CHFT Case of the Week 12 – SUFE
This weeks case is an interesting presentation of a non weight bearing child who had a slipped upper femoral epiphysis (SUFE), with a rather dramatic x ray. Limping (or non weight bearing) children are common to ED and we discuss differentials and investigations in this cohort, and how to identify the rare SUFE!
CHFT Case of the Week 11 – Paediatric Appendicitis
This weeks case discusses children presenting with abdominal pain, specifically ?appendicitis, and how good various investigations are (or aren’t!) at ruling in / out appendicitis.
Correspondance: jack.long@cht.nhs.uk
CHFT Case of the Week 10 – Pulmonary oedema
This weeks case features a 75 year old lady presenting with acute breathlessness and shown to have ‘flash’ pulmonary oedema on her CXR. We discuss initial management of pulmonary oedema and the role of NIV / CPAP for these patients.
CHFT Case of the Week 9 – Spontaneous Pneumothorax
This weeks case features a young man presenting with a spontaneous pneumothorax and discusses the BTS algorithm in decision making around interventions. There are links to videos on how we carry out these interventions safely.
CHFT Case of the Week 8 – Hyponatraemia
This weeks case features a critically unwell patient with a very low sodium. Focus is on the hyponatraemia aspect – when and how we should correct low sodiums. This was a particularly tricky case as being critically unwell he would be needing lots of other IV infusions rather than just hypertonic saline as the hyponatraemia guidelines suggest, therefore making careful correction even more difficult.
CHFT Case of the Week 7 – download for links
This weeks case features a young man presenting to CRH with a femur fracture. It discusses cognitive biases and how we might fall in to traps when assessing patients outside of the usual environment i.e. trauma at CRH. Cognitive biases are everywhere and applicable to every patient we see – and a lot of decisions outside of work! There is also discussion around approach to trauma patients and management of femur fractures for people that have not done ATLS.
CHFT Case of the Week 6 – Download for links
This weeks case of the week discusses a patient who presented to ED 3 times before receiving a rare and unfortunate diagnosis. It highlights the need to be vigilant in re attenders – particularly when there is progression of symptoms. It also discusses some of the evidence around back pain assessment and Cauda Equina Syndrome.
CHFT Case of the Week 5 – download for links
This week’s case looks at the ALS tachycardia algorithm and discusses emergency cardioversion when adverse / life threatening features are present.
CHFT Case of the Week 4 – download for links
Case of the week this week explores diagnosis and initial management of PE in the ED – specifically focusing on the tricky group of ‘intermediate risk’ patients with significant PE but are haemodynamically stable
Case of the Week 3 relating to status epilepticus in children and initial management of cerebral oedema.
