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Royal College of Emergency Medicine. ELearning and #FOAMed resource https://www.rcemlearning.co.uk/
RCEMLearning logo in white. An Xray of a latex foreign object within the rectum. Alt text: Genitourinary Foreign Bodies. NEW. Learning Session/Reference
Discuss additional considerations in the management of GUFBs including safeguarding and domestic violence.
Check out our #LearningSession (LS) and #Reference (Ref):
LS: www.rcemlearning.co....
Ref: www.rcemlearning.co....
#ForeignBodies #Care #Adults #Complexity
RCEMLearning logo in white. An Xray of a latex foreign object within the rectum. Alt text: Genitourinary Foreign Bodies. NEW. Learning Session/Reference
NEW: These modules discusses the management of genitourinary foreign bodies (GUFB) in the Emergency Department
Learning Objectives:
Understand the clinical features of genitourinary foreign bodies (GUFB)
Consider the clinical management options of GUFBs (1/2)
RCEMLearning logo in white. A picture of a lady with abdominal pain. Alt text: Acute Abdominal Pain. SBA. UPDATE.
She has a history of pelvic inflammatory disease and multiple urinary tract infections.
She is tachycardic (rate 115 beats per minute), with a blood pressure of 97/63, but has otherwise normal vital signs. (2/2)
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#Pregnancy #Pain #PelvisPain
RCEMLearning logo in white. A picture of a lady with abdominal pain. Alt text: Acute Abdominal Pain. SBA. UPDATE.
UPDATE: A 20-year-old woman presents with lower abdominal pain waking her from sleep and radiating into her right lower back. She feels her lower abdomen is swollen and she is finding it difficult to urinate. (1/2)
10.12.2025 12:00 — 👍 0 🔁 0 💬 1 📌 0
RCEMLearning logo in white. A drawing of skeleton. Alt text: C-Spine, Induction, UPDATE
Inductees this one is for you.
For those who have started their first year rotation, or those who want a quick refresh, our Induction modules are a great resource for learning. Check out our updated module 'C-Spine Induction': www.rcemlearning.co....
RCEMLearning logo in white. A drawing of skeleton. Alt text: C-Spine, Induction, UPDATE
UPDATE: '"Doctor to cubicle 5 for c-spine assessment please," you hear over the tannoy. Unfortunately, you're the only doctor around, and so, with a heavy heart, you pop to cubicle five, and try to think how you can assess the patient's c-spine.'
09.12.2025 15:30 — 👍 0 🔁 0 💬 1 📌 0
RCEMLearning logo in white. A picture of a medical practitioner holding an older person hand. Alt text: Never Make Diagnostic Assumptions! UPDATE. Clinical Case
...and increasingly bizarre behaviour, screaming, running impulsively from rooms and making pouting facial grimaces.
Read the rest of our #ClinicalCase here, what's the most likely diagnosis? www.rcemlearning.co....
#MentalHealth #Meningitis #encephalitis
RCEMLearning logo in white. A picture of a medical practitioner holding an older person hand. Alt text: Never Make Diagnostic Assumptions! UPDATE. Clinical Case
UPDATE: A 29-year-old woman is referred to your Emergency Department (ED) from the local Mental Health team for medical clearance prior to further treatment. She had attended them on two occasions with a six-week history of agitation, anxiety, intermittently slurred speech [CONT]
08.12.2025 16:01 — 👍 0 🔁 0 💬 1 📌 0
A 67-year-old man presents to the Emergency Department (ED) with a painful swollen left knee. He looks systemically unwell, cannot actively move his left knee and does not allow any passive movement either. There is no history of trauma. Observations: Oxygen Saturations 90% on room air Respiratory rate 24 breaths per minute Heart rate 128 beats per minute Blood pressure 92/60 mmHg Temperature 39 degrees Celsius He is usually independent. He has a background of diabetes, gout and chronic obstructive pulmonary disease (COPD).
Which of the following options is the most likely diagnosis? a). Fracture b). Osteoarthritis c). Rheumatoid arthritis d). Sepsis
First #SundayQuestion of December!
Which of the following options is the most likely diagnosis?
Have you tried our latest Curriculum Cup - Gastroenterology and Hepatology?
The current high score is 86.67%! Can you beat this score?
www.rcemlearning.co....
RCEMLearning logo in white. A Chest X-ray reveals figure 3 sign and rib notching. Alt text: NEW, A Persistent Hypertensive Colonel. Clinical Case.
Chest X-ray reveals figure 3 sign and rib notching. What is the most likely diagnosis? Read our #ClinicalCase to learn more
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RCEMLearning logo in white. A Chest X-ray reveals figure 3 sign and rib notching. Alt text: NEW, A Persistent Hypertensive Colonel. Clinical Case.
NEW: A 32-year-old man presents to emergency department (ED) after being found to have elevated blood pressure during a military fitness assessment. He has no significant past medical or surgical history, takes no medications, and does not smoke or drink alcohol.
