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 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.
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.
You've just arrived for your first ED shift, excited to be allocated to resus. The red phone rings. A 45-year-old female, amitriptyline overdose, P120, BP85/45, GCS 5, ETA 5 minutes.
Your pre-alert phone rings to warn you that a 30-year-old male will be arriving in five minutes, having been found collapsed with blue lips and recordable oxygen saturations.
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.
Carbon monoxide poisoning still accounts for a significant number of cases and is associated with both morbidity and mortality through a spectrum of presentations due to both acute and chronic exposures.
Carbon monoxide poisoning still accounts for a significant number of cases and is associated with both morbidity and mortality through a spectrum of presentations due to both acute and chronic exposures.
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.
This module is designed to help you understand the principles, basic physiology, and clinical features of supraventricular tachycardias. It is written from a clinical standpoint, with testing based on scenarios, and the main text based on ECG interpretation.
This session considers the three main forms of drug related hyperthermia, malignant hyperthermia, neuroleptic malignant syndrome and serotonin syndrome.
This session considers the three main forms of drug related hyperthermia, malignant hyperthermia, neuroleptic malignant syndrome and serotonin syndrome.
You are met with a patient who you believe is suffering an anaphylactic reaction, however the adrenaline is not having the desired effect. Why might this be and what would you do next?
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.
You are asked to see a 51-year-old lady who has been taken to the resus room. The ambulance crew tell you she has taken an overdose 5 hours previously.
Hypoxia is common in patients presenting to the ED and can be life-threatening. The differentials are wide and include cardiac, respiratory and haematological causes
A patient presents to the Emergency Department suspected of having illicit concealed drugs. This SAQ explores the clinical management, combined with the ethical and medicolegal aspects of their care.
A woman is found unresponsive in a takeaway at midnight. She is hypotensive, drowsy and has low oxygen saturations. She is unable to give a history and there is nobody with her. Can you help her?
An elderly gentleman presented with lethargy and poor oral intake. As routine tests begin they reveal he has more than just an AKI that needs treatment.
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.
A 16-year-old is brought in by ambulance to your resuscitation room with a reduced level of consciousness and then starts to see monkeys everywhere. What’s going on?
You receive a standby call for red-flag sepsis – Initial pattern recognition triggers the pathway. Shortly after arriving you experience ‘pattern interrupt’ and ponder new evidence in the treatment of this condition.
You receive a sepsis pre-alert for a 39 year old female who is brought in by ambulance vomiting. She has muscle aches and a fever for 5 days. She is triaged to Covid resus. Her blood gas isn’t pretty. What are we missing?
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.
A 94-year-old female with dementia was referred to the ED from her residential home. She had a 2 day history of anorexia, lethargy and loose stools 3 times a day.
A 46-year-old man is brought by ambulance to the Emergency Department. He has been drinking alcohol all afternoon and according to collateral from his wife he had taken ‘some tablets’ two hours ago.
You've just arrived for your first ED shift, excited to be allocated to resus. The red phone rings. A 45-year-old female, amitriptyline overdose, P120, BP85/45, GCS 5, ETA 5 minutes.
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
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
Why is this a hot topic? It is a sign of serious distress. It is common. It is strongly associated with suicide. Suicide is one of commonest causes death in young people. 200% increase in self harm 1985-1995.
If ever you have the opportunity to save a young persons life - it is now.
Management of opiate overdose is simple. ABCDE assessment, support of oxygenation and respiration as necessary, and antagonise with naloxone if toxicity is severe. Everyone has their own take on it. But what about the ongoing care?
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
It's Friday evening and you're at work in the ED (where else would you rather be??). Jack is a 15 year old boy who has taken an overdose of paracetamol a couple of hours ago. He texted his girlfriend soon after and she called an ambulance
Approximately 10% of all admissions to the Emergency Department (ED) are related to patients having a mental health crisis. With the ever increasing numbers of patients requiring mental health input, it is important that we understand the law that underpins our treatment (RCEM, 2018)
So the TOXABSE guidelines for staggered paracetamol overdose last night. We bring you an up to date podcast on paracetamol overdose management recorded at the recent RCEM scientific conference with James Dear
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
A topic to muddy the FOAMed waters; constipation, a problem for many patients in which their care could be dramatically improved. Find out how in this podcast
