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What? A 65yo woman comes into your Emergency Department (ED) presenting with right wrist pain, swelling and deformity following a fall onto an outstretched hand (FOOSH). An x-ray reveals a dorsally angulated and displaced distal radius fracture. It is suggested this type of fracture requires reduction and cast immobilisation, so how do you make the
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Many paediatric presentations will present with pain.  It is important that any child in pain is assessed and given appropriate analgesia.  This is our responsibility as healthcare professionals and it will aid further assessment. Assessment Initial assessment of pain should take place at triage.  The RCEM Clinical Effectiveness Committee standard states that the assessment and
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The team at HEFT EMCAST are extremely excited to announce a new stream of work that will be hitting our website (alongside the usual content) within the next couple of weeks. Dr Catrin Dyer and Dr Caroline Park are ED consultants working at HEFT. As many of you who have worked within the trust will
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What? Its 01:00 and the resus emergency bell rings out across the department. On your arrival you find a young male in cardiac arrest and nursing staff have initiated Basic Life Support (BLS). His friends have brought him to the Emergency Department (ED) after he was stabbed twice in the chest 5 minutes ago, following
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What? A 32-year-old male presented to the Emergency Department (ED) with two self-inflicted stab wounds to the abdomen. He had used a knife with a 6-inch blade which had been recovered by the ambulance crew. Prior to arrival in the ED he had been cold, clammy and sweating profusely with a blood pressure initially of
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What? A 56-year-old female presented to the Emergency Department (ED) following an overdose of her modified-release morphine tablets, prescribed for her chronic lower back pain. She was last seen by her partner when he left for work that morning and on returning home she was found collapsed at home with slow, shallow respirations and central
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What? A 64-year-old male attends the Emergency Department (ED) following an episode of central crushing chest pain lasting 30 minutes. He was known to suffer from Ischaemic Heart Disease (IHD) and had taken his own glycerine trinitrate (GTN) with no effect. An ambulance had been called and the paramedic crew administered intravenous (IV) morphine until
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What? A 6-month old infant is presented to the Emergency Department by his parents with a history of a ‘floppy’ episode approximately 30 seconds in duration. It was noted that he did not respond to his mother’s voice and she was concerned enough to call an ambulance. Transport to hospital by ambulance, was reported as
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What? 14 year old girl presents to the Emergency Department (ED) with a 4 day history of fever (38.7C), sore throat and odynophagia. On examination, she appeared comfortable but was pale, had lymphadenopathy to her anterior cervical chain and was pyrexial at 38.7°C. Whilst she had no drooling, she had been unable to take oral
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What? A 2-week old baby girl is presented to the emergency department (ED) by her parents on the advice of her Health Visitor (HV) who has noted that she still appears to be jaundiced. Her parents tell you that she has been breastfeeding less over the past 24-hours, but continues to have wet nappies as
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