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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
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To the ENT novice there are a baffling number of terms that refer to problems with the ear... "otitis media" is that acute? Or suppurative? Or secretory? And where does glue ear fit into all of this and what are grommets anyway?!
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Welcome to the first of our virtual monthly teaching sessions. This is something we have organised in the North West for higher trainees who all get a teaching day a month to cover some curriculum topics, and we thought we'd share what we've done with the RCEM Community
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Working in the ED probably exposes us to a considerable amount of death and dying. From the unexpected cardiac arrest or trauma patient, through to the expected death of a patient with a terminal prognosis
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Why is this a hot topic? It is a sign of serious distress. It is common. It is strongly associated with suicide. Suicide is one of commonest causes death in young people. 200% increase in self harm 1985-1995. If ever you have the opportunity to save a young persons life - it is now.
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I want to talk about Lisfranc fractures. I recently missed one and found out it is misdiagnosed 1 in 5 times! So thought it would be a good topic to talk about.
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Medical student Max Sugarman tells RCEMLearning what triggered him to work on a hot debrief tool and how he went about implementing it.
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Management of opiate overdose is simple. ABCDE assessment, support of oxygenation and respiration as necessary, and antagonise with naloxone if toxicity is severe. Everyone has their own take on it. But what about the ongoing care?
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The Annual Review of Competence Progression is an annual (!) assessment process, designed to ensure you are progressing through your training appropriately.
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Immersive manikin simulation is a popular teaching modality in healthcare, with lots of tips everywhere. It's so popular RCEM does have a simulation committee, and regional leads have been appointed
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About 1 year ago, Pam, a 62-year-old, recently retired teacher, fit, well & active, suffered sudden onset of severe ripping pain in her chest & upper abdomen
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Medical gases are something used every day in the emergency setting, both pre-hospital and in-hospital, whether it be oxygen, medical air, or nitrous oxide. Each of these gases have their part to play in the emergency setting.
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In simulation scenarios, people often say that they felt "stressed". So, how do we manage this "acute stress"?
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Christmas Eve. Late shift. Dr Ebenezer Scrooge, FRCEM, had just managed to escape to his office. The evening had been spent, predictably, swimming in a sea of elderly patients presenting "off legs" and teenagers presenting, erm, off legs
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The seizing child is truly a scary thing to behold. If you work in the Paediatric ED, you will, at some stage, come across a child who has had a seizure, is recovering from a seizure, or is actively seizing