Category: Emergencies

Introduction to Dental Traumatology for A&E

This article aims to give basic information on the assessment of dental trauma to enable the reader to both recognise and communicate injuries correctly with the appropriate speciality. Do not forget assessment for other injuries, especially the face, head and neck, brain, and C-spine. Dental trauma can have life-changing physical and psycho-social consequences, appropriate early

Read More »

Pneumothorax

A pneumothorax is defined as the abnormal collection of air between the visceral and parietal space of the lung i.e. the pleural space. It typically presents with acute shortness of breath, pleuritic chest pain and is more common in those with damaged or stretched lungs. Despite clear cut guidelines from BTS, real-life management varies considerably

Read More »

Compartment Syndrome

Acute Compartment Syndrome is one of the few orthopaedic emergencies. If missed, it can lead to severe and life-changing consequences for the patient. This article will focus on acute compartment syndrome of the limbs. What is compartment syndrome? Let’s start by understanding a couple key principles and definitions. A compartment is a group of muscles

Read More »

Pulmonary embolism

A pulmonary embolism (PE) is a blocked blood vessel in your lungs, most often due to a blood clot. It is common and can be asymptomatic but can be life-threatening if the clot is large and near the centre of the lung. With a massive PE immediate management is necessary. Causes A common cause of

Read More »

Sickle Cell Disease

Sickle cell diseases are a disorder of haemoglobin affecting red blood cells. This autosomal recessive, single gene defect results in the formation of HbS (sickle cell haemoglobin). Types of Sickle Cell Disorders Sickle cell trait: heterozygous (AS) which is typically asymptomatic & usually not life-limiting Sickle cell anaemia: homozygous (SS) which leads to many complications

Read More »

Haematuria

You will regularly see patients with blood in their urine, most often picked up incidentally on a urine drip. Your initial assessment should aim to identify whether this is due to a UTI (or other transient cause) and whether it is urological or nephrological with the help of measuring the patient’s blood pressure, bloods (FBC,

Read More »

Femoral Stab

Femoral puncture is typically used to acquire blood from a patient in an emergency setting as both the veins and arteries are large vessels. In profound hypotension, unlike the radial, the femoral artery remains palpable. In a cardiac arrest, good quality CPR should result in a palpable pulsation. Typically a venous sample is preferred as

Read More »

CNS Infections

A CNS infection is one that involves the central nervous system in some way. This includes the meninges, cerebellum, ventricular system and spinal cord, among others. Meningitis is the most common form of CNS infection. You should have a low threshold for starting empirical treatment in suspected cases of meningitis or encephalitis, particularly in patients

Read More »

Fluid Balance

Almost every patient admitted to hospital receives IV fluids at some point in their journey. However, the body manages this, without the need for careful medical assessment and adjustment, as fluid balance is one of its core functions. Despite this, there are many situations where we need careful and controlled management. These include: Electrolyte disturbance

Read More »

Hypothermia

Hypothermia, whilst an infrequently encountered issue during foundation, is a high-risk condition with a need for investigation and often rapid intervention. It is defined as a core body temperature less than 35°C and can be divided into mild, moderate and severe (by the extent of hypothermia and associated signs/symptoms) or into the duration of onset

Read More »

Follow us

Our Newsletter

Upcoming Webinars

Trending Now

Junior Doctor Pay Calculator
We’ve created a junior doctor pay calculator to help you better understand your salary, tax, student...
Fluid Balance
Almost every patient admitted to hospital receives IV fluids at some point in their journey. However,...
Preparing for FY1
It is common for FY1s to feel anxious & feel like they’re not ready to start. We expect you...
Referral Cheat Sheet
Our referral cheat sheet is our most popular resource having been downloaded thousands of times! It has...
Audits & Quality Improvement Projects (QIPs)
Audits & QIPs are a way to identify issues, drive changes and assess the effects they have. It is...
ePortfolio
Your eportfolio is a tool to store and record evidence that demonstrates your progress, clinical competencies...
Urinary Retention
Urinary retention can be acute or chronic. When acute it occurs within a number of hours causing significant...
Scroll to Top

Sign up for our awesome resources

Free webinars every week, referral cheat sheet & other amazing content!