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Taking a sexual history in ED

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,…
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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…
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JC: One Benzo Fits All? Lorazepam vs Diazepam for Paediatric Status Epilepticus

It’s been a little quiet of late here in the lofty towers of St Emlyn’s Virtual Hospital, not because the patients have stopped coming (trust me, they haven’t) but because many of the clinicians have spent their non-working hours squirreled away…
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New NICE high sensitivity troponin guidance: 3 hours and done?

The National Institute for Health and Care Excellence (NICE) from the UK has just published new recommendations for the use of high sensitivity troponin to rule out NSTEMI in the Emergency Department.  You can find it at this link.  I…
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Imaging in Paediatric Trauma – Guide to the RCR Guidelines. St.Emlyn’s

You’ve probably already seen that the Royal College of Radiologists this week published CEM-approved guidelines for imaging in paediatric trauma. The document itself is open access, isn’t actually that long and to the authors’ credit it’s relatively easy-to-read so you…
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