A suspected juvenile drug trafficker refuses radiological imaging. Police seek medical advice on next steps.…
Learning from Deaths
This blog is something a bit different. Based on real Coroners cases, weve pulled out some critical decision moments so you can work your way through the patient journey and decide what you would do…
End of life care in ED
A 45-year-old female with end-stage COPD presents with acute breathlessness and drowsiness. Despite optimized medical management and prior discussions on care preferences, she declines interventions a…
The Devil in the Dosset Box
A 94-year-old female with dementia was referred to the ED from her residential home. She had a 2 day history of anorexia, lethargy and loose stools 3 times a day.…
RCEMLearning Podcast – June 2025
Thank you for tuning into the latest RCEMLearning podcast. We have prepared three multiple-choice questions based on this episode and its accompanying show notes. Successfully answering these question…
Curriculum Cup: Surgical Emergencies
25 questions. 25 minutes. Test yourself against your colleagues and the clock to see if you can top the Leaderboard!…
From Wheeze to Squeeze: a patient presenting with breathlessness
A 37-year old female woman presents with worsening shortness-of-breath and is noted to be severely hypertensive.…
A Shocking Period
A young woman is seriously unwell. Her flatmates give you all the information you need. Now you must save her life. Period!…
A Painful Ear Infection
A young woman presents with a painful, swollen ear after a recent piercing.…
Hypoactive Delirium
A 73-year-old female, who lives alone, is found collapsed at home by her neighbours and brought in the ED.…
Ultrasound: Skills of carrying out Focused Assessment with Sonography in Trauma (FAST)
FAST involves assessment of the peritoneal cavity, pleural cavity and pericardial space. Learning that free fluid is present facilitates the most appropriate management plan.…
Chemical Burns
A 30-year-old, 50kg, factory worker presents to your ED following a chemical burn injury. While operating a machine at the Royal Mint an accident sprayed chemical over his face, neck and upper chest.…
Hot Tub, Hot Feet
Two girls present to the Emergency Department on the same day with similar painful foot rashes, raising concerns about a common exposure.…
Ureteric Colic
A 34-year-old male presents to your ED in acute pain and you suspect ureteric colic. How will you manage this?…
Itching to get home but, is your concern spot on?
Exposure to a viral illness in pregnancy. How worried should Mum be?…
An Apple a Day keeps the Doctor Away
A 14-month-old boy presented to the Emergency Department following a choking episode the previous day at kindergarten. He had been eating a piece of diced apple at the time.…
Returning from Spain with new epigastric pain, in shock
A hypotensive female in her 60s is pre-alerted to resus with severe abdominal pain radiating to both shoulders.…
Nobody Nose – Punched on Face
A 35-year-old male presents to the ED with a history of being punched on the face, with a nasal bone injury, bleeding and deformity. Discussion on evaluation, examination, imaging and specialist refer…
Tracheostomy Emergencies in Adults
Tracheostomy emergencies are rare in the ED but are associated with high mortality and morbidity. It is therefore essential that ED practitioners are competent in assessing and stabilising patients wi…
Blast in the Head
A 27-year-old female presents to the ED with one day history of sudden onset of moderate to severe intensity headache, vomiting, diplopia and abdominal discomfort.…