Adrenal Crisis

February 11, 2018

Adrenal crisis or insufficiency is a life threatening emergency due to the lack of glucocorticoid. Adrenal crisis can be primary due to destruction of the… Read more

DKA – Adult

February 6, 2018

Things to remember Give NaCl 0.9% Actrapid “Fixed Rate” 0.1unit/kg/hr Basal Insulin (lantus/levemir) give this too – usual time and dose Potassium – if below… Read more

DKA in Kids

December 22, 2017

Diabetic Ketoacidosis – remember in paediatrics this may be the 1st presentation of diabetes. Fluid – needs to be more considered that adults due to… Read more

DVLA – Driving & Medical Conditions

May 8, 2018

For many conditions the patient should be informed to stop driving and inform the DVLA of their condition. It is the patients responsibility to inform the… Read more

Hypercalcaemia

February 11, 2018

90% of hypercalcaemia is due to either malignancy or hyperparathyroid. Severity: Adjusted Calcium (Ca) Severe: >3.5mmol/l – URGENT treatment (risk of dysrhythmia) Moderate: 3.0-3.5mmol/l  – PROMPT treatment (maybe well tolerated if… Read more

Hyperkalaemia

February 11, 2018

Remember: is it a haemolysed blood sample? (you can do an iSTAT) Severity Mild: 5.5-5.9mmol/l – No urgent action required (Dietary & Medication modification &… Read more

Hyperosmolar Hyperglycaemic State (HHS)

May 23, 2018

HHS (A.K.A. HONK) is a diabetic emergency, but unlike DKA we don’t always think about it. Patients with HHS are often elderly with multiple co-morbidities,… Read more

Hypocalcaemia

February 11, 2018

Hypocalcaemia can life threatening, due to arrhythmias and seizures. Severity – Adjusted Calcium (Ca) Mild: >1.9mmol/l Severe: ≤1.9mmol/l OR Symptomatic Read more

Hypoglycaemia – Adult

July 8, 2018

Hypoglycaemia (Blood glucose under 4.0 mmol/l) is potentially fatal and should be treated. it may be defined as “mild” self-treated, or “severe” treated by a… Read more

Hypokalaemia

June 2, 2018

Hypokalaemia (low potassium), is a common problem. It is found in 14% of outpatients and 20% of inpatients, however only 4-5% of those are of… Read more

Hypothermia

December 22, 2017

Remove COLD, Add WARM, Don’t SHAKE Use common sense, and do basics <32’C CORE temperature  probe (skin temp inaccurate) Active renaming (warm fluids etc) Don’t… Read more

Paediatric Hypoglycaemia

November 30, 2018

Paediatric Hypoglycaemia (BM <2.6) is a relatively common presentation in the Emergency Department. However, if we don’t do the BM it’s easy to miss. Hypoglycaemia… Read more

Proximal Myopathy/Muscle Weakness

May 1, 2018

The Case An elderly patient attends the ED with difficulty mobilising, Nursing staff tell you that the patient needs a CT head for STROKE? –… Read more

RCEM CPD Conference Day 3

April 4, 2019

REALISTIC EMERGENCY MEDICINE  Read more

Rhabdomyolysis

January 15, 2019

We often worry about patients developing rhabdomyolysis and consequently developing AKI. However, there is much debate and little consistency in the published data, over how… Read more