What should emergency clinicians ask when an adult with congenital heart disease attends the ED? This 2019 introduction explores altered anatomy, previous repairs and acute presentations, emphasising patients’ knowledge, specialist-team involvement and resources for further learning rather than offering a comprehensive management guide.
Adult Congenital Heart Disease in the Emergency Department Read More
A useful travel history goes beyond asking where someone has been. This guide explores itinerary, symptom timing, immunisations, prophylaxis and possible exposures, showing how the details can inform assessment of imported infection and conversations with infectious disease colleagues.
Taking a travel history in the ED by StEmlyns Read More
A January 2016 introduction to the emerging Zika outbreak for UK emergency clinicians. The post discusses travel history, symptoms, alternative diagnoses and public-health support, alongside the concerns then developing around pregnancy and neurological complications. It records the outbreak’s early context rather than current travel advice.
Breaking news: Zika virus update. St.Emlyn’s. Read More
Taking a sexual history in the emergency department requires privacy, sensitive language and a willingness to question assumptions. Janos Baombe explores communication, confidentiality, relevant medical and social history, specialist support and follow-up, with particular attention to patients who may have experienced sexual assault.
Taking a sexual history in ED Read More
A 2015 clinical review of torticollis, from a painful neck on waking to presentations associated with injury, medication, infection or neurological disease. It explores assessment across adults and children, highlighting why persistent symptoms, associated illness and follow-up matter when an apparently minor complaint may need another explanation.
Torticollis: A Real Pain in the Neck Read More
A 2015 induction guide and podcast on assessing early pregnancy problems in the emergency department. Natalie May discusses pain and bleeding, recognition of possible ectopic pregnancy, local referral pathways and the importance of explaining uncertainty with compassion when patients fear they may be miscarrying.
Problems in Early Pregnancy – Induction Read More
For clinicians new to paediatric emergency care, Natalie May introduces teaching resources on communicating with children and approaching the sick child systematically. Two recorded talks cover practical paediatric tips, an ABCDE assessment and neonatal considerations, alongside links for trainees moving between adult and paediatric emergency departments.
Stop Crying Your Heart Out – Paediatrics at St Emlyn’s Read More
What can bedside echocardiography contribute when aortic dissection is suspected? This 2012 journal club appraises a retrospective study of type A dissection, questioning patient selection, specialist expertise and whether results from a cardiac centre can support decisions in a general emergency department.
Aortic Dissection – The time bomb of doom Read More
