Poor old lumbar spine – it does a lot of the heavy lifting for the body but probably doesn’t get anywhere near the attention of the cervical spine when it comes to trauma.
Serratus anterior plane block can be used as multimodal analgesia for rib fractures in the trauma patient. This module outlines the ultrasound guided technique.
Best practice standards for safe procedural sedation. Includes choice of pharmacological agents and suggested doses. Sets out recommended staffing, competencies, monitoring, location, and discharge criteria.
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.
Serratus anterior plane block can be used as multimodal analgesia for rib fractures in the trauma patient. This session outlines the ultrasound guided technique.
This session describes the processes around Information Sharing to Tackle Community Violence. It also describes some of the responsibilities of emergency clinicians around confidentiality when looking after victims of violence.
This module describes the processes around Information Sharing to Tackle Community Violence. It also describes some of the responsibilities of emergency clinicians around confidentiality when looking after victims of violence.
In the past, paediatric lacerations requiring sutures often required admission and a general anaesthetic for wound closure. This blog looks at how we can provide timely, cost effective and acceptable management in the ED that avoids this paradigm.
This month we have: New in EM - Clonidine for pain, Guidelines for EM - NEXUS Chest CT Rule, an interview with Matt Reed, Coca cola for food boluses and New Online.
A 23-year-old male was playing rugby 4 days ago. He was touching down in his in-goal area for a 5-metre scrum when he was kneed in the back towards his left side.
This session covers the practical aspects of safe insertion of chest drains using videos to provide guidance. It covers both the Seldinger technique and the open approach to chest drain insertion.
This mont we have POCUS for paediatric wrist fractures, NICE Guidelines on TLOC, Interview with GP Steve Taylor, Removing Penicillin Allergy labels & New Online
Walk into any Emergency Department in the country and you are bound to find at least one child waiting to be seen with a head injury - it's one of the commonest presenting complaints to EDs in the UK
This session presents a logical approach to the assessment, diagnosis and management of soft-tissue hand injuries in the ED, including suggested indications for early hand specialist referrals.
This module presents a logical approach to the assessment, diagnosis and management of soft-tissue hand injuries in the ED, including suggested indications for early hand specialist referrals.
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.
This month we discuss: The STANDING Protocol for Vertigo, Head Injury (Part 2 of 2), A History of A&E Performance with Steve Black, TTA Topical Anaesthetics for Corneal Abrasion and New Online.
Understanding mechanism of injury is a crucial aspect of managing patients who have suffered traumatic injuries. This module aims to provide an overview on attaining this information and its translation into patient care.
Understanding mechanism of injury is a crucial aspect of managing patients who have suffered traumatic injuries. This session aims to provide an overview on attaining this information and its translation into patient care.
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.
This month we’ve got two New in EM segments: which shoulder relocation technique is best & the use of TXA in haemoptysis.
We also speak with Tessa Davis of Don't Forget The Bubbles fame and her top tips for delivering teaching online. We then speak to Evan Bayton about the RCEM Coat of Arms and what on earth it all means, and then end the podcast with New Online.
This month Graham talks to our very own Rob Hirst about establishing the research priorities of emergency medicine trainees, patients and carers across the UK and Ireland: the TERN Delphi study. Then Susie Roy discusses Cervical spine movements during laryngoscopy and orotracheal intubation: a systematic review and meta-analysis.
Nikki Abela and Liz Herrieven have treated themselves to the RCEM PEM Conference in Manchester on 21/3/2023 – World Down Syndrome Day. Put on your #LotsOfSocks for the day and have a read to see what they learned.
A young lady presents with shoulder pain, for which there are multiple differential diagnoses. How do you differentiate between them in order to manage her effectively?
The use of FI blocks in the emergency department has been shown to provide effective pain relief in the acute setting and to reduce the use of opiate analgesia.
The use of FI blocks in the emergency department has been shown to provide effective pain relief in the acute setting and to reduce the use of opiate analgesia.
Low back pain is a very common problem and it is estimated that 80% of the population suffer from it at some stage of their life. It is also a common presentation to emergency departments
A conducted energy device (CED) ‘taser’ was discharged into a patient’s shoulder. Before this patient is taken into police custody, you’ve been asked to assess them in your ED.
The Police have brought a patient to your ED that has had a controlled energy device discharged into their upper back. You are called to assess this patient.
Local anaesthetics are amongst the most widely used drugs in any emergency department. It is, therefore, essential that emergency medicine clinicians can use these drugs safely and effectively.
This month we discuss Laryngospasm in paediatric sedation, Case Based Discussions, Use of Non-Sterile Gloves for Wound Closure, and new online material from RCEMLearning
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
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
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.
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.
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.
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.
A young man presents with superficial wounds on his forearm from a dog bite. You know what you have to do. Clean the wound, give a tetanus shot and prescribe antibiotics…. Right?
Cervical spine injuries are rare but potentially devastating. Immobilisation of the cervical spine on the slightest suspicion of injury is recommended by most resuscitation courses.
FAST involves assessment of the peritoneal cavity, pleural cavity and pericardial space. Learning that free fluid is present facilitates the most appropriate management plan
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.
This session will describe calcium homeostasis. It will also examine therapeutic uses of calcium and discuss the disturbances of hypercalcaemia and hypocalcaemia.
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.
Most of us are convinced that fascia iliac blocks for pain relief are fabulous. Models to teach and practice on can be expensive. Inspired by one of the ED registrars I work with, Dr Grace O’Connell, I am going to show how to make a simple model for simulating going through the fascial layers at the hip.
