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Buckle and Greenstick Fractures

What? A 9-year-old male presents to the Emergency Department (ED) following a fall whilst playing rugby at school earlier that day. He presents with left wrist pain and mild swelling. There are no...

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Paediatric Gastroenteritis

What? A 4-year-old male presents to the Emergency Department (ED) with a 3-day history of diarrhoea. The illness began with 24-hours of vomiting, subsiding as the diarrhoea became apparent. He had been...

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Neonatal Jaundice

What? A 2-week old baby girl is presented to the emergency department (ED) by her parents on the advice of her Health Visitor (HV) who has noted that she still appears to be jaundiced. Her parents tell...

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Acute Throat Infections

What? 14 year old girl presents to the Emergency Department (ED) with a 4 day history of fever (38.7C), sore throat and odynophagia. On examination, she appeared comfortable but was pale, had...

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Apparent Life Threatening Events

What? A 6-month old infant is presented to the Emergency Department by his parents with a history of a ‘floppy’ episode approximately 30 seconds in duration. It was noted that he did not respond to his...

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Aspirin for ACS

What? A 64-year-old male attends the Emergency Department (ED) following an episode of central crushing chest pain lasting 30 minutes. He was known to suffer from Ischaemic Heart Disease (IHD) and had...

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Naloxone

What? A 56-year-old female presented to the Emergency Department (ED) following an overdose of her modified-release morphine tablets, prescribed for her chronic lower back pain. She was last seen by...

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Tranexamic Acid

What? A 32-year-old male presented to the Emergency Department (ED) with two self-inflicted stab wounds to the abdomen. He had used a knife with a 6-inch blade which had been recovered by the ambulance...

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Traumatic Cardiac Arrest

What? Its 01:00 and the resus emergency bell rings out across the department. On your arrival you find a young male in cardiac arrest and nursing staff have initiated Basic Life Support (BLS). His...

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Coming soon – ED Pearls

The team at HEFT EMCAST are extremely excited to announce a new stream of work that will be hitting our website (alongside the usual content) within the next couple of weeks. Dr Catrin Dyer and Dr...

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Acute pain management in children

Many paediatric presentations will present with pain.  It is important that any child in pain is assessed and given appropriate analgesia.  This is our responsibility as healthcare professionals and it...

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Displaced distal radius fractures

What? A 65yo woman comes into your Emergency Department (ED) presenting with right wrist pain, swelling and deformity following a fall onto an outstretched hand (FOOSH). An x-ray reveals a dorsally...

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