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  • Clinical Case

Oh doctor, my left leg hurts! I am pregnant and worried about my baby!

A young lady, 13 weeks pregnant, presents with one day history of left lower limb swelling, pain and discolouration.
  • Clinical Case

Feeling PUQE – Nausea and Vomiting of Pregnancy

A 19-year-old woman of 9 weeks gestation presents to the emergency department with intractable vomiting.
  • Clinical Case

I can’t be pregnant…can I?

A 27-year-old lady presents to the Emergency Department (ED) with a 4 hour history of lower abdominal pain.
  • Clinical Case

Sexual assault victims in the ED

A 19-year-old student attends the ED (accompanied by a friend) and, at triage, complains of abdominal pain.
  • Reference

Hypertensive Disorders in Pregnancy… HELLP!

An overview of hypertensive disorders in pregnancy with cases concentrating on Emergency Department management.
  • Learning Session

Hypertensive Disorders in Pregnancy… HELLP!

An overview of hypertensive disorders in pregnancy with cases concentrating on ED management.
  • SBA

Vomiting and Pregnancy

A 30-year-old woman presents to the ED with nausea and vomiting for the last 3 days. Her urinary pregnancy test is positive.
  • Guideline

Management of Pain in Adults – Guideline

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.
  • Clinical Case

Not Another Hyperemesis

This case discusses a young woman who presents to the ED at 11/40 gestation with intractable vomiting and altered mental status for three days.
  • Guideline

Management of Acute Presentations of Sickle Cell Disease in the Emergency Department – Guideline

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.
  • Blog

Cardiac Arrest in the Pregnant Patient

Cardiac arrest in pregnancy is a potential presentation to the emergency department. If it happens, you are likely to be cognitively overloaded.
  • SAQ

Ectopic pregnancy

RIF pain and PV bleeding - history and treatment.
  • SAQ

Lightning Strike Injury

Learning about lightning injuries
  • SAQ

Paracetamol Toxicity during Pregnancy

A pregnant female accidentally takes an excess of paracetamol. This SAQ explores the important considerations taken when managing acute paracetamol poisoning during pregnancy.
  • Clinical Case

Send HELLP!

A 38-year-old female patient presents three days post-partum with vomiting and epigastric pain.
  • SAQ

An Unusual Cause of Cardiac Arrest

You receive a pre-alert for a 30-year-old female who had chest pain earlier that morning.
  • Clinical Case

Shock in the First Trimester

A pregnant patient presents with signs of shock
  • Clinical Case

Between you, me and the IUD

A 46-year-old female presents with a three-month history of progressively worsening vaginal bleeding.
  • Reference

Post Menopausal Bleeding

This session is aimed at the approach to post-menopausal bleeding in the Emergency Department.
  • Learning Session

Post Menopausal Bleeding

This module discusses the aetiology, presentation, management and disposition of patients with postmenopausal bleeding in the ED.
  • SAQ

What a headache?!

A 38-year-old fit and well female, who is 29 weeks pregnant, attends with a sudden onset of worsening, retro-orbital headache.
  • SAQ

Cardiac Arrest in Pregnancy

Management of Cardiac arrest in advanced pregnancy.
  • Learning Session

Patient in Labour

Whilst managing labour and birth in the ED is an uncommon occurrence, there are many reasons why a mother may present to the ED when in labour.
  • Reference

Patient in Labour

Whilst managing labour and birth in the ED is an uncommon occurrence, there are many reasons why a mother may present to the ED when in labour.
  • Clinical Case

Maternal sepsis: be aware and beware!

A 40-year-old female presents to the Emergency Department feeling lethargic for 24 hours.
  • SBA

Evaluating Extreme Emesis

A young pregnant woman attends with severe nausea and vomiting. She’s unable to keep tablets, food or fluids down and looks dehydrated.
  • SBA

Rhesus disease prophylaxis

There are three pregnant patients in the department who require consideration of Rhesus status and anti-D immunoglobulin. You must assess each in turn.
  • SBA

Acute Abdominal Pain

A woman attends your ED with severe lower abdominal pain and fullness, with difficulty urinating. She had roughly similar symptoms when she was diagnosed with pelvic inflammatory disease before.
  • SAQ

Tummy Pain. Again!

