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A 3-year-old child presents to your emergency department with a rash, fever and vomiting.
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A cyanosed young lady sitting comfortably in the waiting room.
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A 36-year-old male presents with a 5-day history of sore throat, fever and dehydration.
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A man collapses in the bathroom. What was the cause? Is he safe to go home?
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Diabetic Ketoacidosis, very common presentation to the ED, is a potentially life-threatening complication of type 1 diabetes. The Joint British Diabetes Societies have developed recent consensus guidelines to guide management.
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How will you manage a patient presenting with an atraumatic painful swelling of their great toe?
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A 53-year-old man presents to the ED with a 12-hour history of impaired sensation to the right side of his face, right arm and right upper torso.
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An unusual presentation of chest pain to the emergency department following substance abuse at a party.
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You are called to a pre-alerted 6-day-old baby who has arrived in paediatric resus with rapid breathing. How will you manage this infant?
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An older woman with a background of alcohol excess has an unusual blood gas. What is causing her drowsiness and how will you treat it?
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Elbow injuries are a common presentation to the paediatric emergency department.
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A patient presents following a viral illness with RUQ pain, vomiting and confusion.
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Tracheostomy emergencies are a relatively common and often alarming occurrence do you know how to manage a patient presenting with a tracheostomy emergency?
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EM/PHEM resuscitation during an observer shift
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An explosion has occurred at a nearby chemical plant and your emergency department is the nearest healthcare facility. Are you ready to handle this major incident?
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Adult Trauma Call: Management of a 28-year-old male with a knife wound to the chest.
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A handy reminder that not all carpal bone fractures involve the scaphoid bone.
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Shortness of breath is a common occurrence for COPD patients, and were used to putting them on non-invasive ventilation. What happens when we cant?
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A delayed presentation after trauma with an increasing joint swelling, what gives?
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An older patient with acute onset of vertigo. How do you decide if its peripheral or central vertigo?
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Chemical eye injury can be caused by acids or alkali. It is important to know how to manage them in the ED.
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A young lady presented with abdominal pain, lethargy, (Groin) bone pain, depression and headache.
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Your department is crowded with multiple ambulances arriving, very few empty clinical spaces and multiple boarded patients due to exit block.
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A 13-year-old female collapses whilst running. How will you assess and manage this?
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Patient with Von Willebrand disease is brought to ED with per rectal bleeding.
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A 2-year-old child presents with worsening eczema and parental concerns that she was unwell.
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A young man is brought to your ED by police. They suspect he has concealed drugs internally and want you to perform an intimate search and x-ray.
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A woman presents with 10/10 eye pain. Consider what could be going on, rule out the red flags and address her urgent concerns!
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Management of a patient who reattends the Emergency Department with cyclical nausea and vomiting.
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A young pregnant woman attends with severe nausea and vomiting. Shes unable to keep tablets, food or fluids down and looks dehydrated.
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A young woman presents with breathlessness. She is profoundly tachycardic. How will you manage this?
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A woman attends your ED with severe lower abdominal pain and fullness, with difficulty urinating. She had roughly similar symptoms when she was diagnosed with pelvic inflammatory disease before.
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There are three pregnant patients in the department who require consideration of Rhesus status and anti-D immunoglobulin. You must assess each in turn.
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A 25-year-old male presents to your ED with central sharp chest pain, shortness of breath and palpitations.
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A 45-year-old female attends with grossly swollen lips. She has some important information about her symptoms, can you understand it? ! If not, its time to use some clinical acumen!
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A young man presents with an acutely red and painful eye on the background of a chronic stable condition.
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An elderly woman attends with a vague history of weakness and confusion but an unremarkable clinical examination. How will you proceed?
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A young woman, who walks into the ED with Propranolol overdose, suddenly collapses.
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A woman presents with breast pain and fever to your emergency department. How will you manage this patient?
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A pregnant woman presents with a headache and abdominal pain and suddenly deteriorates. How will you manage this?
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A young man presents with auditory hallucinations and paranoid delusions. Test your knowledge on assessment and management of a psychiatric patient.
