#NoF – Fractured Neck of Femur
December 20, 2017Not 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, 2018Dog, 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, 2018C-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, 2018Great 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, 2018Measuring 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, 2019Fracture 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, 2017We 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, 2018This 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, 2019A 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, 2018Lower 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, 2018Mallet 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, 2018Morton’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, 2018Bleeding 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, 2018Clavicle 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, 2018Infection 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, 2018Recent 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, 2018Some 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, 2019We 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, 2018Safeguarding 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, 2018Changes 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, 2018Changes 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, 2019Invented 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, 2018Though 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, 2018Upper 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, 2019Working 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, 2017Our 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