PEM Updates

PEM Updates

Gareth Lewis
News
“A round-up of the latest PEM articles from across the web relevant to the CEM/RCPCH curriculum.”

Cardiology [2.2.2]

Endocrinology & Metabolic Medicine [2.2.6]

Gastroenterology [2.2.7]

Neonatology [2.2.11]

Paediatric Surgery [2.2.17]

Practical Procedures

Respiratory Medicine & ENT [2.2.19]

Trauma [2.2.7]

 
Latest News...
Racing Hearts: a case of paediatric SVT
Racing Hearts: a case of paediatric SVT

A concerned mother rushes to the emergency department with her 12-month-old child who has had symptoms of a URTI, a one-day history of poor feeding and a single episode of vomiting…

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Resus Drills: Paeds Upper GI Bleed
Resus Drills: Paeds Upper GI Bleed

2-year-old boy has suddenly vomited a large volume of fresh red blood. His mum has called an ambulance. On arrival, blood pressure is low and peripheries are cold…

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Resus Drills: Facial Trauma
Resus Drills: Facial Trauma

49-year old bus driver, not wearing seatbelt, who has collided with a bridge. GCS 13 and bleeding heavily from the nose after hitting his face on the windscreen. Patient is becoming more drowsy…

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Resus Drills: Adults Upper GI Bleed
Resus Drills: Adults Upper GI Bleed

52-year old male found on the bathroom floor by his daughter vomiting copious red blood. They will arrive in 3 minutes…

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Resus Drills: Unexpected Delivery
Resus Drills: Unexpected Delivery

The alarm sounds from one of the paediatric toilets. The 15-year-old female that presented with abdominal pain has given birth unexpectedly. A baby is on the toilet floor attached by its cord.

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Resus Drills: Caesarean Section
Resus Drills: Caesarean Section

You have received a 3-minute warning of a 28-year-old female who has had 30 minutes of severe shortness of breath, and has a past medical history of PE. She is 35 weeks pregnant.

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Resus Drills: Thoracotomy for Trauma
Resus Drills: Thoracotomy for Trauma

The red phone has just rung with a 3-minute warning of a 19-year-old male stabbed in the epigastrium

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Resus Drills: Lateral Canthotomy
Resus Drills: Lateral Canthotomy

A 74-year-old man has fallen in his garden and has facial injuries. He’s told a nurse he can’t see out of his right eye very well in the last half an hour and it is painful…

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Top Tips for Resus Drill Instructors
Top Tips for Resus Drill Instructors

Resus Drills are for situations which happen quickly, are not common, and need a time-critical response. Each scenario is designed to run no longer than 15 minutes in total

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Resus Drills (2023)
Resus Drills (2023)

Resus Drills are for situations which happen quickly, are not common, and need a time-critical response. Each scenario is designed to run no longer than 15 minutes in total

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Activating the Major Haemorrhage Protocol
Activating the Major Haemorrhage Protocol

We simulated with ED clinicians & blood transfusion technicians to share tips and improve step-by-step communication when activating the MHP

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PEST Case 4: We're going to need a bigger boat!
PEST Case 4: We're going to need a bigger boat!

17-year-old female presents with abdominal pain, unaware that she is pregnant, and unexpectedly goes into labour!

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PEST Case 3: The hunt for foreign objects
PEST Case 3: The hunt for foreign objects

12-month-old boy is rushed into the PED unresponsive in his mother’s arms. He was last seen playing with some toys in the living room…

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PEST Case 2: Sink or swim?
PEST Case 2: Sink or swim?

18-month-old boy is brought in with a two-day history of vomiting and being off form. His mother becomes stressed and leaves during the assessment.

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PEST Case 1: What lies beneath…
PEST Case 1: What lies beneath…

2-week-old child with cough and coryzal symptoms for two days is brought into PED looking pale with significantly increased work of breathing.

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#PEST2021: Paediatric Emergency Simulation Training day
#PEST2021: Paediatric Emergency Simulation Training day

After a year focussed heavily on COVID-19 we wanted to give our trainees the opportunity to get their heads above water and see what else is going on in paediatric emergency medicine

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Lightning Learning: Bronchiolitis in Children (2021)
Lightning Learning: Bronchiolitis in Children (2021)

Bronchiolitis is a viral respiratory tract infection affecting the lower airways in children up to 2 years old (and more commonly in those less than 12 months old)

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Mismanaged MINORS? MAJOR Implications!
Mismanaged MINORS? MAJOR Implications!

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.

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Cards Against Paediatric Orthopaedics (Lower Limbs)
Cards Against Paediatric Orthopaedics (Lower Limbs)

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!

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PEM Minor Injuries Virtual Study Day (May 2021)
PEM Minor Injuries Virtual Study Day (May 2021)

A collection of regional video presentations given at our recent virtual PEM study day on all things paediatric minor injury-related!

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Cards Against Paediatric Orthopaedics (Upper Limbs)
Cards Against Paediatric Orthopaedics (Upper Limbs)

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!

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Lightning Learning: Radial Head Fracture Pathway
Lightning Learning: Radial Head Fracture Pathway

Approximately 85% of radial head fractures occur in the 20-60 age range and are usually the result of a FOOSH when the radial head impacts the capitellum. 85-95% of patients managed conservatively have a good outcome.

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EM Leaders: Building Better Teams
EM Leaders: Building Better Teams

Successful teamwork can be difficult to navigate in healthcare due to conflict over what the primary purpose of the team is. By negotiating and defining goals from the outset, we are likely to build mutual trust.

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EM Leaders: Managing Conflict
EM Leaders: Managing Conflict

Conflict is an inevitable part of being around other people, so it’s useful to think about different styles for managing it. Which is your ‘go to’ and which you might like to develop?

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EM Leaders: Leading Teams
EM Leaders: Leading Teams

Healthcare tribalism is useful to promote good team working, a positive work environment and resilience. However, negatives can creep in if tribes don’t welcome diversity into the team.

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EM Leaders: The Value of Feedback
EM Leaders: The Value of Feedback

People are notoriously bad at understanding how others view them. We might not know how others perceive us unless we ask them, which is where feedback comes in.

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EM Leaders: Imposter Syndrome
EM Leaders: Imposter Syndrome

It is common to focus on other’s achievements and strengths rather than our own. Not believing that you are as competent as you are perceived by others is called Imposter Syndrome.

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EM Leaders: Self-Awareness
EM Leaders: Self-Awareness

This week we talk about self-awareness – specifically ‘internal’ self-awareness. What motivates us? What are our beliefs, attitudes and values? And how will these impact our career through emergency medicine?

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EM Leaders: Leading Self
EM Leaders: Leading Self

Welcome to this first weekly blog for EM Leader trainees. So, what is leadership? It’s a word that gets used a lot, but can be difficult to define. Is there a difference between a leader and someone showing leadership?

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Lightning Learning: Clinical Frailty Score in the ED
Lightning Learning: Clinical Frailty Score in the ED

Swift recognition of frailty is important in planning and tailoring any intervention. Using a Clinical Frailty Scale app can quickly and accurately calculate a patient's Clinical Frailty Score.

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Lightning Learning: Neurological Observations in Head Injury

Lightning Learning: Neurological Observations in Head Injury
Lightning Learning: Ectopic Pregnancy

Lightning Learning: Ectopic Pregnancy

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