A male presents with a large bulge to his bicep area after going to punch and then missing a punch bag in an arcade. Why does he now have such a big bicep?
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.
Most patients arrive with c-spine immobilisation, now called "restriction of c-spine movement or ROCSM", in situ. If they haven't, and they need it, there's a few steps to take.
A male in his twenties presents to the ED complaining of haemoptysis following blunt thoracic trauma in sport. After an abnormal Chest X-Ray, his CT Chest reveals an interesting finding which surprises the Emergency Medicine and Cardiothoracic teams.
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 month we have New in EM - Ruling out ACS in the ED | Guidelines for EM - AF (Part 1 of 2) | Interview with Matt Reed RE: Flagship Conference | New Online
This module aims to improve the standard of concussion care. It covers how to recognise a concussion, and provide appropriate management and discharge advice consistent with new national and international guidance.
This session aims to improve the standard of concussion care. It covers how to recognise a concussion, and provide appropriate management and discharge advice consistent with new national and international guidance.
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 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 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.
FAST involves assessment of the peritoneal cavity, pleural cavity and pericardial space. Learning that free fluid is present facilitates the most appropriate management plan.
A 30-year-old, 50kg, factory worker presents to your ED following a chemical burn injury. While operating a machine at the Royal Mint an accident sprayed chemical over his face, neck and upper chest.
This 32 year old has fallen off a ladder, and has hip pain. Their x-rays show a pubic ramus fracture, they’re able to mobilise, so can I send them home?
An 18-year-old man presents with left upper quadrant and left lower chest wall pain following a fall from a skateboard at a height of approximately 4ft.
A systematic approach to the interpretation of the spinal radiograph can help to identify potentially devastating though fortunately uncommon serious injuries.
Here is a brief overview of three of our favourite and most satisfying PEM procedures. They epitomise ED practice - but can seem tricky to the PEM naive practitioner.
SBA session on the RCEM recommendations about the management of an aggressive patient with acute behavioural disturbance (ABD). How to keep your patient, your colleagues, and yourself safe!
This aims to provide the learner with an overview of common types of skin and soft tissue injuries, how best to accurately describe these, and considers the mechanism most likely to be responsible.
This module aims to provide the learner with an overview of common types of skin and soft tissue injuries, how best to accurately describe these, and considers the mechanism most likely to be responsible.
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.
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
This session covers the assessment and management of acute elbow injuries commonly seen in the emergency department
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