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A 68 yo patient is brought into the ED, post cardiac arrest.
The patient collapsed whilst out. Down-time was approximately 5 minutes;...
You might ask; "Why's is subclinical Atrial fibrillation important?" We know that patients in atrial fibrillation(AF) have a 5 x risk of stroke...
Does a normal ECG exclude Hyperkalaemia?
Do we treat patients with a K+ < 6.5 mmol/L?
Do ECG changes in hyperkalaemia predict a adverse...
ntroduction
Patients presenting with dizziness comprise about 4% of all emergency department presentations. Our role is to exclude central...
This is Part II in the series Dr Claire Wilkin-Marshall and Dr Adam Michael present this lecture.
Please Try and diagnose the following rashes and...
Dr Will Davies presents this important lecture. It is often a question asked. "Should I bring the family into the resuscitation cubicle during a...
An 88 yo patient is brought into the emergency department with significant bradycardia. During the evening the patient has been at home and...
The patient in asystole, has a very poor prognosis. But is it really asystole?
Is there any benefit in giving one shock to that patient?
Surely we...
A 63 yo patient presents to the emergency department at 11pm at night in new atrial fibrillation with a ventricular rate of 167 bpm. There is no...
In this Papercut we review the UK-REBOA Trial.
Rapid and effective control of haemorrhage in trauma results in better outcomes. Abdominal bleeding...
Venous Excess Ultrasound is a grading system of systemic venous congestion. It is useful in the emergency department for patients whose fluid...
Welcome to the wonderful world of rashes. This is part one of two parts.
This EM Mastery is actually a quiz on rashes. Try it. Members login to...
This is a great case that highlights how important it is, to know how to check if your ECG lead placement is correct. It also includes a rare case...
Up to one third of patients with out-of-hospital cardiac arrest(OHCA) have impaired myocardial contractility and vasodilatation. The mainstay of...
Dr James Edwards discusses the CLOVER Trial comparing restrictive to more liberal fluid management in Sepsis.
Reference
The...
Dr Adam Micheal reviews the 2021 Update to the CHEST VTE Treatment Guideline. Stevens SM et al. Chest 2021
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Prof Paul Middleton brings us two practice changing papers
- Cretinous M A et al. Respiratory Rate: The Neglected Vital Sign. MJA 2008;188: 657-659 ...
A 68 yo patient is brought into the ED, post cardiac arrest.
The patient collapsed whilst out. Down-time was approximately 5 minutes; bystander CPR...
The GARFIELD-AF tool allows a single calculation for mortality, stroke and bleeding and can assist in risk/benefit decision-making.
The...
An 88 yo patient who is fully independent, is brought into ED by ambulance in Cardiogenic Shock. The only past history the patient has is...
In this podcast we go on the patient journey, of a 61 yo patient who presents at 11pm at night with an irregularly irregular pulse, at a rate of...
When I cardiovert AF, I use the highest energy possible energy in the first cardioversion attempt. I consider this to be a resistant...
When cardioverting patients in new atrial fibrillation, we want our first attempt to be our best attempt.
The EPIC Trial(1) (Electrode...
Atrial Fibrillation is the most common arrhythmia we see. Conversion to sinus rhythm of recent-onset of atrial fibrillation is proven to be...