Clinical Podcasts, Mastery Lectures and the Latest Literature Reviews.
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Adrenaline is recommended for all cardiac arrests not due to shockable rhythms and is associated with increased survival, especially if given in the first 10 minutes post arrest (1).
The rate...
The rates of Pulseless Electrical Activity (PEA) in out of hospital cardiac arrests (OHCA) is rising, however survival from PEA is low. The majority of survivors from OHCA have an initial...
When you're suspicious of entrapment in an orbital floor blowout fracture following trauma, you ask your patients to look up, to check for diplopia. Do you cardiac monitor them when you do...
How do you manage the patient in Status Epilepticus? Dr Michael takes us through the treatment of status epilepticus in this Clinical Podcast. 30% of patients have refractory status epilepticus....
The ambulance phone rings. They are 5 minutes away with a 32 yo patient with history of asthma who has had two hours of shortness of breath and wheeze. She has a heart rate of 120bpm, a...
A 62 yo patient with a previously diagnosed spontaneous coronary artery dissection (SCAD) presents with sudden onset 10/10 central severe chest pain. Examination is normal, with no pulse...
Idiopathic Ventricular Tachycardia (VT), occurs in structurally normal hearts and comprises about 10% of VT cases. This is a more benign form of VT, with patients rarely suffering from sudden...
We're back to an old question of should we give antibiotics for otitis media? The factors always being weighed up have been around the benefit which includes reduction in pain and resolution...
A 32 yo patient presents with syncope during a game of football. He is well now, with no symptoms and normal vitals.
His ecg is shown below. What is the potential diagnosis based on his ecg?
...
The patient with vertigo can be a clinical challenge. Patients may describe their symptoms as vertigo, or the room spinning, or dizziness, or a problem with balance, or use other descriptors....
A patient who presents to the your Emergency Department with a non-cardiac issue has the incidental findings on the ecg shown below. The patient has a history of non-ischaemic cardiomyopathy with...
Here's a case I have presented to me frequently. The resident presents the case of a 78 yo who had a mechanical fall at home. The patient may or may not remember a head strike. I am asked the...
This podcast was recorded at RESUSCORE in Bali in 2023. Dr James Edwards talks about the presentation, diagnosis and management of Aortic Dissection.
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Patients with acute aortic syndrome, may be very difficult to diagnose. Patients who present with textbook ripping severe chest pain and accompanying focal neurology and have findings of a pulse...
Syncope has three components:
- Loss of consciousness
- Loss of postural tone and
- Return to baseline
Patients with syncope comprise about 1% of all Emergency Department(ED) presentations. The...
Syncope is not uncommon, occurring in up to 25% of children. Most causes are benign, however we need to be aware of the of 3 major groups as these can be very serious diagnoses:
- Those with a...
Dr Luke Lawton puts the potential for C spine injury into perspective.
A patient presents with a complaint of diplopia. “I’ve been seeing double since last night. It started after I woke up from a nap”
Patients who present with diplopia...
Dr Adrian Boyle, President of the Royal College of Emergency Medicine talks about this most important topic. This was recorded at EMCORE London 2024.
There are 4 main physiological areas, we need to target, as they can result in peri-intubation cardiac arrest.
Hypotension
Positive pressure ventilation secondary to intubation, increases...
Here is a common scenario: The resident presents a case of a 58 yo patient who has presented with shortness of breath. They go over the examination, the ECG findings and then say ".... and the...
The 'zero-point survey' is the pre-primary survey. It is about preparing self, the team, the environment and the equipment. It is a 'cognitive roadmap' to prepare for complex resuscitation...
I recently reviewed a study on 'Zero Point Survey' By Reid et al. (Review in Papercut)
At EMCORE London, Dr Joe Nemeth presented the Lecture on Zero Point Survey and what it means. Enjoy the...
Survival from out of hospital cardiac arrest varies from region to region. This makers sense as it depends on resources, such as medical and nursing staff, expertise of that staff and resources...
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