The Cardiac Decision Tool Fight is on. EDACS Vs ADAPT

Winter is upon us. Corridors are full of patients waiting to be seen, waiting to be admitted, social care is creaking. We have been told that the winter that breaks the NHS is coming. Increasing frailty, increasing demand and expectation. All of that. But in amongst all of the chaos there’s a cohort of patients…

Delirium screening in the ED – The Canadian way-aye.

Wow it’s been a while. I thought I’d posted the last journal club here – which was back in Mid September – we reviewed The Poker trial – I’ll get a review posted ASAP, but on with the task at hand. This slight loss of memory ties in nicely with the paper we reviewed today…

To pan-scan or not pan-scan REACT2.

Its been a few weeks since the last post and there’s a few reasons for that. Largely because its the summer and I’ve been outside with the kids a bit more than usual, trying to get my work-life balance tipped a bit more towards home, 6 months into being a consultant. It’s also hard to…

Journal Club: COPD: DE-CAF or not DECAF that is the question

Date of JC: 29/06/16 Paper: Validation of the DECAF score to predict hospital mortality in acute exacerbation of COPD Published: Thorax 2016 Your next patient in majors is a 70 year old smoker who’s been told he has COPD and uses inhalers daily. He continues to smoke and gets a bit breathless when he goes…

Dental pain and poisonous paracetamol

I seem to have had one of ‘those’ runs recently. In my past few weeks at work I’ve seen or been involved in the care of a number of folks who had inadvertently taken a paracetamol overdose trying to self medicate their dental pain. I think for me these cases highlighted a few important things…….

REVERT that rhythm……Journal Club May 2016

Date of JC: 18/5/16 Paper: Postural Modification to the standard valsalva for the emergency treatment supraventricular tachycardia (REVERT): A randomised controlled trial. Published: The Lancet 2015. Your next patient in resus is a 20-year-old guy who’s self presented with feeling breathless and the symptom of his heart racing, he’s alert but looks worried. Vitals are…

Peri-Mortem C-section

Its 0830. Handover’s done. The arrest buzzer is going in Majors. Everyone piles in. It can’t be her. She’s 25 years old and 32 weeks pregnant. You’ve just had handover – breathless for a few days. But it is. She’s blue, no sign of life.  No pulse. Your’s is about 180bpm. You quickly start CPR…

Welcome to the ShED

Hi Welcome to FOAMShED a site aimed at all HCPs working in the wonderful world of Emergency Medicine. My aim is to create a site that gives you access to Free Open Access Med-Ed  on the go, before your late shift, after your night shift or if you just can’t make a face to face…