GLP-1 agonists, hailed as “wonder drugs,” help shed weight rapidly. But how do they work and what risks lurk beneath? What do we need to know about them in the emergency department?
A 42-year-old man presents to the ED with a severe headache. He is pacing up and down and says he has been woken up by a similar headache every night for the last 4 nights.
This module focuses on the knowledge, skills, facilities and equipment required to perform safe procedural sedation. Commonly used sedation agents and some of their qualities are described.
A 23-year-old male with autism, ADHD and prior self-harm presents with suicidal hallucinations. Initially cooperative, he later becomes agitated and violent, requiring urgent intervention for safety despite de-escalation attempts.
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.
This blog is something a bit different. Based on real Coroner’s cases, we’ve pulled out some critical decision moments, so you can work your way through the patient journey and decide what you would do.
SBA session on the RCEM recommendations about the management of an aggressive patient with acute behavioural disturbance (ABD). How to keep your patient, your colleagues, and yourself safe!
Visiting hospital can be scary at any age. Facilitating a positive hospital experience for children is particularly important as many of them will require further hospital attendances and treatments in their lifetime. We don’t want this to be a frightening place for them.
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.
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.
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 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.
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.
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
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.
"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."
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