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A 30-year-old male patient is brought to the emergency department (ED) by ambulance with a sudden onset of severe right flank pain over the previous 6 hours.
Sedation is a routine aspect of emergency care. The aim is clear: make the procedural experience as comfortable as possible for your patient, whilst ensuring that your practice is safe.
Discussing the indications for procedural sedation
This session covers indications for Propofol sedation identifying suitable patients and those at higher risk of adverse events, a standardised procedure for Propofol sedation (protocol), strategies for addressing adverse events and all relevant governance issues.
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.
This module covers indications for Propofol sedation identifying suitable patients and those at higher risk of adverse events, a standardised procedure for Propofol sedation (protocol), strategies for addressing adverse events and all relevant governance issues.
This session is based upon the RCEM College Best Practice guideline on Ketamine Procedural Sedation for Children in the Emergency Department.
This module is based upon the RCEM College Best Practice guideline on Ketamine Procedural Sedation for Children in the Emergency Department.
Serratus anterior plane block can be used as multimodal analgesia for rib fractures in the trauma patient. This module outlines the ultrasound guided technique.
Best practice standards for safe procedural sedation. Includes choice of pharmacological agents and suggested doses. Sets out recommended staffing, competencies, monitoring, location, and discharge criteria.
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.
How to recognise and manage patients with Acute Behavioural Disturbance in order to support their emergency care whilst maintaining safety of the patient, staff, and others.
Serratus anterior plane block can be used as multimodal analgesia for rib fractures in the trauma patient. This session outlines the ultrasound guided technique.
In the past, paediatric lacerations requiring sutures often required admission and a general anaesthetic for wound closure. This blog looks at how we can provide timely, cost effective and acceptable management in the ED that avoids this paradigm.
This month we have: New in EM - Clonidine for pain, Guidelines for EM - NEXUS Chest CT Rule, an interview with Matt Reed, Coca cola for food boluses and New Online.
As emergency medicine clinicians you’ll be used to patients with behaviours that are really challenging. Did you know that there’s an actual definition of this?
This month we have Ketamine and Ondansetron, Hyperemesis Gravidarum, an interview with Vicky Price (SAM), Antibiotics for brain injury and New Online
This case describes a therapeutic excess of paracetamol and explores the further management of complications in an unintentional paracetamol overdose.
A 53-year-old man presents to the ED with a 12-hour history of impaired sensation to the right side of his face, right arm and right upper torso.
A man in his 40s arrives in the Emergency Department with a deformed foot and ankle after falling off a motorised skateboard.
A 27-year-old male cyclist presents with an isolated fractured left femur, having been hit by a car.
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 discuss: 'You may think that the consultants are great, and they know everything, but they don't', And then a systematic review called 'Why is pain management so difficult in the ED.'
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 session covers the pathophysiology of pain, the use of pain assessment tools, typical analgesic agents used in the ED.
This session covers the pathophysiology of pain, the use of pain assessment tools and typical analgesic agents used in the ED.
A patient having a large laceration sutured suddenly goes into cardiac arrest.
A 56-year-old plumber attends with lower back pain and urinary incontinence.
The use of FI blocks in the emergency department has been shown to provide effective pain relief in the acute setting and to reduce the use of opiate analgesia.
The use of FI blocks in the emergency department has been shown to provide effective pain relief in the acute setting and to reduce the use of opiate analgesia.
Pain is probably the most common reason for people to attend the ED. Getting it right isn’t easy though.
This month we discuss Midazolam vs. morphine in heart failure, Sedation (Part 2), TREDTalk, EMTA Survey, New Online.
This month we discuss IV Paracetamol, Sedation, Highlights from the Thames Valley Cardiac Arrest Symposium & New online material from RCEMLearning.
Local anaesthetics are amongst the most widely used drugs in any emergency department. It is, therefore, essential that emergency medicine clinicians can use these drugs safely and effectively.
This month we discuss Laryngospasm in paediatric sedation, Case Based Discussions, Use of Non-Sterile Gloves for Wound Closure, and new online material from RCEMLearning
This month Noel and Stephen discuss paediatric fractures.
A 79-year-old male was admitted to the Clinical Decisions Unit (CDU) following a fall. Was he kept safe?
An uncircumcised young man has sought emergency medical attention with penile pain & bleeding after coitus.
Nerve entrapment syndromes are a group of conditions in which peripheral nerves are damaged, through compression or repeated trauma.
Nerve entrapment syndromes are a group of conditions in which peripheral nerves are damaged, through compression or repeated trauma.
This article covers the generic assessment and management of the pain with abdominal pain without shock.
This session covers the generic assessment and management of abdominal pain without shock.
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.
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.
Visiting hospital can be scary at any age. Facilitating a positive hospital experience for children is important because many of them will require further attendances and treatments in their lifetime. We don’t want this to be a frightening place for them.
A 29-year-old farmer presents to your local ED with a bite mark over the upper left calf.
Explore your understanding further of how hypnosis can help in Emergency Medicine
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 are producing monthly virtual journal club modules on RCEMLearning.
Visiting hospital can be scary at any age. Facilitating a positive hospital experience for children is important because many of them will require further attendances and treatments in their lifetime. We don’t want this to be a frightening place for them.
The aim of procedural sedation is to relieve a patient's anxiety towards and facilitate their cooperation for a potentially painful procedure
A 70-year-old female presents to the emergency department with non-traumatic calf pain and swelling over the last 24 hours. She tells you the pain has steadily got worse and she is now completely unable to weight-bear.
While working in the minors area of a busy teaching hospital's ED, a somewhat flustered junior doctor approaches you to confess her actions.
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.
A 38-year-old gentleman reattends obtunded and narcosed after being treated for a DVT the day before.
There is nothing that defines medicine more than the need to "make it better", and so, nailing analgesia is such a fundamental part of being a practitioner, especially in children.
"Toni is a 35 year old lady who attends the emergency department regularly with chest pain. Nothing seems to make it better, and her troponin is always normal. You wonder if there is a potential cause. Read on to find out that there is more to IBS than abdominal pain."
This session focuses on the knowledge, skills, facilities and equipment required to perform safe emergency department procedural sedation. Commonly used sedation agents and some of their qualities are described
The February Podcast from the Team
January 2018
The December 2017 Podcast
Welcome to the new format podcast. From now on you'll be getting a monthly podcast with lots of different segments to try and cover as much as we possibly can
We're back with some more papers to whet your critical appraisal and knowledge hungry appetite
New in EM September 2016
Struggling to find a resource on how to approach the IDU, check out this podcast