PHEM Trauma

Your receive a pre-alert call from the air ambulance team who are bringing a 32-year-old male who has sustained a single stab wound to the epigastrium whilst outside a pub…

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Fishing for Vandals

This morning I had a phone call from the police. He said that last night a man was filmed on CCTV smashing the windows of two police cars parked outside the local police station…

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Wound Management

Explore the NICE guidance on wound management of dog bites (NICE CKS and NICE Guidance)…

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Seriously, Not Another Protocol? (EBM)

You receive a standby call for red-flag sepsis Initial pattern recognition triggers the pathway. Shortly after arriving you experience pattern interrupt and ponder new evidence in the treatment of th…

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Parasyncope?

A 47-year-old nurse with a 2 week history of headaches and lethargy presented with a pre-syncopal episode at work. She was pale and sweaty before the collapse and had slow speech during the episode.…

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A Real Pain in the Neck

A 67-year-old man, who had a background of diabetes, presents with pain on the left side of his neck, lower back pain and numbness in his left arm.…

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