Category: Emergency Medicine

Ay, There’s The Rub – The Mental Capacity Act in the ED

A clinical case of overdose who declines treatment. How to assess capacity and interpret the Mental Capacity Act in the emergency setting.

Clinical skills – Does anyone use Ophthalmoscopes anymore?

How well do doctors use Ophthalmoscopes in the emergency department

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JC All I want for CRYSTMAS in ITU land…, are some more potatoes, and a drink!

A review of the CRYSTMAS study comparing starch vs. saline for severe sepsis patients.

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You Snooze, You Ooze: Anticoagulants and Minor Head Injury

We’re lucky to have NICE guidelines in the UK.  A couple of years ago, on a visit to the US, one of my collaborators from the US mentioned how jealous he was that we have

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More than a Spot Check?: Meningococcal Septicaemia at St.Emlyn’s

More than a Spot Check – What does the NICE Quality Standard for bacterial meningitis and meningococcal septicemia in children and young people mean for the Emergency Dept? Who’s that now? If you work in

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Are they laughing at me? Aortic dissection in the ED.

As the world becomes smaller and our populations more multicultural (Yes I am a “Lefty” Mr Burley)… so communication in our emergency departments becomes even more crucial. Last week whilst working in the UK, I

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JC: Croup: Riding the Dex Express

Sooooo….this paper turned up at JC last week (thanks to Nicola P) and whilst I’m not sure that it meets all three of our criteria for a top JC paper it is relevant as a

JC: Journals are dead: Long live the Journal Club

“The report of my death was an exaggeration” Mark Twain Just a quicky and a link out to our guide on Emergency Medicine Journal Clubs. Despite the rumours of the imminent demise of all medical

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Glasgow Blatchford Score 2 – The case for an RCT!

Thanks for a great post, Gareth.  If you’ve landed here without reading that post, hit the link – this is a follow on, a ‘deep dive’ in the words of Smart EM – to be taken

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Glasgow Scores… Not just for coma any more!

Quick post… NICE have recently published new guidance on Upper GI bleeding. It is surprisingly sensible. I was pleased with their position on PPI’s for upper GI bleeding (not before endoscopy…). The other point that I was happy to

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