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Why digoxin? Digoxin has a narrow therapeutic index and digoxin toxicity can be a life-threatening condition.
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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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Many accused hospitals and medics of not acting quickly enough to prepare for Covid19, and we're not going to let that happen for the muted bronchiolitis epidemic. Using all we've learnt from Covid, and all we know about childhood respiratory illnesses, here are a few suggestions to help you prepare.
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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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With potential to wreak systemic havoc for years following initial infection, Group A beta-haemolytic Streptococcus pyogenes (or, far more conveniently, GAS) are organisms truly worthy of our inner nerd.