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?
A 67-year-old man presents with shortness of breath and fever. He has recently completed his first 2 week chemotherapy course for auricular Squamous Cell Carcinoma, administered via a PICC line.
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?
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.
A 77-year-old gentleman presents to the ED five days after his endoscopic endonasal transsphenoid resection of his pituitary adenoma with a severe frontal headache, fever and multiple episodes of vomiting.
This session covers management of tachycardias in the Resuscitation Room. It builds on the Resuscitation Council UK ALS Guidelines (2021) using selected evidence.
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?
