Sudden onset of neurological symptoms after exertion, accompanied by vacant episodes that were triggered by movement of the arm due to steno occlusive disease in the subclavian artery, proximal to the…
Initial Assessment of the Eye
This module covers the initial assessment of eye and visual problems in the Emergency Department.…
Haem and the Heart
An 84-year-old gentleman attends ED with a 48-hour history of tight central chest pain on exertion.…
Feeling Blue: When a good night turns bad
A woman is found unresponsive in a takeaway at midnight. She is hypotensive, drowsy and has low oxygen saturations. She is unable to give a history and there is nobody with her. Can you help her?…
Sweet and Salty
Hyperglycaemic hyperosmolar state is a medical emergency and is different from DKA and as such its treatment requires a different approach.…
Acute Urinary Retention
A 51-year-old man is seen in the Emergency Department with severe abdominal pain and inability to pass urine.…
A Droopy Eye
A man in his thirties presents to the ED after being instructed to do so by an optician, suspecting a stroke.…
A Complex Wound
This SBA addresses an important time-critical complication of wound infection where early diagnosis and management can save a patients limb.…
Will you look at this ECG for me?
You are handed the ECG of a lady with known alcohol excess who has presented with at least 48 hours of vomiting. The ECG reveals one of her blood tests may be critical but which one?…
PUMP it up
A 35-year-old male presents with central non radiating chest pain with ECG changes and a blood pressure of 241/179mmHg.…
Paediatric Inflammatory Multisystem Syndrome (PIMS-TS)
Understanding paediatric inflammatory multisystem syndrome temporally associated with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (PIMS-TS).…
Neonatal PR Bleeding
What are potential causes for blood in a neonates nappy?…
When the Well Runs Dry
An 80-year-old woman arrives after an unwitnessed fall, uninjured but profoundly unwell – dizzy, fatigued, and oliguric. Could this be the tip of a multifactorial medical iceberg?…
More than just a DVT
A 38-year-old man reattends obtunded and narcosed after being treated for a DVT the day before.…
Penetrating Thoracic Trauma
A 21-year old male has been stabbed outside of a night-club.…
Supporting Overseas Doctors
Are you supporting your overseas team as much as you could? Inspired by the RCEMLearning blog, here are some questions.…
An Unusual Cause of Haematemesis
A 24-year-old presents with haematemesis on a background of alcohol excess.…
RCEMLearning Podcast – April 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…
Fascia Iliaca block
We perform fascia iliaca blocks with ease but do you really remember the anatomy?…
Skateboarder’s Spleen
An 18-year-old man presents with left upper quadrant and left lower chest wall pain following a fall from a skateboard at a height of approximately 4ft.…