For diabetics, hypoglycaemia is defined as a CBG <4.00 mmol/L (‘four is the floor’). For non-diabetics, it is often defined as a CBG <3.3 mmol/L.

Status Epilepticus is generally defined as any single or multiple convulsions lasting 30 minutes or more.

An introduction to the aspects of End of Life Care in the ED using the End of Life Jigsaw from Northampton General Hospital.

A 46-year-old man who has been admitted to EDU on an alcohol pathway. He has been on the ward for a few hours to sober up.

An unconscious 18-month-old child is brought to the ED by the babysitter who reveals she left a bottle of methadone in her bag…

Addison’s Disease is when the adrenal glands produce insufficient adrenal hormones, aka hypoadrenalism or primary adrenal insufficiency.

A pre-alert is made for a 5-year-old boy who is screaming in pain complaining of a sudden onset headache. His GCS drops during assessment…

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."

"19 yr old female. Found unresponsive on university campus by passer by. No evidence of trauma."

31 y/o female, found unresponsive by her housemates. Empty packets of tablets in the room. She smells of alcohol.

14-year-old pedestrian hit by a van in hit & run incident at at least 40mph. Loss of consciousness at scene. Scooped & ran as felt too unstable for transfer to Major Trauma Centre (MTC).

Subarachnoid haemorrhage (SAH) is a diagnosis not to miss. But is it more of a headache than a help?

Varices account for 5-12% of acute upper GI bleeds and increase the risk of mortality of patients.