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Dry Eye Disease
IntroductionDry eye disease, also known as keratoconjunctivitis sicca, is a common eye disorder characterised by insufficient lubrication and moisture on the surface of the eye....
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Approach to chest pain in the ED
Chest pain accounts at least 5% of presenting complaints of patients attending the Emergency Department (ED) and as a resident doctor working in the ED, it is vitally important to have...
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Upper Limb Arterial and Nerve Injuries: An Introductory Guide
Adult Trauma Life Support (ATLS) is the gold standard for managing trauma-related injuries. Arterial and nerve injuries of the upper limb can have significant associated mortality and...
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Inflammatory vs Non-inflammatory Arthritis
A brief guide to help you distinguish between inflammatory and non-inflammatory arthritis in UKLME MCQs.Inflammatory ArthritisInflammatory arthritis will present with:Joints...
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4AT: Delirium Assessment
Delirium is an acute disturbance in attention, awareness, and cognition, commonly seen in hospitalised patients, particularly older adults. It is associated with increased morbidity,...
Covid
Coronavirus and your wellbeing
Covid-19 is taking a huge emotional toll on everyone. The usual work-life balance tips don’t work as well when you can’t go out and everyone’s emotions are...

Latest Content

Self Harm
Self Harm
The most common place you will see a patient who has self-harmed is in ED, where they have been referred to the psychiatry team but need to be medically cleared. Rarely this could occur...
Performing Arterial Blood Gases
Performing Arterial Blood Gases (ABGs)
An arterial blood gas (ABG) test is performed to measure the oxygen and carbon dioxide levels in the blood, as well as the pH. The sample is taken from an artery.EquipmentGlovesAlcohol...
Blood Tests
Venepuncture
Venepuncture is the term used to describe the procedure of withdrawing blood from a vein using a needle. Consider the requirement for the procedure and establish appropriate levels...
Cannula
Cannulation
Cannulation is a procedure regularly undertaken which involves threading a plastic tube into a vein, allowing access for fluid & drug administration. Blood samples can be taken...
Constipation
Constipation
Constipation is one of the most common complaints in hospital, especially on the geriatric wards.Failure to treat constipation can lead to longer hospital stays and increased morbidity.What’s...
Pulmonary Oedema
Pulmonary Oedema
RCEM has published some clear and comprehensive information which is well worth a read. Below we include a very quick summary as a refresher.CausesImpaired cardiac function...
Mobile Apps
Essential Apps
Here’s a list of apps that are in order of how essential we find them. There’s probably more out there so drop us a comment if you have any suggestions to add!Induction...
Handover
Handover
Handover occurs between shifts to ensure everyone is up to speed with patients. The exact nature of how it occurs varies greatly by hospital & specialty. E.g. in paediatrics or...
Prescribing analgesia
Prescribing analgesia
When assessing pain, ensure you begin by taking a history to characterise the pain as neuropathic pain, inflammatory pain and oncological pain all respond to different analgesia. SOCRATES...
IV fluids
Prescribing IV Fluids
There are certain situations where you need to prescribe IV fluids which vary from fluid resuscitation to maintenance fluids if a patient is nil-by-mouth (NBM) (e.g. pre-operatively,...
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