A 13-year-old girl presents to the Paediatric ED with a 48 hour history of nausea, vomiting and abdominal pain.
  • SBA

Acute Breast Problem

A woman presents with breast pain and fever to your emergency department. How will you manage this patient?
  • SBA

A Complicated Pregnancy

A pregnant woman presents with a headache and abdominal pain and suddenly deteriorates. How will you manage this?
  • SBA

An Ectopic Pregnancy

A young female patient presents with lower abdominal pain and vaginal bleeding to your ED. How will you manage this patient?
  • Clinical Case

The Periodic Pain

A young lady presents to the ED with a history of pain on urination and defecation for two months.
  • Learning Session

Sexual Assault Aftercare in the Emergency Department

This session outlines a standardised approach to providing care for a haemodynamically normal patient presenting following rape or sexual assault.
  • Reference

Sexual Assault Aftercare in the Emergency Department

This session outlines a standardised approach to providing care for a haemodynamically normal patient presenting following rape or sexual assault.
  • SBA

Ingestion of Magnets

Small magnets in small people.
  • Blog

Vaginal Specula in the ED… Why, When and How

A few considerations for why ED practitioners should all be comfortable at performing speculum examinations and bimanual examinations.
  • Clinical Case

Bloody Red Flags

A 60-year-old female patient presents to ED with vaginal bleeding. She is worried that it could be cancer.
  • Learning Session

Vaginal Bleeding in the Non-Pregnant Patient

An interactive learning session covering the relevance of vaginal bleeding in an emergency medicine context
  • Reference

Vaginal Bleeding in the Non-Pregnant Patient

This session covers the relevance of vaginal bleeding in an Emergency Medicine context
  • Reference

Pelvic Inflammatory Disease

This session will cover the pathophysiology, assessment and treatment of PID and equip you with the knowledge and confidence to manage this important presentation in the Emergency Department.
  • SAQ

All day (morning) sickness

Nausea and vomiting affects approximately 80% of women during early pregnancy
  • Clinical Case

Itching to get home but, is your concern spot on?

Exposure to a viral illness in pregnancy. How worried should Mum be?
  • Clinical Case

A Shocking Period

A young woman is seriously unwell. Her flatmates give you all the information you need. Now you must save her life. Period!
  • TERN

TERN Top papers July 2021

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. This month’s Top Papers comes from the beautiful hills of Snowdonia, with the team from Bangor Emergency Department bringing you this month’s summary of important articles for your attention.
  • Clinical Case

Breath taken away while having a bun in the oven

A 21-year-old woman, 27-weeks pregnant, presents with a rare but important cause of chest pain during pregnancy.
  • Clinical Case

Thrombotic but Thrombocytopenic

A pregnant lady presents to your department with confusion, diarrhoea, fever, and a purpuric rash.
  • SAQ

I Can’t Change My Mind!

This question is aimed at CT1 and above. This question focuses on decision making.
  • Reference

Bleeding in Pregnancy

This session covers the emergency management of both bleeding in early pregnancy and antepartum haemorrhage (APH) Appropriate investigation and initial emergency interventions are considered including rhesus status and the administration of anti-D immunoglobulin.
  • SAQ

Feeling unwell in pregnancy, what a headache!

A 29-year-old primiparous woman attends the ED at 35/40 weeks gestation.
  • Clinical Case

DKA in Pregnancy

A 32-year-old type 1 diabetic female presents at 30/40 gestation of her first pregnancy feeling generally unwell.
  • Blog

What To Expect When You Are Expecting

When I found out I was pregnant, the aspect I was most surprised about was how tired I was. At 6 weeks growing something the size of a blackcurrant inside of me I would come home from every shift exhausted and I’d fall asleep as soon as I sat on the couch.
  • Podcast

EMJ August 2020

This month we discuss Accuracy of PE rule-out strategies in pregnancy 
  • Podcast

February 2020

This month we have Belfast CPD 2019 Tracheostomy | NICE Pneumonia | New in EM YEARS in pregnancy
  • Podcast

October 2019

Octobers podcast is a special from the RCEM ASC with an interview with the new president Dr Katherine Henderson, Prof Simon Carley on his top 10 papers for EM, and an interview with Rod Little prize winner Dr Gordon Fuller
  • iBook

Med student

This iBook (in conjunction with a series of associated clinical cases) is another manifestation of the heterogenous learning communities which constitute EM.
  • SAQ

The Pelvis Puzzle: Pelvic Trauma

What will you do when called to attend a trauma call for a motorcyclist with a suspected pelvis problem?
  • SAQ

Get a Grip! – De Quervain tenosynovitis

“Why can't I write anymore?”
  • Learning Session

Bleeding in Pregnancy

This session covers the emergency management of both bleeding in early pregnancy and antepartum haemorrhage (APH) Appropriate investigation and initial emergency interventions are considered including rhesus status and the administration of anti-D immunioglobulin.
  • FRCEM

FRCEM Primary Paper 4

FRCEM Primary Examination Single Best Answer
  • Podcast

October 2018

The October 2018 podcast
  • Blog

Gynae

Gynae presentations to the emergency department are fairly common, yet fill everyone with dread. The management is similar to any other medical problem
  • Podcast

December 2017

The December 2017 Podcast
  • Podcast

May 2017

Welcome back to the RCEM Learning podcast for May 2017
  • Podcast

London CPD Conference 2017

The 2017 RCEM CPD conference was held in central London in April 2017. There was a great selection of speakers and we had the good fortune to capture a few interviews with some of the speakers
  • Podcast

Ovarian HyperStimulation Syndrome

In this podcast we cover something fairly rare that if all goes well shouldn't even present to the ED

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