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The Forgotten Tribe

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.
  • Blog

Talking to Teens: Top Tips

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.
  • Guideline

Screening in the Emergency Department – Guideline

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.
  • Reference

Brief Resolved Unexplained Events (BRUE)

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.
  • Learning Session

Brief Resolved Unexplained Events (BRUE)

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.
  • Reference

Decreased Conscious Level in a Child

The child with decreased consciousness is a common problem with many possible diagnoses and potentially high mortality and morbidity.
  • Learning Session

Decreased Conscious Level in a Child

The child with decreased consciousness is a common problem with many possible diagnoses and potentially high mortality and morbidity
  • Clinical Case

NAI or not

A 5-year-old boy presents with a central boggy swelling to his forehead without history of trauma, what’s the differential?
  • Blog

Public Health in the Emergency Department Series #2

This is the second blog in our public health series. Keep your eyes peeled for more public health goodness to follow in future blogs.
  • Reference

Paediatric Toxicology Considerations

This module explores the presentations of children to the ED by concerned parents after a potential ingestion of a substance is common.
  • Learning Session

Paediatric Toxicology Considerations

This module explores the presentations of children to the ED by concerned parents after a potential ingestion of a substance is common.
  • Blog

Eating Disorders in the ED

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.
  • Podcast

April 2023

This month we discuss: Using lactate to diagnose seizures, Non-fatal strangulation, Impact of familiarity on performance and New Online.
  • SAQ

Anyone for a BRUE?

An 8-month infant is brought into the ED following a collapsing episode as witnessed by his distress mother. What do you do next?
  • SBA

A Collapse whilst Running

A 13-year-old female collapses whilst running. How will you assess and manage this?
  • Clinical Case

The Bittersweet Cocktail

A 45-year-old female attended the ED after taking an intentional antifreeze overdose.
  • SAQ

Black & Blue: Inflicted (non-accidental) Injury

The unspoken disease of inflicted, non-accidental injury in children.
  • Blog

Future-Proofing PEM

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.
  • SAQ

A Patchy History

A previously fit and well, fully immunised 10-month-old is brought into your ED with a 3 hour history of drowsiness.
  • Blog

BRUE

Could this be a BRUE? A Brief, Resolved, Unexplained Event
  • Learning Session

Sexual Assault Aftercare in the Emergency Department

This session outlines a standardised approach to providing care for a haemodynamically normal patient presenting following rape or sexual assault.
  • Reference

Sexual Assault Aftercare in the Emergency Department

This session outlines a standardised approach to providing care for a haemodynamically normal patient presenting following rape or sexual assault.
  • Clinical Case

Sting on Banjo String!

An uncircumcised young man has sought emergency medical attention with penile pain & bleeding after coitus.
  • PEM Induction

Child Abuse – PEM Induction

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?"
  • PEM Induction

Minor Injuries – PEM Induction

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
  • PEM Induction

The Unwell Neonate and Infant – PEM Induction

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.
  • SBA

The patient who absconds

How will you manage the absconding patient?
  • Reference

Soft Tissue and Bony Injuries in Children

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.
  • Learning Session

Soft Tissue and Bony Injuries in Children

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.
  • SBA

The missing patient who absconded

How will you manage your absconding patient with suicidal intent who has gone ‘absent without leave’?
  • SBA

Patients at risk of absconding

How will you manage the absconding patient?
  • SBA

The role of the MARACS in managing domestic abuse

Learn more about the Multi Agency Risk Assessment Conferences (MARACS) and their role managing in domestic abuse.
  • SBA

Managing Domestic Abuse in the ED

12% of ED attendances are related to domestic abuse. How will you identify & manage these cases?
  • SBA

Communicating with Children

Communicating with little people?
  • SBA

Domestic Violence

12% of ED attendances are related to domestic abuse. ED physicians are in a unique position to identify these cases.
  • SBA

Buckle Fractures in Children

Buckle / Torus fractures in children
  • Clinical Case

I can see Monkeys everywhere

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?
  • Learning Session

Fabricated or Induced Illness

Fabricated or induced illness (FII) is a form of child abuse. It is associated with significant morbidity (physical and psychological) and mortality. Recognition of FII is frequently difficult and subsequent management is complex.
  • Reference

Fabricated or Induced Illness

FII is a broad term to describe a group of behaviours by parents or carers which cause harm to children.
  • Blog

Tonsillitis? With you in a tic… Neuropsychiatric Sequelae of Group A Streptococcal Infection

With potential to wreak systemic havoc for years following initial infection, Group A beta-haemolytic Streptococcus pyogenes (or, far more conveniently, ‘GAS’) are organisms truly worthy of our inner nerd.
  • Podcast

EMJ October 2020

This month Andrew and Graham discuss frequent attenders
  • Breaking Evidence

Breaking Evidence: The Elizabeth Molyneux prize 2019

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).
  • Blog

The ABC of Self-Harm in Young People – A Psychiatric Approach to Resuscitation

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.
  • Blog

The 3Cs of Paediatrics

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
  • Podcast

October 2018

The October 2018 podcast
  • Blog

Child Abuse

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?".
  • Blog

Minor Injuries

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.
  • Blog

The Unwell Neonate and Infant

This blog is an overview of how to approach an unwell infant. It covers diagnoses not to be missed, how to spot them and a few tips about management.
  • Blog

Brackium Emendo – Long bone # and NAI (DFTB18)

Fractures are the second most common manifestation of abuse in children after burns. In toddlers especially, fractures of the humerus and femur, should trigger alarm bells about non-accidental injury (NAI)
  • Blog, Trauma

Ortho

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!
  • Podcast

RCEM Manchester Day 2

RCEM '15 in Manchester has been a sell out! So for those of you that weren't lucky enough to be here, here's what's been going on on Day 2!
  • Podcast

RCEM Manchester Day 1

So RCEM '15 in Manchester has been a sell out! So for those of you that weren't lucky enough to be here, here's what's been going on on Day 1!
  • Podcast

Recognition of Child Abuse in the ED

The ED plays a crucial role in raising the alarm for non-accidental injuries. Frequently, we may be the first port-of call for a child who has gone through the unthinkable, and it is our role to think about the possibility in this vulnerable group
  • Podcast

RCEM Guideline; Information sharing & Community Violence

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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