Taking a sexual history in ED

Sexual History (1)

Emergency physicians often feel that taking a sexual history in EDs is something medical school and specialty training have not prepared them very well for. This comes as no surprise as it differs significantly from ordinary medical history taking.  Personal, religious beliefs, our own sexuality and upbringing will undoubtedly further influence the way we take […]

How to prepare your ED for a MERS-CoV outbreak


Following a successful local collaborative Ebola campaign preparation last year, the team at Virchester ED have started preparing for the next outbreak of infectious disease that threatens our quiet shores: the Middle-East Respiratory Syndrome (MERS). MERS is caused by a coronavirus (often abbreviated as MERS-CoV) and coronaviruses are mainly transmitted by large respiratory droplets.  The […]

My top 5 reasons to attend #SMACC this year…


  So I am back from an amazing few days in Chicago where the most amazing medical conference of the world just took place at McCormick place in Chicago (USA). As a FOAM(ed) convert and avid Twitter user, I had been so far only a passive follower of this annual gathering of inspirational speakers but […]

New NICE guidance on intravenous fluid therapy for adults in hospital: how is this relevant to EM?


  The National Institute for Health and Care Excellence (NICE) has recently issued new guidance on the use of intravenous fluids in adult patients. For those clinicians not familiar with it, NICE is the UK-based body that provides guidance by supporting healthcare professionals and others to make sure that the care they provide is of the […]

JC: Milk for refractory migraines?


Every day is a school day in Virchester! When you thought you had heard everything about Propofol with recent media cover over the unfortunate event involving a pop star, a paper from Iran suggest that there would be a role for its use in refractory migraines! What was this paper about? This study was set […]