With potential to wreak systemic havoc for years following initial infection, Group A beta-haemolytic Streptococcus pyogenes (or, far more conveniently, ‘GAS’) is an organism truly worthy of our inner nerd.
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.
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?
A 49-year-old female returns to the ED with post-traumatic elbow pain. She appears tearful. She was discharged a week ago after sustaining a fall, which was diagnosed as muscular back pain.
This blog presents a whistle stop tour of adolescent medicine as it applies to the ED. It discusses some hints and tips on how to improve the ED experience for adolescents whilst also increasing your confidence in supporting the needs of this sometimes tricky age group.
In this blog we will talk about how to overcome barriers, which will help you build trust with and get the information you need from the patient to treat them and keep them safe, with some great insights from young people working with Redthread.
Best practice advice on how Emergency Departments should implement screening programmes and balance these with the need to assess and treat acute illness and injury.
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.
With a huge burden of mental and physical health needs carried by patients with eating disorders, ED clinicians need to be aware of how they can give the care needed.
Where does PEM fit in with EM? Children make up about 25-30% of attendances to mixed EDs nationally, so all EM consultants must possess at least basic paediatric skills.
The dark side of PEM, and what should also be on your differential diagnosis for any patient you are seeing is: "was this inflicted" and "is there something more?"
It's safe to say you will likely see a few of these, as minor injuries are a very common occurrence in childhood with around 20-30% of all paediatric attendances to the Emergency Department involving minor injuries or trauma
The neonatal period (<28 days of age) and young infancy (< 3months ) is the most common time for presentation of congenital conditions and the highest susceptibility for infection.
Paediatric injuries can be very different from those sustained in adults in many respects. This session discusses why this is the case and outlines the general principles of treating paediatric injuries.
Paediatric injuries can be very different from those sustained in adults in many respects. This session discusses why this is the case and outlines the general principles of treating paediatric injuries.
Each year at the Royal College of Emergency Medicine (RCEM) Annual Scientific Conference, the prestigious Elizabeth Molyneux Prize is awarded. The prize, named in honour of Professor Elizabeth Molyneux, recognises outstanding work in the field of Paediatric Emergency Medicine (PEM).
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.
The dark side of PEM, and what should also be on your differential diagnosis for any patient you are seeing is: "was this inflicted" and "is there something more?".
It's safe to say you will likely see a few of these, as minor injuries are a very common occurrence in childhood with around 20-30% of all paediatric attendances to the Emergency Department involving minor injuries or trauma.
With the advent of urgent care centres, your exposure to orthopaedics won’t be what it used to be. However, if you follow some of the basic tips here, your orthopaedic surgeons and patients will be happy!
This podcast covers the Best Practice Guideline on Information Sharing to Prevent Community Violence, which can be found along with all the other guidelines on the main RCEM site.
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