This is the third in a series of Emergency Casebooks from the virtual hospital CFN General, with key learning points for staff working in an Emergency Department
Low back pain is a very common problem and it is estimated that 80% of the population suffer from it at some stage of their life. It is also a common presentation to emergency departments.
We've all seen limping children. Maybe some of us have even had limping children. Some departments have excellent management strategies and pathways. Some don't. Here's some of our thoughts, musings and suggestions.
This guideline sets out the standards for timeliness of provision of analgesia and provides an approach to the delivery of analgesia for adult patients presenting to the ED.
A pregnant female accidentally takes an excess of paracetamol. This SAQ explores the important considerations taken when managing acute paracetamol poisoning during pregnancy.
Acute dystonia is a movement disorder in which there is a state of abnormal tone produced by slow and sustained contractions of opposing muscle groups.
This month we have a brand new Co-host, Liz Farah. And the topics on discussion are Mortality in older patients boarding overnight in the ED, Hypertension in the ED and Cauda Equina Syndrome, Opioids for back pain & New Online
This month we look at a paper dealing with Performance of a prehospital HEART score in patients with possible myocardial infarction a prospective evaluation and also one on methocarbamol vs diazepam in management of acute lower back pain.
This month we’ve got two New in EM segments: which shoulder relocation technique is best & the use of TXA in haemoptysis.
We also speak with Tessa Davis of Don't Forget The Bubbles fame and her top tips for delivering teaching online. We then speak to Evan Bayton about the RCEM Coat of Arms and what on earth it all means, and then end the podcast with New Online.
This month Noel and Stephen discuss diagnostic performance of S100B as a rule-out test for intracranial pathology in head-injured patients presenting to the ED who meet NICE Head Injury Guideline criteria for CT-head scan, and Graham discusses Paediatric acute non traumatic limp.
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 conducted energy device (CED) ‘taser’ was discharged into a patient’s shoulder. Before this patient is taken into police custody, you’ve been asked to assess them in your ED.
The Police have brought a patient to your ED that has had a controlled energy device discharged into their upper back. You are called to assess this patient.
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.
Elsie is a four year old who has come into the Emergency Department because her parents are concerned that she is not walking. Three days ago she was playing with her aunt and hurt her leg. Since then she has not been weight-bearing and her parents have been carrying her everywhere
Referred pain into the upper extremities often accompanies neck pain. Referred pain can be the initial symptom of a compressed nerve root by a ruptured disc or stenosis at the foramina from osteophytes.
This session covers the anatomy, common pathology and the clinical and radiological assessment of the shoulder and brachial plexus. This should lead to the formulation of appropriate management plans
Research in Emergency Medicine ranges in scale and complexity and covers a wide spectrum of subjects, all of which contribute to our overall knowledge base
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!
Critical Appraisal: Appraising a Diagnostic Test: D-Dimer
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