#NoF – Fractured Neck of Femur

December 20, 2017

Not just a NoF, think like Dr Mark Sloan. Did they Trip Did they Collapse Were they PUSHED!!! OR Medically unwell (Think Med Review) Treat… Read more

Animal Bites – Mammalian

July 17, 2018

Dog, and other mammalian bites, are a common presentation with the ED. They can be easy to treat, but need some particular attention if we… Read more

C-Spine Injury

September 4, 2018

C-spine injury ranges from the obvious fracture-dislocation to the less obvious ligamentous injury, affecting about 2.5% of blunt trauma patients. However, ALL of them are… Read more

Dislocated Shoulder (Teaching Video)

December 1, 2018

Great review of shoulder reduction, techniques and sedation.  Learning points: Most techniques will work 80% of the time (Best results tailor the technique to the… Read more

Elbow Crutches

May 22, 2018

Measuring for and advising patients on the use of elbow crutches is an important skill for ED staff. Read more

Fracture Clinic is Changing

March 26, 2019

Fracture Clinic is changing to Virtual Fracture Clinic (VFC) It’s been found that 30% of patients referred to fracture clinic where discharged with only advice… Read more

LA – Toxicity

December 22, 2017

We are regularly doing femoral blocks next to major vessels. So warn the patient of the symptoms, & keep them monitored(at least 15 min). Symptoms… Read more

Limping Child

April 21, 2018

This is a relatively common  presentation within the ED that has a myriad of possible diagnoses ranging from sprain to malignancy. One thing to remember… Read more

Lisfranc Injuries

February 9, 2019

A Lisfranc injury describes an injury of the foot between the metatarsal and tarsal spaces. Around 20-40% of lisfranc injuries are initially missed, so a… Read more

Lower Limb ED Physio Referrals

May 31, 2018

Lower limb (LL) and especially knee injuries are a very common presentation within the ED, but in the acute phase can be difficult to give a… Read more

Mallet Finger

May 19, 2018

Mallet Deformity is an inability to maintain extension of the distal phalanx of the finger at the distal intraphalangeal  joint. Read more

Morton’s Neuroma

October 24, 2018

Morton’s Neuroma is a painful condition resulting from the fibrous thickening of the plantar interdigital nerve of the foot.   Often described as feeling like… Read more

Nail Trephination

May 9, 2018

Bleeding under the nail from blunt trauma can be very painful. Lucky we have the tools on hand to ease some of that pain. Read more

Paediatric Clavicle Fracture

March 26, 2018

Clavicle fracture is a common presentation and some patients can be managed at home without fracture clinic follow up. Inclusion Criteria Isolated mid-shaft clavicle fracture… Read more

Paronychia

October 5, 2018

  Infection in the skin fold (or paronychium) to lateral edge of the nail (of the finger or toe, but most commonly finger). Leads to a… Read more

Rabies [notifiable disease]

July 17, 2018

Recent Incident: Bat contact was not recognized (effectively touching a bat without gloves means treatment is recommended) Rabies is an acute viral encephalomyelitis caused by members of… Read more

Radial Buckle Fractures

March 26, 2018

Some Radial Buckle #’s in children can be managed with: Well fitting splint  Advice sheet This decision tree must be followed to identify suitable patients… 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

Safeguarding Adult & Child

January 7, 2018

Safeguarding is massively important but often not done! This can be due to lack of recognition OR not knowing what help there is. Often our… Read more

Tetanus – Wounds

July 26, 2018

Changes in: Tetanus prone and High Risk definitions Immunisation schedule Primary: 2, 3 & 4 months old Boosters: 3½ – 5yrs and 13-15yrs Warning: Immunisation… Read more

Tetanus Immunoglob­ulin – SHORTAGE

July 4, 2018

Changes in: Tetanus prone and High Risk definitions Recently there have been supply problems with Human Tetanus Immunoglob­ulin, currently we are using the alternatives below. Post-Exposure… Read more

Thomas Spint – how to apply

February 3, 2019

Invented by a Welshman ‘Hugh Owen Thomas’, the introduction of this simple device in World War 1 went on to reduce the mortality of #femurs… Read more

Tick Bites

July 17, 2018

Though less common locally than in some areas, tick bites pre and post removal do offer some concern to patients. Read more

Upper Limb ED Physio Referrals

April 28, 2018

Upper limb (UL) and especially shoulder injuries are a fairly common presentation within the ED, but in the acute phase can be difficult to give a… Read more

Vaccination Schedules UK & International

March 27, 2019

Working out what your patient might have been vaccinated for can be tricky, and more so if they were raised outside of the UK. Luckily… Read more

VTE prophylaxis in Lower Limb Injury

December 16, 2017

Our pathway has recently changed to reduce time  and inconvenience, for both you and our patients. Consider in ALL over 16’s with lower limb immobilisation. Bloods… Read more