An 8-year-old boy with acute agitation and encephalopathy deteriorates rapidly after misattributed behavioral symptoms, revealing a time-critical metabolic emergency with devastating consequences.
This session explores respiratory complications related to e-cigarette use, highlighting hypersensitivity pneumonitis (HP) and e-cigarette or vaping-associated lung injury (EVALI).
This module explores respiratory complications related to e-cigarette use, highlighting hypersensitivity pneumonitis (HP) and e-cigarette or vaping-associated lung injury (EVALI).
A 44-year-old male collapses and is subsequently brought into Resus. He presents with sudden-onset chest tightness and sweating, preceded by progressive shortness of breath over the past 24 hours.
Tuberculosis can feel like a disease from a different era. The truth is, it is still very much with us and in a busy urban ED you will see it. The real question is whether you think of it before the patient leaves the department, or three months later when they’re back worse.
This module provides an overview of neuroprognostication following cardiac arrest, beginning with the current prevalence of cardiac arrest and the Chain of Survival framework. It explores the key factors influencing survival to hospital discharge as well as multimodal evaluation techniques and the clinical criteria used in brain stem death determination.
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?
This module covers decompression illness, explaining the scientific principles behind its pathophysiology, identifying major risk factors for its development and exploring the critical role of oxygen in early management. It also provides an overview of other important diving-related conditions.
This session covers decompression illness, identifying major risk factors for its development and exploring the critical role of oxygen in early management. It also provides an overview of other important diving-related conditions.
An 18-month old boy is brought in to the ED with a cough, mild constitutional upset and increasing stridor for approximately 12 hours. He is previously well and immunised up to date.
1 in 300 people will experience anaphylaxis at some point in their lives. RCUK anaphylaxis guidelines provide an updated consensus for the recognition and management of anaphylaxis in all age groups.
A 48-year-old man on carbamazepine developed acute ataxia and vomiting after starting clarithromycin for cellulitis, with toxic carbamazepine levels, highlighting a preventable drug–drug interaction.
This module provides an understanding of the underlying pathophysiology and causative agents, discusses how to identify and assess the patient with methaemoglobinaemia, and provides an evidence-based guide to treatment.
This session provides an understanding of the underlying pathophysiology and causative agents, discusses how to identify and assess the patient with methaemoglobinaemia, and provides an evidence-based guide to treatment.
This session covers the recognition and management of potentially difficult airway scenarios, including appropriate equipment preparation and strategy development for failed intubation.
This module covers the recognition and management of potentially difficult airway scenarios, including appropriate equipment preparation and strategy development for failed intubation.
This was a discussion of a prospective, open-label, feasibility trial run across 15 hospitals in the UK comparing 30-day mortality outcomes in patients with sepsis with a NEWS2 score greater than or equal to 5 treated with either 5% HAS or balanced crystalloid.
An elderly lady is brought to your ED by ambulance after falling at home. She is hypotensive, tachypnoeic and agitated. She has a wound on her right shin with no active bleeding.
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 when he lost his balance and fell to the floor landing on his right hand side, and then rolling onto his front.
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 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”.
A motorcyclist presents after a high speed collision, appearing stable with minor signs. But is everything as it seems? Would you trust the vitals or investigate further?
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.
Your receive a pre-alert call from the air ambulance team who are bringing a 32-year-old man, who has sustained a single stab wound to the epigastrium whilst outside a pub.
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
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.
This month we have Parental concern and critical illness in children | Acute behavioural disturbance in the ED (Part Two) | Clearing paediatric C-spine with CT imaging only | New Online.
Many of your patients are at risk of aspiration pneumonia. This SBA explains when you should think about it, and how to implement preventative measures.
FAST involves assessment of the peritoneal cavity, pleural cavity and pericardial space. Learning that free fluid is present facilitates the most appropriate management plan.
Tracheostomy emergencies are rare in the ED but are associated with high mortality and morbidity. It is therefore essential that ED practitioners are competent in assessing and stabilising patients with complications arising from tracheostomies.
This module focuses on the treatment of adult patients with previously diagnosed asthma that present to the ED with an acute episode of breathlessness.
We're great at getting access in the ED - we've got our ultrasound to help and when that doesn't work, we might insert a central line (only takes 30 seconds, right?), or an intraosseous device
A 45-year-old male, with unresolved cyanosis despite oxygen, presents with pleuritic chest pain and recent PE history. Arterial blood gas was performed to assess underlying hypoxemia.
When I was asked to talk about assessment of (de)hydration in children, I accepted without a second thought. "How hard could it be?", I guessed, "I do this every single day".
A 22-year-old is transferred for a specialist plastics review. You and the plastics team agree to see the patient together in resus after a pre-alert is passed.
As with many things, there are no real concrete or evidence-based answers as to which Inotropes and vasopressors to use and when, but here are some thoughts and definitions.
A 46-year-old man is brought by ambulance to the ED. He has been drinking alcohol all afternoon and, according to collateral from his wife, he has taken ‘some tablets’ two hours prior the presentation.
A 29-year-old male is working a shift behind the bar and complains of feeling dizzy. He collapses and makes a quick recovery. This is not the first time.
Emergency Physicians must be confident managing the post-cardiac arrest patient with return of spontaneous circulation (ROSC) to continue high quality care once initial resuscitation succeeds.
Transfusion reactions range from mild to life threatening, and it is, therefore, important for clinicians to be able to assess, investigate and manage these presentations.
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.
Guideline summary
30-word description of the Guideline How to diagnose and manage adults with severe sore throat, including life-threatening supraglottitis / epiglottitis
Children commonly present in the ED with stridor. Stridor is a sign of upper airway obstruction. An ED physician must be able to diagnose, initiate treatment, appropriately investigate, anticipate and manage complications.
Children commonly present in the ED with stridor - a sign of upper airway obstruction. An ED physician must be able to diagnose, initiate treatment, appropriately investigate, anticipate and manage complications.
Transfusion reactions range from mild to life threatening, and it is, therefore, important for clinicians to be able to assess, investigate and manage these presentations.
Patients with airway compromise need prompt recognition and correction using basic airway techniques. These are essential skills for emergency physicians and will be covered in this session.
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.
A young woman presents to the ED with one hour of palpitation associated with light-headedness and shortness of breath. What happens if the routine management fails?
This month we are discussing paed nail bed repair, Sickle Cell Disease, James Lind Alliance Priority Setting Partnership for Major Trauma and New Online.
This session provides training in chest drain insertion. It looks at the indications for carrying out this procedure, as well as how to prepare for it, and shows a chest drain being inserted. Post-procedure management and complex cases are also covered
This module provides training in chest drain insertion. It looks at the indications for carrying out this procedure, as well as how to prepare for it, and shows a chest drain being inserted. Post-procedure management and complex cases are also covered.
This session provides an introduction to Brief Unexplained Resolved Events. It covers the definition, differential diagnoses, how to stratify patients into low or high risk and the subsequent management.
This session provides an introduction to Brief Unexplained Resolved Events. It covers the definition, differential diagnoses, how to stratify patients into low or high risk and the subsequent management.
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.
You take handover for a patient in resus. They have presented with new onset of focal seizures. You start treatment but the convulsions are worsening. What will you do?
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?
A patient having a large laceration sutured suddenly goes into cardiac arrest.
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