Best practice advice on how Emergency Departments should implement screening programmes and balance these with the need to assess and treat acute illness and injury.
How to manage acute sickle cell disease. Focus on early analgesia, warmth, hydration, and oxygenation. Recognition and management of specific complications. Criteria for admission and discharge.
A 67-year-old man presents with shortness of breath and fever. He has recently completed his first 2 week chemotherapy course for auricular Squamous Cell Carcinoma, administered via a PICC line.
Febrile children compete for the most common non-traumatic paediatric presentation in the ED, causing concern for parents worldwide. Your mission: to find the source.
Dyspnoea is an overall term used to describe an unpleasant awareness of increased respiratory effort and will be used synonymously with "breathlessness" in this session.
Many of us in the UK EM will have gone most of our careers without seeing any confirmed cases of measles. Vaccination rates have been dropping though, so measles is back in our departments and has to be in our differential diagnosis list.
Group A Streptococcus is responsible for many skin and soft tissue infections, which can be identified based on the appearance of the associated skin rashes.
A 67-year-old man, with a background of type II diabetes, presents with pain in the left side of his neck, lower back pain and numbness in his left arm.
A 77-year-old gentleman presents to the ED five days after his endoscopic endonasal transsphenoid resection of his pituitary adenoma with a severe frontal headache, fever and multiple episodes of vomiting.
Is love in the air? …or is it the kissing disease?
It was only a kiss, how did it end up like this? A teenage boy got more than he was bargaining for after an innocent kiss with his girlfriend but do you know enough about the "kissing disease" to aid in his management?
Group A streptococcus/ Grp A Strep or GAS in short - What is it? Why is it happening? Why is it important now? Why the invasive increase in infection rate?
You take a history from a 16-year-old American boy and his parents who are on holiday in the UK for the next 2 weeks. He is complaining of a severe sore throat of 5 days duration.
A young man presents with fever, headache, photophobia and vomiting. Can you interpret the findings to diagnose and treat him appropriately before it’s too late?
A 7-year-old girl is brought into the ED by her mother on a busy Saturday afternoon after experiencing several nose bleeds at home over the preceding few hours.
The aim of TERN Top Papers is to highlight the top emergency care related papers for emergency physicians, keeping them abreast of the latest practice-changing studies.
A 72-year-old female presents to the ED with a four week history of worsening neck pain, lethargy, reduced sensation and difficulty with fine motor movements in her upper limbs.
This session aims to increase the awareness of Kawasaki disease with a focus on recognising the principal clinical features, in line with recent updates to the NICE guidelines
This learning session aims to increase the awareness of Kawasaki disease with a focus on recognising the principal clinical features, in line with recent updates to the NICE guidelines.
In this months podcast, which happens to be Mark's last podcast as lead, we have Efficacy of antibiotics for septic olecrannon bursitis, Guidelines for EM, Anterior-Lateral vs Anterior-Posterior pad placement for cardioversion of AF, Case Based Discussions.
A mother has rushed into the ED very concerned that her baby is blue. This case covers the importance of understanding cyanosis, with consideration for the potential causes and management in a 3 week old.
At TERN Education we are keen to help you learn how to critically evaluate the evidence base behind your practice. In order to do this, we have been producing monthly virtual journal club (VJC) modules on RCEMLearning since March 2021.
We are a team of EM doctors working in Wales. We have chosen to look at a range of paediatric papers, focusing on two sub-topics, attendances to the emergency department & paediatric infections.
Febrile children compete for the most common non-traumatic paediatric presentation in the ED, causing concern for parents worldwide. Your mission: to find the source.
This session looks at the techniques available to collect urine samples from children in an emergency department. It discusses the evidence basis and the relative merits of each technique
You receive a standby call for red-flag sepsis – Initial pattern recognition triggers the pathway. Shortly after arriving you experience ‘pattern interrupt’ and ponder new evidence in the treatment of this condition.
You receive a sepsis pre-alert for a 39 year old female who is brought in by ambulance vomiting. She has muscle aches and a fever for 5 days. She is triaged to Covid resus. Her blood gas isn’t pretty. What are we missing?
Needlestick injuries occur in healthcare workers and members of the public. Although transmission of blood borne viruses is unlikely, they cause considerable concern.
Needlestick injury is a wound piercing the skin caused by a contaminated sharps instrument, most commonly a hypodermic needle. This session considers needlestick injuries in both healthcare workers (HCW) and members of the public.
A 25-year-old man with no significant past medical history presents to the Emergency Department with his wife complaining of a one day history of vomiting and diarrhoea.
A 38-year-old male presents with a continuous cough, shortness of breath and fevers. Over the past 2 days he has had intense generalised muscle aches, fatigue, loss of taste and smell and a reduced appetite.
Intracranial infections (also called central nervous system infections or CNS infections) are relatively rare, but form a very important differential diagnosis in the unwell patient
To the ENT novice there are a baffling number of terms that refer to problems with the ear... "otitis media" is that acute? Or suppurative? Or secretory? And where does glue ear fit into all of this and what are grommets anyway?!
A 58-year-old primary school teacher with type 2 diabetes mellitus presents to your ED with shortness of breath. His breathlessness has increased overnight and is exacerbated on minimal exertion.
A keen fisherman attends following a flu-like illness. He has a small head wound and is now jaundiced. One sign brings it all together, can you spot it?
Cystic Fibrosis is caused by a mutation in a gene that encodes cystic fibrosis transmembrane conductance regulator (CFTR) protein, which is expressed in many epithelial and blood cells.
You pick up the next patient to be seen. It's a 25 year old who has neck stiffness, and a headache, and a sore throat. The GP has sent them in as a possible meningitis patient. Where do you go from there?
