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?
Following a recent travel to Zambia, a pregnant woman develops high fever, dark urine, and confusion after a seizure; she arrives in the ED acutely unwell with hypoglycaemia.
Tuberculosis can feel like a disease from a different era. The truth is, it is still very much with us and in a busy urban ED you will see it. The real question is whether you think of it before the patient leaves the department, or three months later when they’re back worse.
During a police arrest, a known Hepatitis B positive patient becomes aggressive, spitting directly at an officer. The immediate exposure necessitates urgent post-exposure investigations and treatment for the officer.
This blog will focus on some of the finer details in bite management, or complications that may be seen. (Apologies in advance for any itching caused by this blog).
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?
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.
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
The baby looks well at first, nothing really worrying - but he has been crying for last 2 days, which is unusual for him. His mother`s concern leads us to a serious diagnosis.
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.
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?
A 25-year-old man with no significant past medical history presents to the ED with his wife complaining of a one day history of vomiting and diarrhoea.
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.
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.
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.
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?
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.
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.
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.
Whenever I hear the word Ebola it brings a lump to my throat and a slightly sickening feeling in the pit of my stomach
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