- Blog
Why digoxin? Digoxin has a narrow therapeutic index and digoxin toxicity can be a life-threatening condition.
- Blog
A practical guide to recognising and managing acute compartment syndrome in the ED - covering pathophysiology, red flags, pressure thresholds, and why early fasciotomy can save a limb.
- Blog
EM physicians need to be decision makers, quick thinkers and risk balancers. This is what we are good at. In fact, many will tell you that the purpose of the PEM rotation is to learn to spot the sick child.
- Blog
The alert phone goes: the ambulance team are bringing in a 2 year old girl who has fallen down a flight of stairs
- Blog
A practical guide to running the Emergency Department floor as EPIC, using a simple structured framework to improve flow, safety, communication and team support throughout your shift.
- Blog
Trust lies at the foundation of any relationship. A relationship without trust is never going to be long-lasting, or at least, a positive one. The same applies with the leader-follower relationship in the workplace. But what is it that makes one human-being trust another human-being?
- Blog
If I mention scurvy to most people, they think of sea dogs, and Pirates, and archaic health complaints.
- Blog
Our hands are important. The sensory information they collect and their ability to co-ordinate complex movements allow us to explore and physically interact with our environment.
- Blog
I didnt realise I was burned out until I was properly scorched. Id been close before, but thought I was doing ok this time.
- Blog
Burnout is a state of physical, emotional and mental exhaustion caused by prolonged, unmanaged chronic stress, most commonly in an occupational context. Much research has been done on burnout affecting emergency department teams.
- Blog
Educational supervision has come under scrutiny the last few years. People are no longer automatically deemed to be good supervisors when they hit consultant level.
- Blog
In this blog we're talking about hyperglycaemia in the ED. There aren't any official guidelines on management, but our experience has shown that there's a huge variation in practice, and many cases are mismanaged.
- Blog
The term Doctor in Difficulty is one that will have different emotions attached to it depending on your experience. We used to just think about trainees in difficulty but then realised non-trainees are just as likely to be in difficulty and need some support.
- Blog
Next to be seen is a 35 year old male, returned from Ghana, presenting with muscle pain, headaches, a history of fever and diarrhoea
- Blog
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.
- Blog
3D printing is becoming ubiquitous. You may have a 3D printer, or you may be thinking of ways in which it can be useful. Here are a few thoughts on 3D printing in the ED together with a case study on how it is useful. Do add your tips, resources and suggestions in the comments.
- Blog
Toni is a 35-year-old lady who attends the ED regularly with chest pain. Nothing seems to make it better, and her troponin is always normal. You wonder if there is a potential cause. Read on to find out that there is more to IBS than abdominal pain.
- Blog
Eyes are the windows to the soul. They have the power to mesmerise and enchant even the hardest of hearts. Yet, for many clinicians, they also instill genuine fear.
- Blog
Tuberculosis can feel like a disease from a different era. The truth is, it is still very much with us and in a busy urban ED you will see it. The real question is whether you think of it before the patient leaves the department, or three months later when theyre back worse.
- Blog
This is one of three RCEMLearning Blogs on Bullying, Undermining and Incivility in the Emergency Department.
- Blog
Answering complaints is an important role of the ED Consultant and its now part of the RCEM management portfolio. Weve made a few suggestions about how to answer complaints but everyone will have their own tips, so feel free to leave a comment or two.
- Blog
Bullying is something that an unacceptably high number of healthcare workers will experience. Despite priding itself in being a friendly specialty with a flattened hierarchy, those working in emergency medicine, too, report experiencing bullying.
Incivility in the Emergency Department