The Next Fellowship Written Exam Starts Feb 29th

The next 6 month Emergency Fellowship Exam Course starts February 29th 2016. This is 6 months of Virtual teaching and 4 days of face to face teaching! We have approximately 4 places left. Book Now. Read more about the course HERE.  Read More »

The Penumbra Conundrum

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…or How to Control Blood Pressure in Brain Bleeds The scenario is this:A 62 year old male is brought in to your emergency department by ambulance. He has had a sudden onset of headache and has decreased use of left side. His vitals are:GCS 14, HR 92, BP 210/100, Sats 95% on room air. A [...]  Read More »

5 Things To Help You Get The Airway

endotracheal tube

1. Know When To Intubate It may sound strange, but we should have an approach as to when it’s appropriate to intubate. My choice is when there is failure of ( whether this is now or imminent) of oxygenation and ventilation, maintenance of airway or airway protection. I then also ask the questions:1. Will I [...]  Read More »

Scapholunate Dissociation

Scapholunate dissociation

The typical case is a patient presents with trauma to the wrist and wrist pain. You do an x-ray. What do you think? This is a Scapholunate dissociation, also called rotatory subluxation of the scaphoid and sometimes knows as the Terry Thomas sign. It is a disruption of the scapholunate ligament with resultant instability. The [...]  Read More »

Thoracic Aortic Dissections: 5 things to know to make the diagnosis


CASEA 70 year old man, is brought to the Emergency Department by ambulance. He was drinking a coffee with friends and developed sudden severe chest pain. His past medical history is coronary artery disease and hypertension. He became hypotensive in the ambulance and was in some distress. He has had a bolus of fluid and [...]  Read More »

The ECG of PE


A CASE A 36 yo male presents to the emergency department with sharp central chest pain and shortness of breath. He works as a truck driver. He has no past medical history, is on no medications and normally very well, with no significant family history. An ECG is handed to you. What is the diagnosis? [...]  Read More »

Sudden Headaches in 2016: Let’s start to question


Here I am, in front of a 43 year old female patient who tells me that she had a sudden onset of headache 4 hours ago. It’s like someone hit her on the back of the head. She is not distraught, nor upset, but texting hurriedly on her smartphone. The headache occurred whilst she was [...]  Read More »