A-a gradient
March 25, 2018A-a gradient = Alveolar Oxygen – arterial Oxygen This is “relatively” simple way of working out if the paO2 on a ABG is normal, and demonstrates… Read more
AAGBI – Intubation Check List
April 2, 2019Simple pre-intubation checklist for the whole team to be aware of so we can make intubation in ED as safe as possible. PDF: Full Version… Read more
Acute Behavioural Disturbance / Excited Delirium
December 24, 2017Most of us will have seen patients like this – agitated, aggressive and often with police or security pinning them down. High risk of Cardiovascular… Read more
Anion Gap & Metabolic Acidosis
March 26, 2018The anion gap (AG) represents the amount of unmeasured anions in the plasma. AG =([Na]+[K]) – ([HCO3]+[Cl]) The main contributor to the AG is albumin… Read more
Aortic Dissection
June 16, 2018Aortic Dissection (AD), is uncommon (1 AD:200 ACS) but is…Rapidly FATAL! Unfortunately recognising aortic dissection is difficult with a clinician pickup rate of 15-43%. Read more
Are You CO Aware?
October 24, 2018With 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
Bradycardia
August 12, 2018ALS Bradycardia Algorithm – Adult Causes Cardiac: Heart Block, Myocardial infarction, Myocarditis Metabolic: Hypothermia, Hyperkalaemia, Hypokalaemia, Hypothyroid, Hypoxia Toxin: digoxin, B-blocker Treatment For ALL conditions… 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
COPD think VBG
February 18, 2018We have recently introduced the use of VBG in COPD. Why Change? Pain – we all know and warn our patients ABG’s are painful. Patients… Read more
Devastating Brain Injury?
February 15, 2018Scenario (Not uncommon) A patient either post arrest or head injury has a CT demonstrating significant brain injury and Leeds says “No” What do we… Read more
DVLA – Driving & Medical Conditions
May 8, 2018For 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
Emergency General Anaesthetic Checklist
February 13, 2018PREPARE or prepare to fail Read more
Hypothermia
December 22, 2017Remove 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
Major Incident/MAJAX Guide
January 23, 2019NHS England have published this fantastic resource [Click here] covering Major Incidents including; gunshot, crush, nerve agents and much more. This is not to replace… Read more
Major Trauma Network
February 16, 2018We are part of the West Yorkshire Major Trauma Network with our MTC at LGI WYMTN: Guides We know that from time-time patient are brought to… Read more
Myocardial Infarction (MI) – PPCI/Thrombolysis
June 22, 2018PPCI (Leeds PPCI Pathway) Target: Door to balloon 90min Criteria: Time: Chest pain within 12hrs (or worsened within 12hrs) ECG: ST elevation MI (1mm Limb… Read more
Octaplex – work fast its an EMERGENCY!
December 16, 2017In 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
Pre-Arrival Blood (O-ve)
March 13, 2019On rare occasions you may receive a pre-alert, where you want blood available for the patient when they arrive (for example in major haemorrhage). This… Read more
Purple Glove Syndrome – Case
September 23, 2018Is 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
RCEM CPD Conference Day 3
April 4, 2019REALISTIC EMERGENCY MEDICINE 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
Scombroid Poisoning- NOT another fishy allergy
April 19, 2018Scombroid poisoning (AKA – Histamine fish poisoning) is apparently more common than we think and accounts for 40% of seafood related illness in the USA… Read more
Sepsis
March 13, 2018Background Sepsis is a life-threatening condition that arises when the body’s response to an infection injures its own tissues and organs. Sepsis can lead to… Read more
SUDIC – Sudden Unexpected Death In Child
March 13, 2018Occasionally children (<18 yrs) unfortunately will either die in ED or be brought in dead, this is obviously a terrible time for the child’s family… Read more