Are You CO Aware?

October 24, 2018

With the onset of colder weather, many households in the UK are turning on their heating for the first time in months. Heating appliances need… Read more

Bell’s Palsy

May 2, 2018

Bell’s Plays is a lower motor neurone (LMN) lesion of the facial nerve (CN VII), which causes one side of the face to “droop” [1%… Read more

Cauda Equina

December 19, 2017

  Are you concerned that the patient has Cauda Equine, which is NOT secondary to Cancer, Sepsis or Spinal Trauma Patients should have at least… Read more

Cervical (Carotid OR Vertebral) Artery Dissection

November 24, 2018

Cervical artery dissection is a rare but significant cause of stroke and headache/neckache, which is easy to overlook. Leading to a typically delay in diagnosis… 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

Giant Cell Arteritis – GCA

March 13, 2018

GCA is a is a vasculitis generally seen in the over 50’s and associated with polymyalgia rheumatic (PMR). However, unlike a lot of rheumatology, GCA… Read more

Head Injury

February 27, 2018

Background Defined as any traumatic injury to the head other than superficial facial injuries. The commonest cause of death and disability in people age 1-40… Read more

Headache

February 27, 2018

There are numerous causes of headache, however, the pressing question in the ED is, Is this a primary or SECONDARY headache? Primary headaches [e.g. tension… Read more

Meningitis – Adults

December 16, 2017

This advice is based on Becky’s CTR, as well as NICE and the joint consensus statement. Keep your suspicions high – early signs it may not be… Read more

MRI Questionnaire

March 21, 2018

When we need to book an MRI e.g. for Cauda Equina, we need to print the MRI Questionnaire and complete it! Although, most of this… Read more

Octaplex – work fast its an EMERGENCY!

December 16, 2017

In recent incidents we have had significant delays in giving OCTAPLEX. So  we have developed this advice. Activate EARLY in head injury patients on warfarin.… 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

Purple Glove Syndrome – Case

September 23, 2018

Is a rare complication of I.V. Phenytoin, which presents with a triad of: Pain, Oedema & Discolouration, typically in the hand. In our case a… Read more

Syncope – ESC 2018

September 25, 2018

Defintion:Transient Loss of Consciousness (TLOC) due to cerebral hypoperfusion, characterised by a rapid onset, short duration, and spontaneous complete recovery. Common ED Complaint: 1.7% of all attendances Difficult… Read more

Syncope – NOT collapse ? cause

December 20, 2017

Syncope can be a bit of a heart sink. However, if you ask 3  simple(ish) questions, you can improve the outcome for patients. (Remember universal… Read more

Vertigo in ED

December 20, 2017

Vertigo is not always labyrinthitis!! There are some potentially serious conditions to think about. Your main question should be  is it peripheral or central [badness].… Read more