Clinical Podcasts, Mastery Lectures and the Latest Literature Reviews, in one place.
Enjoy all the free 'open' content on the site and for a small subscription you can get access to all the podcasts, lectures and papercut reviews.
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...
A 35 yo patient presents with sharp central chest pain, that he has had since yesterday and has become worst. The pain does not radiate and improves when he sits up. He has no other symptoms and...
Dr Adam Michael talks about hyponatraemia; the causes and the management. This lecture was recorded at EMCORE 2013.
Cohen AL et al. Femoral artery Doppler ultrasound is more accurate than manual palpation for pulse detection in cardiac arrest. Resuscitation 2022;173: 157-165.
When we are in the ACLS...
Non-traumatic subarachnoid haemorrhage (SAH) accounts for 5% of acute headache presentations to the emergency department. The urgency to make a diagnosis when patients have a 'warning leak'...
Advanced airway is seen as a definitive and reliable means of establishing protected ventilation and oxygenation. It has been shown to improve ROSC and neurological outcomes. The main...
This is a review of the Pragmatic Trial Examining Oxygenation Prior to Intubation (PREOXI) trial(1).
The aim of this trial was to determine to determine the effect of preoxygenation with...
Paroxysmal Supraventricular Tachycardia (PSVT), is a non-ischaemic tachyarrhythmia, with which patients, not uncommonly, present to the emergency department. Methods currently available for...
The HALT-IT Trial(1) is an important trial and one we should know well. It looks at the use of Tranexamic Acid (TXA) in gastrointestinal bleeding. Prior to this trial a Cochrane systematic review...
Upper Gastrointestinal bleeding (UGIB) affects approximately 1 in 1000 of the population per year and has an overall mortality of up to 10%.
The cause of the UGIB in the patient in front of...
A 28 yo otherwise well patient has presented to the emergency department with an imminent delivery. The baby is delivered and there is some vaginal bleeding post delivery, however it doesn't...
Tonsillectomy is a common paediatric procedure. It may be a simple palatine tonsillar procedure or more complicated with adenoid removal. Unless more complex, it may be done as a day procedure and...
What are stroke mimics?
- They don't follow stroke syndromes
- The are not sudden onset
- Their severity fluctuates
- They may have other systemic signs such as:
- drowsiness
- confusion
- agitation
- fever
A 40 yo male is brought in by ambulance following a collapse His GCS at the scene was 3 Paramedics found his rhythm to be VT and he was given 11 shocks and 5mg of Adrenaline in total. He had an...
AIRWAY PEARLS
- Consider every case a difficult Intubation due to effects on anatomy and physiology
- Normal airway techniques may not be effective.
- Positioning of the patient is critical- aim for...
A 68 yo patient is brought into the ED, post cardiac arrest.
The patient collapsed whilst out. Down-time was approximately 5 minutes; bystander CPR was commenced. ROSC was present when the...
Author
