Carbon Monoxide

Carbon Monoxide poisoning is definitely one of those differentials that you consider when the patients books into ED with '?carbon monoxide poisoning'...... but how much do we really think about it in a patient that hasn't been sent down to the ED with this specific thought in mind. Rob Fenwick talks us through the key… Read More

Trauma in the ED

So we were lucky enough to be asked to cover the Trauma Care Conference and specifically today's day focussing on Major Trauma in the Emergency Department. We managed to to get a few minutes of time from some of the superb speakers and get their  take home messages from their talks. Enjoy! Relevant Resources TraumaCare PHEMCAST … Read More


In this episode we were lucky enough to catch up with Sam Sadek, EM Consultant at The Royal London hospital and HEMS doctor and also Zaf Qasim EM Consultant in Delaware in the United States. Both have been heavily involved in the setup and delivery of REBOA service in their respective posts. In this podcast… Read More


Rob Fenwick talks to us about hypothermia right from it's definition through to the the difficulties and dilemmas of treatment. Including whether somebody is dead and cold or cold and dead, enjoy! Simon References Brown, D. J. A., Brugger, H., Boyd, J & Paal, P. (2012) Accidental hypothermia. New England Journal of Medicine. Volume 367,… Read More

Needle Thoracostomy

Needle decompression of a pneumothorax is a time critical and life saving procedure. Classical teaching is to perform this in the 2nd ICS midclavicular line but is this the easiest and most effective place to perform it? In this podcast I speak with Zaf Qasim, an EM physician in the US about the topic and… Read More

Major Trauma; NICE 2016

So NICE has published it's guidelines on 'Major trauma; assessment and initial management', obviously it would be ideal for you to run through the full document yourself but to give you a flavour of the key points that we think will affect our practice here are what we consider to be the headlines;  The document Read More

Status Epilepticus

Fitting is a really common reason to attend the Emergency Department. In the vast majority of cases the seizure has terminated before the patient arrives in the ED. But in some cases it’s still on going and by virtue of the length of time it takes for a patient to arrive in your ED that… Read More


This podcast covers anaphylaxis, have a listen and let us know what you think. Below are a few of the key take home messages, enjoy! Simon References Choo, K. J., Simons, F. E & Sheikh, A (2012). Glucocorticoids for the treatment of anaphylaxis. Cochrane Database of Systematic Reviews. Apr 18 (4): CD007596 (available at ). Grunau, B. E.,… Read More