#EuSEM2018 – Day 1

September 10, 2018

For those of you working hard on the shop-floor a quick summary of whats going on in Glasgow @ #Eusem2018   Sepsis 3 interesting talks from dual Emergency Med and Infectious disease specialists, from Denmark and Germany, which highlighted that we are all in the same boat, and again doing… Read more

#EuSEM2018 – Day 2

September 11, 2018

Very Geri’s heavy day today @ #EuSEM2018 but lots to think about, and even squeezed in a bit of USS

Gait is an observation

Timed Up and Go test – get up from chair walk 6m turn and come back, over 10s is a marker of frailty
Also mortality – same predictive value as RR>25 or sBP of 90mmHg

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#EuSEM2018 – Day 3

September 11, 2018

& today has been all about the Heart (New MI definition, Think Aorta, Failure) + some disaster med for my own interest

4th universal Definition of MI
Whats New?
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#EuSEM2018 – Day 4

September 13, 2018

Hej Hej Glasgow it was fun, now back to work.  Day-4 was full of great Canadian thoughts on neurology (Vertigo, SAH, and TIA) all topped off with a sprinkle of Organophosphates

Vertigo – Guide to the big 3
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#RCEMasc 2019 – Day 1

October 1, 2019

For those back home its been an interesting 1st day at the conference  – and the top 5 are 1. Learning from Child Death Great session, presented by both clinical staff and parents, around the death of a 3yo with Down’s syndrome, from sepsis. Highlighted some key points that we… Read more

#RCEMasc 2019 – Day 2

October 2, 2019

Paracetamol 12hr SNAP regime: 2014 & 2019 What is it?  Pre-NAC – 4mg Ondansetron IV Bag 1 – 2hr 100mg/kg NAC in 200ml 5% Dex Bag 2 – 10hr 200mg/kg NAC in 1000ml 5% Dex Advantages Saves 9hrs Significant reduction in anaphylactoid reactions 2% vs 11% Significant reduction in gastric symptoms (if… Read more

#RCEMasc 2019 – Day 3

October 3, 2019

AIRWAYS-2 ETT vs SGA (i.e. iGel) in out of hospital cardiac arrest (trauma and kids excluded) Headline Results:  Survival with good neurological out come (MRS 0-3) – No difference around 2.75% (for those that required either SGA or ETT) Easiest – SGA easier achieving ventilation within 2 attempts (87.4% vs… Read more

COVID-19 (Doning/Doffing Video)

March 10, 2020

2 video links to PHE how to Don and Doff your PPE 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 patient) Kocker’s shouldn’t be used in # greater tuberosity Cunningham technique looks interesting (I’m going to give this a go) Traction is the what causes… Read more

Epistaxis – ACP/MG Teaching

June 17, 2019

Slide set – HERE Main topics Anatomy Cautery Packing – Don’t force it call for ENT help (septal deviation or spurs) Remember – Elderly patients can have devastating posterior bleeds call ENT early Kindly presented by Mr Habib   Read more

Fitting – ACP/MG teaching

March 2, 2019


Seizure type
Treatment of Status (Generalised, Focal, Absence)

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Headache – ACP/MG teaching

March 11, 2019

Slides available – here Main topics of discussion were: Primary vs Secondary headache Red Flags Temporal Artritis Venous Sinus Thrombosis – its variable presentation, and need to highlight in the CT request. Read more