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.…
Seek and Ye Shall Find!
A 57-year-old female with Chest pain, dyspnoea, abdominal Pain and syncopal episodes.…
Necrotising fasciitis
A painful rash and a febrile illness -but could it be necrotising fasciitis? How can you tell?…
Blunt trauma to the abdomen – don’t forget the kidneys!
A 37-year-old man is brought into the emergency department following a road traffic collision.…
Spontaneous Pneumothorax in Early Pregnancy
A 31-year-old woman presents with a one-day history of sudden onset of the left shoulder pain and shortness of breath.…
What does this ECG suggest?
An elderly lady presents to the emergency department from a nursing home having been found on the floor in her room…
That’s a Yellow Card! Risks and Regulation
A female in her 60s attends with tongue swelling.…
Foxglove – Beautiful but a deadly plant
An adolescent male presents with abdominal pain, vomiting and bradyarrhythmia after ingesting foxglove plant leaves with an intention to harm himself.…
RCEMLearning Podcast – May 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…
Asthma in Adults
This module focuses on the treatment of adult patients with previously diagnosed asthma that present to the ED with an acute episode of breathlessness.…
Learning about Teaching Skills
Teaching and thinking about teaching…
Trampoline Ankle
You are asked to review a 3-year-old girl brought in crying inconsolably by her parents.…
Syncope with Arm Exercise
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.…