Handover at 0800- 53-year-old Indian presenting to hospital with severe neck pain. History is difficult to attain because of the language barrier. The night RMO has sent some blood and gave her some analgesics, including a 5 mg tablet of Oxycodone.
The RMO thinks the patient will need further assessment.
- How will you approach the situation?
A 9 year old boy brought to ED by ambulance after developing a tonic-clonic seizure, it lasted for 8 minutes and was terminated by a single dose of benzos. Background of fever for 4 days and he is on amoxicillin for possible otitis media.
CSF was taken and the results are:
A 23-year girl was brought in ED by her mother in a wheelchair as she is refusing to walk. She is known to have borderline personality disorder and had multiple presentations before, with behavioral issues. During triage, she refused to talk to the nurse and kept her eyes shut.
- How will you assess the patient in the ED?
We review migraine management from a community and ED perspective.
– different available treatments
– factors that will affect choice of treatments
– a new ED treatment for migraine
Basic knowledge again, but I’ve noticed some interesting numbers used to grade motor power in some medical notes recently, so I thought a reminder would be useful:
Hypokalaemic periodic paralysis
= muscle weakness or paralysis with associated hypokalaemia
Your next patient is brought it for disturbing behaviour. Most likely to be an elderly patient from a nursing home with longstanding history of dementia who is now violent towards staff. But could be younger as well, with known psychiatric history.
Management of increased intracranial pressure in the emergency department
This is the CT brain of a 43 yo man brought in by ambulance after he collapsed at home. GCS is 3. What does the CT show?