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This guide is not intended for those who are experienced ITU types, however, if you are one of the millions of front-line staff looking to help during our latest respiratory pandemic with little experience in the use of NIV please read on.
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Burnout is a specific term used to describe one aspect of mental health. Much research has been done on the mental health and wellbeing of emergency teams.
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I didnt realise I was burned out until I was properly scorched. Id been close before, but thought I was doing ok this time.
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Here are two cases of oncological and palliative care emergencies that might present to the emergency department, that we should know how to treat.
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Rob, a 15-day old neonate has been brought to ED by his mum, Lucy, after she noticed some streaks of blood in his nappy. He was born at 39 weeks by spontaneous vaginal delivery after an uncomplicated pregnancy and has been exclusively breast fed since birth.
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So you are thinking of acting up? CONGRATULATIONS - it means the end of your training is in sight. According to the RCEM guidance, you would need to have passed FRCEM and be in the final year of training, so you're nearly over the finish line.
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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 OConnell, I am going to show how to make a simple model for simulating going through the fascial layers at the hip.
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DNA CPR or do not attempt resuscitation decisions are confusing to many. If discussed sensitively and correctly, they make a huge huge huge immeasurable difference to the hospital stay of the patient, and their relatives.
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If we told you we knew of a medical practice thats been around since the 18th century, with a strong evidence base, that can be utilised by any emergency physician, for the majority of patients (and colleagues), thats free to deliver, costing only time, youd probably think we were deluded. We're not... it's hypnosis.
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Ear trauma is a common presentation to the Emergency Department. Whilst generally simple to manage, the consequences of ear trauma have the potential to impact patients day-to-day lives significantly
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If I mention scurvy to most people, they think of sea dogs, and Pirates, and archaic health complaints
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We become (mostly) emergency practitioners to reduce suffering of patients - not all suffering is pain, and both suffering and pain can be reduced by compassionate communication.
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Part 2 of our urological problems in men blog - focussing on catheterisation and problems associated with it.
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Urology presentations are fairly common to the emergency department, and we hope this just in time reminder will emphasise some of the key management points.
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I must admit, it felt a bit strange, taking a day off work as study leave to sit in my joggers in front of the laptop, but this is definitely The Way To Conference.
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Teaching is a huge part of emergency medicine. Whether you're preparing for the FRCEM OSCE or some shopfloor supervision of medical students, you need to be able to explain things to others that, for you, have now become second nature.
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Chest pain in children and young people is thankfully, in the most part, not too concerning. But explaining exactly what the cause of it is, can be tricky. And when do we need to worry?
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Information overload is everywhere. With so many different methods of communicating, it is really easy for important facts to get lost in the noise. I think we all have a responsibility to make this better and easier, and I think we can make email work with a few changes
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Colles' fractures are a common presentation to emergency departments across the globe. The eponymous fracture is a dorsally angulated extra-articular distal radial metaphyseal single segment fracture. Everything else is a distal radial fracture or a Smiths or a Bartons or a Chauffeur fracture or Galeazzi.
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A review of current practise and reflections from DFTB Illness and Injuries 2020
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You move to your second base as some divers have surfaced and are getting ready to pack up. You notice one of them is swaying left and right and stops due to complaints of pain in his back. He has started to feel out of breath.
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Big city medicine can sometimes be tricky to tick the box that says "Environmental Emergencies" in the RCEM curriculum. But a day in the life of a doctor living in more "outdoor" or seaside settings can help you get the mindset that is needed for these sort of pre-hospital jobs.
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I was on a night shift, in a major trauma centre, still an ST3 at the time. We were actually having a nice night shift in not so cold weather. There was still a little flow of patients, we had some room in resus and our minors area was pretty empty. Some may even brave the "Q" word.
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It wasn't until I spent some time working in France and in the DRCongo that I really developed an understanding of communicating in a second (or third) language, or not being able to communicate with someone at all