Blog
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Journal
19
March
2018
Abominable Abdominal pain
Situation Abdominal pain is a common presentation to the ED roughly 7% of all ED attendances.[1] There remains to be a substantial proportion of these patients who remain undiagnosed. On the flip side of this the most common surgical emergency to present to the ED is appendicitis. Image courtesy of theplaguedoctor.blog @theplaguemd Abdominal pain can […]
19
March
2018
Horses and Zebras and Flesh-eating Bacteria…oh my!!
Situation It’s a well-known observation that some staff, more commonly new doctors, jump to a farfetched diagnosis when often the simplest is the most likely. Hence the phrase “hear hooves: think horses not zebras”. Think back to the patient with a rattly cough who has a differential of something obscure like lymphangioleiomyomatosis when actually they […]
13
April
2018
Self Development is the way to go
Hi Everyone well this is the first post for the website and its mostly an introduction as to what we are trying to achieve. What you can expect from this website is a one stop shop for all things ED education, this is going to be mostly aimed at nurses/HCA’s/ODP’s working in ED as oppose […]
18
April
2018
Between the Lines #3 – Caring for Arterial Lines
Good news, my writers block is cured! Bad news, it took a patient incident to unblock it; let me tell you a little story about my recent night shift… Startled from my note writing by loud shouts for help from my colleague who was stuck in a lonely side room, my usually cucumber cool colleague […]
19
April
2018
A right pain in the… chest!
Situation Chest pain is one of the most common ED presentations, accounting for between 5 and 8% of ED attendances in the US every year[1]. Chest pain can have numerous causes and it’s important for us to distinguish between the life threatening and the not-so-much. As an ED nurse your assessment of the patient may […]
02
May
2018
Casey and the case of the missed diagnosis
Meet Casey. She arrived at your emergency department one Saturday afternoon a few weeks ago. She’s a cheerful, previously healthy 19 year old part way through her second year at your local Higher Education institution. She’s also just spent 4 days on Critical Care, and is the subject of a Serious Untoward Incident/Level 3 investigation […]