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You think this is a regular day at the office and a very straight forward case, but is it?
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A young female patient presents with lower abdominal pain and vaginal bleeding to your ED. How will you manage this patient?
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A conducted energy device (CED) taser was discharged into a patients shoulder. Before this patient is taken into police custody, youve been asked to assess them in your ED.
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A young woman is pre-alerted to the emergency department with increasing drowsiness and confusion.
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The Police have brought a patient to your ED that has had a controlled energy device discharged into their upper back. You are called to assess this patient.
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Preparing for exams and trying to find an SBA on organ donation? The law around organ donation has changed; refresh your knowledge with this SBA.
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A woman with diplopia needs your help. Can you identify the cause and include or exclude any red flags?
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Your patients x-ray shows his heart is almost the whole size of his chest. Whats going on? And what are you going to do about it?
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Trauma Pre-alert for a 35-year-old gentleman who sustained injury to head and back after diving into the shallow end of a swimming pool.
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A young man presents with fever, headache, photophobia and vomiting. Can you interpret the findings to diagnose and treat him appropriately before its too late?
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Functional Seizures arent managed with benzodiazepines but how do you tell functional seizures from epileptic ones?
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A 14-year-old girl presented at the ED after falling into a tree and impaling her cheek with a large twig, just below her right eye, obscuring her vision.
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This SBA will test your knowledge on worrying presentations to ED, and when fevers come and go.
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Theres a lot to know about PEM. Can you answer our questions on some of the more common PEM?
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Using PoCUS to identify the abdominal aorta is an important skill and a curriculum requirement for completion of EM training. Can you identify all the relevant structures using ultrasound?
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A patient with kidney troubles now has acute kidney injury. How will you identify and manage her AKI?
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A drowsy marathon runner presents after training in the sun, with a significantly raised temperature and dry skin too hot to touch.
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An elderly lady gardening in the hot summer sun becomes unwell soon after midday. How will you manage her heat stroke?
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How will you manage your absconding patient with suicidal intent who has gone absent without leave?
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Identifying aortic dissection is difficult, but the management doesnt stop there.
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Learn more about the Multi Agency Risk Assessment Conferences (MARACS) and their role managing in domestic abuse.
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12% of ED attendances are related to domestic abuse. How will you identify & manage these cases?
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A recently widowed 36-year-old female presents with chest pain and shortness of breath. Her ECG features diffuse ST elevation.
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12% of ED attendances are related to domestic abuse. ED physicians are in a unique position to identify these cases.
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A young man presents with superficial wounds on his forearm from a dog bite. You know what you have to do. Clean the wound, give a tetanus shot and prescribe antibiotics. Right?
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Are you supporting your overseas team as much as you could? Inspired by the RCEMLearning blog, here are some questions.
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We perform fascia iliaca blocks with ease but do you really remember the anatomy?
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Children can be distracting, but how can we also distract them?
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DNA CPR confuses many but is a very important area to get right.
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Explore your understanding further of how hypnosis can help in Emergency Medicine
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A patient presents with sudden, painful loss of vision. Can you diagnose the problem and provide emergency management?
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1 in 300 people will experience anaphylaxis at some point in their lives. The 2021 anaphylaxis guidelines provide an updated consensus for the recognition and management of anaphylaxis in all age groups.
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A painful rash and a febrile illness -but could it be necrotising fasciitis? How can you tell?
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A third of deaths from food anaphylaxis occur despite appropriate early management. Consequently, the RCUK have recognised a need for standardised algorithms for ongoing resuscitation in cases of refractory anaphylaxis.
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This SBA addresses an important time-critical complication of wound infection where early diagnosis and management can save a patients limb.
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A 43-year-old man is hypotensive, tachycardic and febrile barn door sepsis or something else? The devil is in the detail!
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A 2-year-old boy is brought to the Emergency Department with a barking cough and noisy breathing. Can you diagnose and treat him before he deteriorates?
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A 92-year-old man attends the emergency department complaining that his right shoulder "looks a funny shape".