Dyspnoea is an overall term used to describe an unpleasant awareness of increased respiratory effort and will be used synonymously with "breathlessness" in this session.
In the first podcast of 2024 we have Aortic Dissection in the ED, Invasive Procedures in the ED, Noninvasive airway management in comatose poisoned patients and New Online.
This blog looks at RSI from the eyes of the “assistant” - this might be the resus nurse, the ED FY2, or a non-airway trained ED registrar. Please send your thoughts, feedback and comments.
A 43-year-old cyclist arrives after being struck by a car. He arrives with spinal immobilisation on a scoop stretcher with evidence of bruising to the right chest, abdomen, and pelvis.
This module is part one of two dealing with thoracic injuries. It is pitched at FRCEM examination standard and you are expected to be competent at leading a trauma response.
We’ve talked a lot in RCEMLearning blogs about how to recognise death in ED and how to break bad news, but we haven’t really focused on how to legally “declare” someone as dead, and complete the relevant paperwork. It is through researching updates to my trust’s policy, together with making sure our international medical graduates were aware of the UK rules, that this blog post was born.
This session looks at disorders of potassium metabolism, in particular the presentation of hypokalaemia and hyperkalaemia in the ED. It also covers the investigation and management of these conditions.
This module looks at disorders of potassium metabolism, in particular the presentation of hypokalaemia and hyperkalaemia in the ED. It also covers the investigation and management of these conditions.
Tracheostomy emergencies are a relatively common and often alarming occurrence – do you know how to manage a patient presenting with a tracheostomy emergency?
This month we discuss Bystander cardiopulmonary resuscitation and cardiac rhythm change over time in patients with out-of-hospital cardiac arrest, Spiking and Blunt chest wall trauma.
A 78-year-old gentleman is wondering if he needs antibiotics for his worsening shortness of breath. His only past medical history is a maxillofacial tumour that was surgically resected a year ago. Is this a simple chest infection?
A 71-year-old man with a history of chronic obstructive pulmonary disease, obesity, angina and ankylosing spondylitis presents to the ED acutely short of breath.
The aim of this session is to have a quick recap of Brugada syndrome, identify key ECG features for diagnosis and learn about managing patients with the condition.
The aim of this session is to have a quick recap of Brugada syndrome, identify key ECG features for diagnosis and learn about managing patients with the condition.
This session is an overview of Sudden Unexpected Death in Infancy and Childhood (SUDIC); the risk factors associated with SUDIC, our role in the ED and the investigative process thereafter.
This session is an overview of Sudden Unexpected Death in Infancy and Childhood (SUDIC); the risk factors associated with SUDIC, our role in the ED and the investigative process thereafter.
A 45-year-old female attends with grossly swollen lips. She has some important information about her symptoms, can you understand it?
моє обличчя опухло!
If not, it’s time to use some clinical acumen!
A 16-day-old baby, who has had an uneventful antenatal period, presents with coryza, with some blood streaking in this. His symptoms progress over the coming days to uncover another more subtle diagnosis that may not be considered without a thorough and detailed assessment.
An 18-month old boy is brought in to the ED by his grandmother with a cough, mild constitutional upset and increasing stridor for approximately 12 hours. He is previously well and immunised up to date
This month we discuss Fluids in RSI, Learning Disabilities, New Online material and we have highlights from the Thames Valley Cardiac Arrest Symposium (Part 1)
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?
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.
Imagine it's 2am and the Red Phone rings…. “A 26-year-old male, fallen off motorcycle, in traumatic cardiac arrest”. Your heart races, you’re excited, but you feel way out of your depth. You know there’s loads to prepare and often there isn’t much notice. What do you do?
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
Children present commonly to the Emergency Department with stridor. Stridor is a sign of upper airway obstruction. The ED physician must be able to diagnose, initiate treatment, appropriately investigate, anticipate and manage complications
Before bedtime, 3 children were playing with matchsticks in their upstairs bedroom. They had made a tent earlier that evening using their bed linen and were inside, surrounded by their cuddly toys
Our curriculum mentions pacing, and we all think that we know all about that as we’ve got ALS… right? Some of our brief discussions on twitter highlighted that pacing can be more complicated than ALS implies, and actually isn’t very common in ED.
This month’s edition of TERN’s top papers series comes from a small team of higher EM trainees in the North West. It looks like we will all experience some rainy days this winter, so we hope you enjoy these summaries of articles that caught our eye
This month we have part B of our recordings from the Annual Scientific Conference. We discuss End of life and escalation with Dr Calvin Lightbody, Organ donation in EM with Dr Katja Empson and TBI in ED with Dr Virginia Newcombe
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.
You are working on a rapid response vehicle (RRV) as a part of a PHEM-rotation and attend a ‘red’ call: “3-year-old cardiac arrest. Unsupervised child fallen into outdoor pond. Not breathing. Not responsive”.
The biggest cause of spinal injuries in children is road traffic collisions, particularly those with high speed, a rollover or an ejection from the vehicle, with second place going to falls in younger children and sporting injuries in older children.
FAST involves assessment of the peritoneal cavity, pleural cavity and pericardial space. Learning that free fluid is present facilitates the most appropriate management plan
Anaphylaxis is a severe, life-threatening, generalised or systemic hypersensitivity reaction characterised by rapidly developing life threatening airway, breathing and/or circulation problems usually associated with skin and mucosal changes
Your receive a pre-alert call from the air ambulance team who are bringing a 32-year-old male who has sustained a single stab wound to the epigastrium whilst outside a pub
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 topic is diagnostic imaging.
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.
1 in 300 people will experience anaphylaxis at some point in their lives. The 2021 anaphylaxis guidelines provide an updated consensus for the recognition and management of anaphylaxis in all age groups.
A third of deaths from food anaphylaxis occur despite appropriate early management. Consequently, the RCUK have recognised a need for standardised algorithms for ongoing resuscitation in cases of refractory anaphylaxis.
A 2-year-old boy is brought to the Emergency Department with a barking cough and noisy breathing. Can you diagnose and treat him before he deteriorates?
This learning module covers the basics of what an LVAD is, the common complications an emergency medical team may have to deal with, and the management of a collapsed LVAD patient.
This learning module covers the basics of what an LVAD is, the common complications an emergency medical team may have to deal with, and the management of a collapsed LVAD patient.
Andrew and Graham discuss Projected paediatric cervical spine imaging rates with application of NEXUS, Canadian C-spine and PECARN clinical decision rules in a prospective Australian cohort
DNA CPR or “do not attempt resuscitation” decisions are confusing to many. If discussed sensitively and correctly, they make a huge huge huge immeasurable difference to the hospital stay of the patient, and their relatives.
This session provides an introduction to Brief Unexplained Resolved Events (BRUEs). It covers the definition, differential diagnoses, how to stratify patients into low or high risk and the subsequent management.
While the theory contained in this session provides useful knowledge about airway management, putting this knowledge into practice requires extensive supervised practical experience.
While the theory contained in this session provides useful knowledge about airway management, putting this knowledge into practice requires extensive supervised practical experience.
An 18-year-old male is brought into the ED by ambulance. He was performing a BMX stunt off a ramp approximately 6 feet in the air and lost his balance, and fell to the floor landing on his right hand side, and then rolling onto his front.
A 43-year-old cyclist arrives after being struck by a car. He arrives collared and blocked on a scoop stretcher with evidence of bruising to the right chest, abdomen, and pelvis.
