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A patient presents with a complaint of diplopia. “I’ve been seeing double since last night. It started after I woke up from a nap”
Patients who present with diplopia following...
I recently reviewed a study on 'Zero Point Survey' By Reid et al. (Review in Papercut)
At EMCORE London, Dr Joe Nemeth presented the Lecture on Zero Point Survey and what it means. Enjoy the...
Upper Gastrointestinal bleeding (UGIB) affects approximately 1 in 1000 of the population per year and has an overall mortality of up to 10%.
The cause of the UGIB in the patient in front of...
A 28 yo otherwise well patient has presented to the emergency department with an imminent delivery. The baby is delivered and there is some vaginal bleeding post delivery, however it doesn't...
What are stroke mimics?
- They don't follow stroke syndromes
- The are not sudden onset
- Their severity fluctuates
- They may have other systemic signs such as:
- drowsiness
- confusion
- agitation
- fever
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 was commenced. ROSC was present when the...
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 outcome?
Should we treat patients with hyperkalaemia and...
Patients presenting with dizziness comprise about 4% of all emergency department presentations. Our role is to exclude central causes. To be able to do this we an approach that allows...
An 88 yo patient is brought into the emergency department with significant bradycardia. During the evening the patient has been at home and has become incontinent, lethargic and progressively...
What is a ST Elevation Myocardial Infarction (STEMI) Equivalent?
These ECG criteria identify patients who require immediate reperfusion therapy as per the 2013 STEMI Guidelines (1). The ecg changes...
