“Doc, Help Baby Stanley is making a funny noise….” It’s time to take things in your stride.

There are two things in Emergeceny Medicine that scare me: 1) babies and 2) airway obstruction. So I thought I’d write a short post on what happens when you combine the two! Today its about Stridor in children under 6 months. Its something that uncommonly presents to the ED, but when it does you need to […]

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“George is a bit SCATty after that tackle….Fetch the Brown paper and Vinegar….”

I appreciate there are many recent blogs on Brain Impact Apnoea and others on how to manage severe head injuries, but what about minor head injuries? I thought I’d write a short post on rugby players and head injury, as it’s been in the news recently. Last friday night, during the opening game of the 2015 rugby […]

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“In Wenger we trust…”

This post is nod to my wife and the inlaws, who are big Arsenal FC fans…. What has Wenger got to do with medicine? Unfortunately I couldn’t find a tenuous link between Arsene and working in an ED, but Etienne Wenger does have a link. Jean Lave and Etienne Wenger are cognitive anthropologists who developed […]

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Hello!

I am an Emergency Medicine Consultant in the UK. The aim of this blog is to try and communicate useful learning points I have gleaned from treating patients with in the various ED’s I have had the fortune to work in. There is so much knowledge out there online to read thanks to #FOAMed. Most of the learning points in the posts have been handed down to me by people far more intelligent than I am!

People always say “don’t sweat the small stuff, concentrate on the bigger picture”. I say “Sweat the small stuff…”. This blog is about the importance of knowing as much as you can about every disease, equipment, processes and procedures you come across in everyday practice in the ED.

If one person reading the blog learns one thing that will help them in their clinical practice, then writing this blog has been worth it! Enjoy!

Follow me @bhanders

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“‘Excuse me doc, can you just have a look at this ECG?…..”

Hope fully a short blog today! In the spirit that we should “sweat the small stuff”, I thought i’d talk about ECGs. How confident are you of reading them? I agree with Amal Mattu’s mantra that Emergency Physcians should be as good as or better at reading ECG’s than cardiologists as we probably look at more of them on a daily basis. So you are working in the ED, sitting at a desk and writing your notes. A nurse comes up to you and asks you to look at an ECG of 70yrold male with chest pain. “He’s a bit sweaty….”

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