Higher Specialty Training
Choose a lesson, send learners the preparation link, then use the cases together.
5 lessons found
Acute coronary syndrome: initial assessment
Connect the clinical story, ECG and assay-specific troponin pathway while recognising when treatment cannot wait.
Analgesia in the Emergency Department
Discuss prompt pain relief, prescribing risks and how to check whether treatment has helped.
Anaphylaxis: act early, reassess, plan discharge
Discuss the first few minutes of anaphylaxis treatment, then work through observation and discharge decisions.
Assessing a blackout or unexplained fall
Build a witness-based blackout history, recognise cardiovascular red flags and avoid reassuring labels that hide risk.
Assessing a new or changed headache
Use a thunderclap case and suspected giant cell arteritis to practise focused history, escalation and honest test interpretation.
Assessing acute back pain
Distinguish an urgent neurological or vascular concern from uncomplicated back pain and give a useful recovery plan.
Assessing acute breathlessness
Recognise respiratory compromise and compare acute heart failure with pneumothorax without relying on age or a single measurement.
Assessing acute coronary syndrome
Discuss urgent ECG findings, initial ACS care and the limits of high-sensitivity troponin pathways.
Assessing and treating acute pain
Choose a proportionate analgesic plan, check contraindications and make reassessment part of the prescription.
Assessing chest pain
Use an aortic presentation and a postoperative PE concern to practise a broad differential and selective investigation.
Assessing persistent pain in the emergency department
Practise a respectful ED assessment that recognises suffering, checks for new pathology and makes a realistic plan.
Assessing suspected sepsis
Recognise concerning infection-related deterioration without relying on fever, then use current risk-based management and repeated review.
Back pain: recognising the dangerous exception
Discuss spinal and vascular causes of back pain, the limits of examination and advice for uncomplicated pain.
Carbon monoxide: recognise the exposure, protect the household
Assess possible carbon monoxide exposure, interpret a later blood result and plan care that includes the safety of the home.
Chest pain: choosing the right diagnostic pathway
Discuss the initial chest-pain assessment and how to choose between ACS, PE and aortic investigation pathways.
Chronic pain: a useful emergency consultation
Assess new symptoms in someone with chronic pain and practise agreeing a useful plan when no new emergency is found.
Diagnostic testing: decide before you request
Use a D-dimer case and a worked table to understand test accuracy, pre-test probability and the decision after a result.
Diagnostic testing: probability and clinical decisions
Use a simple test table and a PE case to connect pre-test probability, test results and the next clinical decision.
DKA: treat the patient and follow the trend
Work through the adult DKA pathway and discuss what to check when treatment is not producing the expected improvement.
ECMO in the ED: recognise the option and make the referral
Compare respiratory ECMO, circulatory support and ECPR, then practise the information needed for a specialist referral.
First assessment of suspected poisoning
Assess an uncertain exposure, find current poisons advice and plan observation alongside psychosocial care.
Head injury: imaging, deterioration and concussion
Work through a deteriorating head injury and a concussion consultation, including imaging, observation and advice for home.
Headache: the history that changes the plan
Use onset and associated symptoms to discuss investigation of sudden headache and urgent care for possible giant cell arteritis.
Initial assessment of suspected poisoning
Approach an uncertain ingestion with supportive care, targeted information and physical and psychosocial safety in parallel.
Initial assessment of upper gastrointestinal bleeding
Contrast a shocked patient with a stable low-risk presentation to practise resuscitation, escalation and reliable follow-up.
Interpreting chest X-rays
Review five chest X-rays and discuss how the findings change the next clinical decision.
Journal club: HALT-IT and treatment transfer
Appraise HALT-IT’s methods, benefits and harms, then discuss what its results mean for GI bleeding care.
Journal club: LoDED and safe early discharge
Appraise the LoDED diagnostic-strategy trial and discuss what would be needed to apply its findings locally.
Making a useful referral
Practise referrals that make the concern, urgency and requested next step clear.
Pain and bleeding in early pregnancy
Discuss possible ectopic pregnancy, uncertain early scan findings and sensitive explanations with reliable follow-up.
Pain and bleeding in early pregnancy
Separate urgent ectopic-pregnancy concern from stable bleeding, while explaining uncertainty and organising dependable follow-up.
Recognising acute aortic dissection
Discuss when to suspect aortic dissection and how to arrange imaging and specialist care without delay.
Recognising acute aortic dissection
Use two presentations to practise recognising acute aortic syndrome and communicating the need for urgent senior assessment.
Recognising and managing diabetic ketoacidosis
Recognise DKA, interpret early treatment trends and escalate electrolyte or neurological deterioration.
Recognising and responding to suspected sepsis
Compare high- and lower-risk presentations of possible sepsis, including treatment timing, fluids and reassessment.
Recognising and treating anaphylaxis
Practise recognising anaphylaxis, giving the first treatment promptly and explaining why recovery needs a discharge plan.
Recognising carbon monoxide poisoning
Recognise a shared exposure, interpret a delayed COHb result and plan treatment and a safe destination.
Starting your emergency medicine placement
Learn how to contribute safely, seek help early and turn ordinary ED work into supervised learning.
Syncope: a normal appearance is not the diagnosis
Reconstruct a blackout, identify concerning cardiac features and discuss monitoring, referral and advice.
The breathless patient: act, assess, reassess
Discuss initial care for breathlessness, oxygen targets and the different options for a stable pneumothorax.
The red leg: cellulitis, mimics and dangerous infection
Compare cellulitis, a non-infective red leg and possible necrotising infection, with attention to treatment and reassessment.
Tick bites and Lyme disease: a UK approach
Compare a recent tick bite, erythema migrans and symptoms that need specialist assessment.
Upper gastrointestinal bleeding: decisions under pressure
Discuss resuscitation, anticoagulant reversal and definitive haemostasis when GI-bleeding treatment decisions are complicated.
Upper gastrointestinal bleeding: first assessment
Work through initial care for upper GI bleeding and the assessment needed before considering discharge.
Your first day in Emergency Medicine
Find out how to get help, hand over unfinished work and make discharge decisions on your first ED shifts.
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Clinical review: awaiting clinician sign-off
The references have been checked during editing. A named clinician has not yet signed off the revised lesson collection. Use current local guidance when preparing to teach; editorial updates do not constitute clinical approval.