Dystonia in the Emergency Department

Jabba's favourite decoration by Stefan at flickr.com

I’m sure we’ve all seen cases like this. A 25 year old lady walks in to the ED complaining of a swollen tongue. She can’t really talk, seems a bit anxious and is quite tearful. The triage nurse notices that the tongue seems a bit prominent and assumes that this is anaphylaxis. The lady is […]

Duel of the Rules: Which decision rule for head injury in children?

Dual of the Rules

Ladies and Gentlemen! The assessment and investigation of paediatric head injury is a case study in clinical risk management. Similar to chest pain in grown up medicine, it’s a frequent presentation, with a rare but potentially devastating outcome. It’s these kind of patients where we as ED docs come into our own as diagnosticians (or […]

When Sick Means Sick: Emesemantics and Vomiting in Kids

Image from Healthysimulation.com

When I was preparing for my talk at smaccGOLD I contacted the wonderful Ross Fisher, a Paediatric Surgeon, to ask him for some tips; what did he wish all ED docs and GPs knew about paediatric surgical patients? He was kind enough to provide me with a list of hints, tips and pearls of wisdom […]

JC: Paediatric Major Trauma Triage

Screen Shot 2014-04-11 at 17.23.52

There aren’t a lot of things in Emergency Medicine that are more important than managing paediatric major trauma.  St. Emlyn’s in Virchester is a Paediatric Major Trauma Centre, and it’s virtual catchment area is pretty massive.  That means we’re pretty used to the adrenaline surge that you get at 4am when the pager goes off […]