HMP5: Unconscious Patient

The trainee will be able to promptly assess the unconscious patient to produce a differential diagnosis, establish safe monitoring, investigate appropriately and formulate an initial management plan including recognising situations in which emergency specialist investigation or referral is required.

 
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Emergency Decisions Unit (EDU) Mini Sims
Emergency Decisions Unit (EDU) Mini Sims

For clinicians sometimes working in isolation and with limited equipment, we’ve created two mini-scenarios that would help staff practice the next steps to take when the unexpected occurs.

#SimBlog: Disabled Child with Complex Comorbidities
#SimBlog: Disabled Child with Complex Comorbidities

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

#SimBlog: Drowsy patient? Me too!
#SimBlog: Drowsy patient? Me too!

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.

Lightning Learning: Status Epilepticus
Lightning Learning: Status Epilepticus

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

#SimBlog: Alcohol Withdrawal
#SimBlog: Alcohol Withdrawal

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.

#SimBlog: Methadone Ingestion
#SimBlog: Methadone Ingestion

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…

Lightning Learning: Addison's Disease
Lightning Learning: Addison's Disease

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

#SimBlog: Time Critical Transfer
#SimBlog: Time Critical Transfer

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…

#SimBlog: Head Injury & NOACs
#SimBlog: Head Injury & NOACs

73-year-old male with who had a head injury 2 weeks ago now presents with 1 day history of confusion and difficulty walking.

#SimBlog: Co-codamol Overdose
#SimBlog: Co-codamol Overdose

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

Ruling out Sub-Arachnoid Haemorrhage in the ED
Ruling out Sub-Arachnoid Haemorrhage in the ED

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

#SimBlog: Head Injury & ICP Control
#SimBlog: Head Injury & ICP Control

Approx 30 y/o male, he is a cyclist hit by a car, no helmet worn. En-route his left pupil has become fixed and dilated.

 

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We are always looking to expand the number of resources that link to the RCEM curriculum. If you would like to contribute relevant links to be included, simply fill out the form below. We endeavour to peer review all links sent to us to ensure they are of the highest educational quality.