This module identifies the clinical features of acute behavioural disturbance (ABD) and covers the initial assessment and management of patients with ABD in the Emergency Department.
This session identifies the clinical features of acute behavioural disturbance (ABD) and covers the initial assessment and management of patients with ABD in the ED.
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.
You take handover for a patient in resus. They have presented with new onset of focal seizures. You start treatment but the convulsions are worsening. What will you do?
This month we discuss: The STANDING Protocol for Vertigo, Head Injury (Part 2 of 2), A History of A&E Performance with Steve Black, TTA Topical Anaesthetics for Corneal Abrasion and 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 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.
A 59-year-old man presents to the ED at 11pm with acute onset severe (9/10) generalised headache and vomiting, which started at the dinner table at 5pm.
A 12-year-old girl is brought by her parents with a 1-day history of fever and lethargy, associated with a rash that has rapidly developed over the last 3 hours.
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 21-year-old female presents to the ED with reduced level of consciousness. According to her family, she has been unwell for the last 3-days complaining mainly of headache. After having slept all day yesterday, her mother tried to wake her up this morning but she was unawakening from sleep.
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 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.
A 69-year-old gentleman presented to the emergency department with odd periods of vacancy. His wife reported that on the previous day, he had 2 episodes in which he would become suddenly pale and confused for 20 to 30 seconds.
Magnetic resonance imaging (MRI) is rarely used in most EDs. However, the properties of such images can provide emergency physicians with critical information to support the optimal clinical care of many neurological disorders.
Acute, severe headache is a common symptom of patients presenting to the emergency department. In 90% of cases, the cause will be one of the primary headache syndromes.
Acute, severe headache is a common symptom of patients presenting to the emergency department. In 90% of cases, the cause will be one of the primary headache syndromes.
The seizing child is truly a scary thing to behold. If you work in the Paediatric ED, you will, at some stage, come across a child who has had a seizure, is recovering from a seizure, or is actively seizing
A 45-year-old male presents to the ED with a 3-day history of progressive weakness in his right upper and lower limbs. On examination there's observed ataxia and ocular involvement only had developed within the last 24 hours.
A 22-year-old healthy male attends ED with sudden onset of headache. He reports taking 100 mg Sildenafil before the headache started. On examination there is right arm weakness.
At TERN Education we are keen to help you all learn how to critically evaluate the evidence based behind your practice. In order to do this, we are producing monthly ‘virtual’ journal club modules on RCEMLearning. It’s like a critical appraisal paper you can do in your own time!
Status epilepticus, a state of prolonged, uncontrolled seizures, is a common emergency department presentation that is potentially life-threatening. Clinicians need an awareness of the existence, and presentations, of the different forms
Status epilepticus (SE), a state of prolonged, uncontrolled seizures, is a common emergency department (ED) presentation that is potentially life-threatening.
We at TERN Education are keen to help you all learn how to critically appraise a paper. In order to do this we will be producing monthly 'virtual' journal club modules on RCEM Learning. It’s basically a critical appraisal paper that you can do in your own time during the month! It gives you the opportunity to practice and learn critical appraisal in a relaxed environment and you get a certificate for the old portfolio!
Cranial nerve injuries are important clinical signs, which alert the examiner to intracranial pathology. This session will look at the more common traumatic and medical causes of cranial nerve injury
A 69-year-old lady presents with a 3-week history of right sided headache and jaw claudication, associated with significant reduction in vision of the right eye for 2 days.
Bell's palsy is a relatively uncommon condition presenting to primary care. Despite a benign course for most children with Bell's palsy, there are a number of serious causes of facial paralysis which can be easily missed
Bell's palsy is a relatively uncommon condition presenting to primary care. Despite a benign course for most children with Bell's palsy, there are a number of serious causes of facial paralysis which can be easily missed.
A 42-year-old man presents to the Emergency Department at 4am with a severe headache. He is pacing up and down and says that he has been woken up by a similar headache every night for the last 4 nights.
It is a busy winter evening in the Emergency Department. The next patient to be seen is a 37-year-old female presenting with a headache, nausea and general malaise.
Cranial nerve injuries are important clinical signs, which alert the examiner to intracranial pathology. This session will look at the more common traumatic and medical causes of cranial nerve injury to cranial nerves
This month we have 2 sections. Part 1 we discuss Timing of endoscopy, New in EM Haloperidol for migraine, New in EM Drugs v DCC in A Fib. Part 2 we discuss the RCEM guideline on suspected internal drug traffickers
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
This month we have BET 2: Is keeping the eyes shut while fitting predictive of a psychogenic cause for seizures? And initial focused assessment with sonography in trauma versus initial CT for patients with haemodynamically stable torso trauma
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?
A 60-year-old man presented to the emergency department with a 1 week history of increasing lethargy, intermittent tingling in both arms and palpitations
This iBook (in conjunction with a series of associated clinical cases) is another manifestation of the heterogenous learning communities which constitute EM.
This month we have Guideline CVA part 2 | Paper 1 - New in EM cervical artery dissection | Belfast CPD 2019 Acute Ophthalmology | New in EM: NACSTOP trial - early cessation of NAC in paracetamol OD | EMEC Anu Mitra
This months podcast has Belfast 2019 CPD - Leadership | Belfast CPD 2019 End of life care | New in EM: Rethinking IV Size & Location for CTPA | EMEC Jon Carter | Belfast CPD 2019 Top Paeds Papers | Guideline NICE CVA and TIA (part one TIA)
A 4-year-old boy is brought to your ED by his parents. Two hours previously he had been on the back of a horse being led from the field to the tack room before going out for a ride.
I remember the excitement in the room at the European Society of Emergency Medicine (EuSEM) conference in September 2018 as the room waited to hear the results of the EcLiPSE trial
Alcohol use disorder (AUD) is defined by the World Health Organisation as consuming more than 40g/day of alcohol for males and 30mg/day of alcohol for females
Headaches are one of the most common presentations to ED and may be primary or secondary. Migraine is the most common type of primary headache, but the majority of headaches are benign in nature and require no investigations
