(Arrrghhhh!!! Soft Collars!!!) I thought this week I’d talk about a particular injury which can be catastrophic if it is missed. I’m sure you will agree that as Emergency Physicians we should be competent to interpret tests that we order on a daily or regular basis. These include things like blood tests, ECG’s, ABG’s and X-rays […]
Read more "Let’s “FACE IT”, you don’t want to miss this injury Doc…"
Hi all, just a short post today as its been a hectic week! Are we still “flying by the seat of our pants” when working in the ED? It may certainly feel like it sometimes! Some of you may not agree about what this post says but it is my personal opinion and if it […]
Read more "Emergency Medicine: “Are we still flying by the seat of our pants?….”"
A bit of plosive alliteration for you today! I thought I’d write about a problem that often presents to the ED and there can be some confusion on how to manage these patients: suspected PE’s in Pregnancy. In the UK, there have been guidelines published from the Royal College of Obstetrics and Gyanecology (RCOG) which are […]
Read more "Pregnant People Presenting to Physicians with Pulmonary Problems"
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 […]
Read more "“Doc, Help Baby Stanley is making a funny noise….” It’s time to take things in your stride."
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 […]
Read more "“George is a bit SCATty after that tackle….Fetch the Brown paper and Vinegar….”"
I know the actual saying is “when you hear hoofbeats think of horses not zebras” coined by Dr Theodore Woodward from the University of Maryland, but for the purposes of this post I want you to think of the “zebras”. The main Onc emergencies are neutropenic sepsis and spinal cord compression, but I thought I’d talk about […]
Read more "“When you hear hoofbeats….think of zebras not horses……”"
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 […]
Read more "“In Wenger we trust…”"
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
Read more "Hello!"
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….”
Read more "“‘Excuse me doc, can you just have a look at this ECG?…..”"
Continuing to make you listen to the music of my youth, I’ve gone for a bit of Linkin Park. I thought i’d briefly talk about haemorrhage control. How comfortable are you at being able to control bleeding in a trauma patient? How many ways can you use an israeli bandage? Do you know what an israeli […]
Read more "“HE’S BLEEDING OUT!!!!……”"