Next to be seen is a 35 year old male, returned from Ghana, presenting with muscle pain, headaches, a history of fever and diarrhoea
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.
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.
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.
To follow on from the RCEMLearning blogs on Bullying in the ED and Undermining in the ED, we will move on to an unwanted behaviour that is less subtle.
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.
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.
This is one of three RCEMLearning Blogs on Bullying, Undermining and Incivility in the Emergency Department.
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.
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.
Its 4:00 AM. Youve just managed to find a working ophthalmoscope and after wrestling with it and staring through the gloom, you spot the optic disc
This blog will focus on some of the finer details in bite management, or complications that may be seen. (Apologies in advance for any itching caused by this blog).
GLP-1 agonists, hailed as wonder drugs, help shed weight rapidly. But how do they work and what risks lurk beneath? What do we need to know about them in the emergency department?
Paediatric cases of Bells Palsy are relatively uncommon. Understandably, witnessing a rapidly developing facial asymmetry in a child will cause worried parents/guardians to rush to see a doctor.
As the days get shorter, the leaves fall from the trees, and winter draws nearer, so does the surge of bronchiolitis begin its annual descent upon paediatric emergency departments across the country.
This blog looks at the challenges that patients with Autism face in the emergency setting.
ECGs can be challenging, right? And so can children. Add the two together and..arrghh - Paediatric ECGs!!
The relative tranquility of the night shift thus was about to be broken. I swallowed my apprehension and walked outside.
The idea of normalisation of deviance is the brainchild of an American sociologist, Diane Vaughan, who thought that essentially people become used to accepting deviant behaviour as normal practice, the more it occurs.
Its Friday evening and youre 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.
This blog is to convince you why the conversation about our breaks, our sleep and our rest is one to start having, keep having and not stop having.
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.
Education is not a new thing. That is not to say it is completely understood, but there are many theories behind good and bad education.
Concussion. It's hard to believe we didn't used to care much about it, and if your CT was normal, we were happy.