Before bedtime, 3 children were playing with matchsticks in their upstairs bedroom. They had made a tent earlier that evening using their bed linen and were inside, surrounded by their cuddly toys…
In out and hold
The changing landscape of ultrasound – how do your images change, and how is it relevant?…
It’s not the cough that carries you off…
A 67-year-old male attends the ED following a 4 day history of worsening cough productive of green sputum, pleuritic chest pain and fever.…
Nothing to Declare
A patient presents to the Emergency Department suspected of having illicit concealed drugs. This SAQ explores the clinical management, combined with the ethical and medicolegal aspects of their care.…
Crash & Burn: Kawasaki disease
An SAQ designed to consolidate your knowledge on the features and management of Kawasaki disease.…
The Twitching Tot
The paramedics arrive with a 3-year-old boy who has had two seizures today. He has known developmental delay but has no history of seizures previously…
But I’m too young to have a heart attack, Doctor!
A 25-year-old male with no significant past medical history attends A&E with chest pain…
The Shocked Neonate
A 22-year-old lady delivers a 36-week-old baby unexpectedly at home. The baby was initially pink with an Apgar of 9, and a birth weight of 7lbs…
My Baby is Throwing Up and It’s Getting Me Down
A mother presented to the ED with her 4-week old baby that had been drowsy and was not feeding as usual.…
It ain’t easy bein’ wheezy
Asthma is a common condition. In the UK, over 8 million people, or approximately 12% of the population, have been diagnosed with asthma (NICE CKS, 2018)…
All day (morning) sickness
Nausea and vomiting affects approximately 80% of women during early pregnancy…
More tests for shortness of breath
A 36-year-old male presents in respiratory distress.…
The Resus Lottery
This question is aimed at ST3 and above. It is best taken after completing the Human Factors knowledge based session…
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…
Don’t take your eye off the ball
A 10-year-old boy presents to the ED with sudden onset severe abdominal pain and on examination had very tender and significantly swollen left testicle. You suspect testicular torsion…
An Overcrowded Department and the Bus has just arrived
You are in charge of a congested department. Multiple ambulances have just arrived and you need to triage them to your clinical areas…
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…
Hereditary Angioedema. To Swell and Back
A 24-year-old woman presents to the Emergency Department with increasing lip swelling over the past hour.…
Wound Management
Explore the NICE guidance on wound management of dog bites (NICE CKS and NICE Guidance)…
I Can’t Change My Mind!
This question is aimed at CT1 and above. This question focuses on decision making.…