A 63 yo patient presents to the emergency department at 11pm at night in new atrial fibrillation with a ventricular rate of 167 bpm. There is no past ...

In this Papercut we review the UK-REBOA Trial.

Rapid and effective control of haemorrhage in trauma results in better outcomes. Abdominal bleeding ...

Venous Excess Ultrasound is a grading system of systemic venous congestion. It is useful in the emergency department for patients whose fluid status...

Welcome to the wonderful world of rashes. This is part one of two parts.

This EM Mastery is actually a quiz on rashes. Try it. Members login to watch...

This is a great case that highlights how important it is, to know how to check if your ECG lead placement is correct. It also includes a rare case of ...

Up to one third of patients with out-of-hospital cardiac arrest(OHCA) have impaired myocardial contractility and vasodilatation. The mainstay of treat...

Dr James Edwards discusses the CLOVER Trial comparing restrictive to more liberal fluid management in Sepsis.

Reference

The National Hear...

Dr Adam Micheal reviews the  2021 Update to the CHEST VTE Treatment Guideline. Stevens SM et al. Chest 2021

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Prof Paul Middleton brings us two practice changing papers

1. Cretinous M A et al. Respiratory Rate: The Neglected Vital Sign. MJA 2008;188: 657-659
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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 w...

The GARFIELD-AF tool allows a single calculation for mortality, stroke and bleeding and can assist in risk/benefit decision-making.

The GARFIELD-AF(G...

An 88 yo patient who is fully independent, is brought into ED by ambulance in Cardiogenic Shock. The only past history the patient has is hypertension...