A 55-year-old woman, who is usually fit and well, is brought in on a spinal board having fallen off her bicycle whilst going downhill at high speed.…
Triple Trouble
A 40-year-old man is brought to the ED after being hit on his right hand side by a car travelling at approximately 20 mph.…
Principles of MRI of the Brain and Spine
Magnetic resonance imaging (MRI) is rarely used in most EDs. However, the properties of such images can provide emergency physicians with critical information to support the optimal clinical care of m…
Humpty Dumpty
A 70-year-old male is brought to the Emergency Department by ambulance complaining of dizziness and generalised weakness following a fall.…
The Dislocated Shoulder
A 92-year-old man attends the emergency department complaining that his right shoulder “looks a funny shape”.…
Fishing for Vandals
This morning I had a phone call from the police. He said that last night a man was filmed on CCTV smashing the windows of two police cars parked outside the local police station…
Zygomatic Complex and Nasal Injury
Anyone who has ever worked in an ED on a Friday night knows that facial injuries are a common presentation…
Snap, Crackle and Pop
A 40-year-old female is involved in a head on vehicle collision at 50 miles per hour into a tree.…
Broken Neck or Not
A 74-year-male presented to the Emergency Department with neck pain. Whilst enjoying a round of golf, slipped backwards down a bank onto some rocks…
Abdominal injury and haematuria after falling off a BMX
An 18-year-old male is brought into the ED by ambulance. He was performing a BMX stunt off a ramp approximately 6 feet in the air and lost his balance, and fell to the floor landing on his right hand …
Ultrasound: Indications for Ultrasound
Emergency medicine ultrasound has been steadily developing over the last two decades, and courses have run in the UK since the late 1990s. Since ultrasound is rapid and involves no radiation, it is an…
The Dangers of Low Slung Jeans!
A 13-year-old boy was brought into the ED by ambulance after falling off his BMX bike.…
Ouch my jaw
Its a busy Friday night in the emergency department and another facial injury presents following an alleged assault to the left jaw.…
EMJ April 2020
Noel Fernando discusses Cranial burr holes in the emergency department: to drill or not to drill?…
Popping Out
It’s a busy Friday night in the emergency department and another facial injury presents following an alleged assault to the right eye.…
April 2020
This month we have COVID Discussion | Debriefing post traumatic event | Talking bout dying in the ED | COVID19 Ventilation…
Blind as a Bat
When a simple trip makes you as blind as a bat.…
Doin’ the tack shed blues
A 4-year-old boy is brought to your ED by his parents. Two hours previously he had been on the back of a horse being led from the field to the tack room before going out for a ride.…
Paediatric Trauma Anatomy – Easy as AcBC
The alert phone goes: the ambulance team are bringing in a 2 year old girl who has fallen down a flight of stairs…
Shedding light on Paediatric Trauma Imaging
Trauma is such a sexy topic. Add children and well feelings can change. But why? I hear you ask. What is so different?…