Chronic pain is a really difficult condition to manage in Emergency departments. This is a short discussion where I talk through the conversation that I have with my patients suffering from this, or for those patients with pain where somatisation is a strong component. I hope this helps you to form a basis for your own conversations! Any feedback is welcome
This is the ONLY hyperkalaemia tutorial you’ll ever need! Pathophys, ECG signs and management all rolled together into one evidenced based entertaining and easy to understand tutorial. I am sure that you’ll love the cool graphics and explanations which help make the complex easy!
For those who like their med ed radio style, here’s a customised audio only podcast. For examples of the ECGs mentioned please look at the video sudden cardiac death
Sudden Cardiac Death is the second most common cause of death in the developed world and the biggest killer of young athletes. Knowing the conditions which lead to SCD and, most importantly, being able to recognise them on an ECG is the key to saving a life. This is a tutorial given at the amazing Developing EM conference in Sri Lanka. If you want to know more about topics introduced here, see my WPW Talk , The Wide and Narrow Complex Tachyarrhythmia […]
In this follow up to the first TiCME chat Nick and David discuss permissive hypotension and other elements of damage control resuscitation in trauma and discover that what is popularly accepted may not be evidenced based….
Trauma is a big killer, and practice has evolved to accept lower blood pressure with the concept of permissive hypotension. In this, the first TiCME Chat session, Dr David Lamond a retrieval and ED specialist and I discuss what traumatic hypotension actually means and what the evidence can tell us about current practices. What do you think? Post a comment or question below! We will cover the concepts of permissive hypotension, damage control resuscitation and haemostatic resuscitation in the next tutorial.
This short video will change the way you understand acute heart failure. It uses the ocean to visually explain how vascular failure is different from chronic heart failure with clear explanations and echo views. Its the follow on and answer to the real time and real life case . For those wanting to get into more detail, I suggest reading this brilliant article “The pathophysiology of hypertensive acute heart failure” David Viau, et al. Heart 2015. 101; 1861-7. doi: 10.1136/heartjnl-2015-307461
Here’s a video of a real patient in the first few minutes of arrival in emergency. Information will appear in real time. Each time you are prompted, pause the video and think or write down your best answer. Working rapidly to narrow down your DDx based on limited information is a key skill for the emergency physician – are you up for the challenge??
This short video will show how multiple modalities of assessment can be used to help decision making in cardiac arrest. See more detail on End Tidal CO2 in this tute Having trouble rapidly diagnosing tachycardias? See my narrow complex and wide complex tutorials
A rare clinical sign from Sri Lanka today in this quick case Ill hand you the diagnosis
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