Alcohol Withdrawl

June 20, 2018

Generally we DON’T admit patients acutely solely for “Detox” However the following groups should be admitted [taken from trust guide] Patients requiring admission for another… Read more

Button Battery Ingestion

July 9, 2018

A button battery lodged in the Oesophagus is a medical emergency as it can cause necrosis and significant GI bleed – Refer immediately If anybody… Read more

Concealed Illicit Drugs

January 15, 2021

Background Those suspected of concealing illicit drugs often present near ports and borders however they can present to any ED or be brought in by… Read more

Drugs & Alcohol misuse in young people

March 6, 2018

Ending up in the ED as a result of alcohol and or substance use is NOT normal behaviour Children who use alcohol or other substances… 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


February 19, 2021

Q: Why are Smurf’s Blue?  A: Methaemoglobin (MetHb) of course! – MetHb is produced by oxidisation of the Iron in Haemoglobin (Hb) from Fe2+ to Fe3+… Read more

Rare Antidotes – how to get

August 30, 2018

Getting some of the rarer antidotes has recently been clarified across Yorkshire (Accessing rarely used antidotes-SOP) Read more

Scombroid Poisoning- NOT another fishy allergy

April 19, 2018

Scombroid 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

Snake Bites

January 29, 2021

In the UK approximately 100 people are envenomated by a snake each year. So what do you need to do if your patient has received… Read more

Suspected Contamination Incident – HAZMAT

July 20, 2018

So a patient comes to ED after white powder thrown is at them what do you do? Your initial response can help them and everyone… Read more