomy to an elderly patient being found on the floor
ED Induction Treasure Hunt
A few key points that, we think, will make the management of DKA clearer.
Chest pain is one of the most common reasons adults come to an ED
Can I...ummm...refer...umm...a 52, no a 55, no, a 69-year-old lady presenting with chest pain. Well, she said it was chest pain, but it's actually a wierd tightness, with a bit of epigastric pain
Sometimes as a doctor it can feel as though everyone has 'sepsis' and the term is often bandied about
Back pain is really common in the emergency department and it is vital that we manage it properly.
"Doctor to cubicle 5 for c-spine assessment please," you hear over the tannoy"
The nurse at triage comes to speak to you: "There’s a pregnant 28year old with vaginal bleeding in the waiting room. She’s been here nearly four hours – can you go and sort her out quickly please?"
Working in the emergency department, you are guaranteed to see and treat patients from all specialties of medicine and surgery. Most will prove to be interesting but also challenging at the same time.
It's your second day on the 'shop floor' and your next patient is handed over as a 51 year old man who has been brought in by ambulance with sudden onset generalised abdominal pain and vomiting