Our ever-creative PEM registrars came up with some teaching cards using medicolegal and patient outcomes to highlight the implication that mismanaged minors cases can have on the children we see.

After the success of our original Cards Against Paediatric Orthopaedics series we’ve decided to add some more cases, but in two new editions… Upper AND Lower cases!

After the success of our original Cards Against Paediatric Orthopaedics series we’ve decided to add some more cases, but in two new editions… Upper AND Lower cases!

What started as an unexpected delivery in the Adult A&E ended with a reflection on how the most important patient we have to take care of is the one staring back in the mirror.

Our totally original orthopaedic card game is back with even more cases and a paediatric twist!

18-year-old (???) male, tonic clonic seizure >20 minutes. Unresponsive. Known cerebral palsy and epilepsy.

This week we look at decreased conscious levels in children; and how medical staff can maintain performance when they’re not at their physical best.

Red call: "15 minutes. 21-day-old baby with bronchiolitis." Distraught dad: “He’s not been feeding. Why are his lips blue?”

What to do when patients are refusing life-saving treatment.

A 21-year-old female presenting with sudden onset right iliac fossa pain 6 hours ago.

A 21-year-old female presenting with sudden onset right iliac fossa pain 6 hours ago. She's had 2 episodes of vomiting since the onset of pain.

"If you focus on the problem, you can't see the solution."

A 20-year-old presents to your ED with a history of fever and sweats. Don't forget their travel history!

A 1-year-old is brought in by ambulance after he started fitting at home. Paramedics have given one dose of Diazepam.

A 5-day-old infant is brought to the ED with difficulty feeding and fast breathing.

It's time for more Paediatric Emergency Simulation Training (aka PEST). Five MDT cases all in one day!

Working the ED can often be complicated, there can be distractions and developments that make even a simple case more complex than it should be.

"Terry (71) was out in the garden watering his potatoes, when he felt unwell and collapsed."

A 78-year-old man feeling non-specifically unwell for a few days. 1 day of headaches and intermittently confused.

Ethanol is not the only alcohol your patient can drink…

A 5-day-old baby girl is brought to ED by mum with poor feeding, sleepiness and fast breathing.

Sepsis kills. We simulated how to identify and manage a child presenting with Sepsis.

21-year-old female brought in by ambulance. Acute onset DIB, tachycardic & tachypnoeic, pre-alerted as ?sepsis

A 41-year-old male is brought to the ER by paramedics with the history of worsening SOB for last 6 hours.