05.12.2025 16:30 — 👍 0 🔁 0 💬 1 📌 0
RCEMLearning logo in white. A picture of a child with a red rash sitting outside. Alt text: Common Childhood Exanthems. Learning Session/Reference.
These sessions describes the most common childhood exanthems that present to emergency departments.
Check out our #LearningSession (LS) and #Reference (Ref) here:
LS: www.rcemlearning.co....
Ref: www.rcemlearning.co....
RCEMLearning logo in white. A picture of a child with a red rash sitting outside. Alt text: Common Childhood Exanthems. Learning Session/Reference.
UPDATE: Whilst Vaccination programmes have resulted in a reduction in the occurrence of many childhood illnesses, Emergency Clinicians should still be aware of common childhood exanthems, as well as newer types such as Gianotti-Crosti Syndrome.
04.12.2025 16:00 — 👍 0 🔁 0 💬 1 📌 0
RCEMLearning logo in white. A person holding their chest looking down. An Electrical Storm. SBA. NEW
NEW: It's #SBA day
A 68-year-old man with a prior history of MI is pre-alerted to hospital as having had a pre-syncopal episode with an abnormal ECG.
What should be the initial first steps?
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RCEMLearning logo in white. A close up picture of ECG. Alt text: Do away with the Heartache – ECGs in Children. Blog. UPDATE
UPDATE: ECGs can be challenging, right? And so can children. Add the two together and……..arrghh - Paediatric ECGs!! Don't worry, we got you covered in our updated #blog
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NEW. A picture of a young man with a bulging bicep. The Case of the Bulging Bicep. Clinical Case. RCEMLearning logo in white.
NEW: A male presents with a large bulge to his bicep area after going to punch and then missing a punch bag in an arcade. Why does he now have such a big bicep? #ClinicalCase
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A 34-year-old female presented to the emergency department (ED) with a 3-day history of left ear pain, without discharge or tinnitus. Over the last 24 hours this had progressed to a severe generalised headache with a high fever. On examination, she appeared unwell, septic and drowsy. She was tachycardic and febrile. Observations were as follows: HR 110, BP 98/50, RR 24, Sats 98% on air, GCS 14 (E3, V5, M6), Temp 39.3 degrees centigrade Heart sounds were normal and the chest was clear to auscultation. Abdomen was soft. She had no mastoid tenderness or meninigism. Neurological examination was normal.
Which one of the following will be least helpful in the initial clinical assessment of this patient? a). Travel history b). Mental state examination c). ENT examination d). Collateral history
The last SUNDAY QUESTION of the month!
What is the correct answer?
RCEMLearning logo in white. A bunch of bananas in the aisle. Alt text: Hyperkalemia. Clinical Case. UPDATE.
UPDATE: A 60-year-old man presented to the emergency department with a 1 week history of increasing lethargy, intermittent tingling in both arms and palpitations
Check out our updated #ClinicalCase here: www.rcemlearning.co....
RCEMLearning logo in white. A picture of a generated image of a person's organs. Alt text: Curriculum Cup: Gastroenterology and Hepatology. NEW.
It's time!!
We've released our latest #CurriculumCup - Gastroenterology and Hepatology
Can you reach the top of our leader board? Give it a try here: www.rcemlearning.co....
RCEMLearning logo in white. A ECG showing Monomorphic VT. Alt Text: Brewing Trouble. Clinical Case. NEW
NEW: A female patient in her 50s’ presents to the Emergency Department (ED) at 8:00am following ingestion of tea brewed with yew tree leaves at approximately 3:30am. Her partner found her at 7:20am drowsy but rousable
Check out our latest #ClinicalCase www.rcemlearning.co....
RCEMLearning logo in white. A traditionally painted picture of a person holding another person vomiting blood. Alt text: Haemetemesis in Anticoagulated Patient. SBA. NEW
NEW: A 75-year-old male patient is brought in by an ambulance with 3 episodes of frank hematemesis, total volume around 500ml. He is on Rivaroxaban and Bisoprolol for Atrial Fibrillation and last took his tablets 4 hours ago #SBA
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RCEMLearning logo in white. A picture of a police care and police tape. Alt text: Anecdote-based Emergency Medicine #1: excited delirium. Blog. UPDATE.
UPDATE: For Addiction Awareness Week (24th - 30th November), we revisit our #blog. Stories can help us understand patients, ourselves and colleagues better, and so be better emergency physicians
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"A failure to act means more people will be left to grieve the loss of a loved one."
The deaths of more than 900 people in Wales were associated with long waits in A&E last year, new analysis from the Royal College of Emergency Medicine reveals.
Read more here:
RCEMLearning logo in white. A picture of a grey rabbit in grass and a yellow circle with a V inside. Alt text: LOL, it’s not funny! Clinical Case. UPDATE.
UPDATE: An 18-year-old male is brought to the emergency department (ED) by his mother complaining of a 1-week history of worsening weakness of both lower limbs, a tingling sensation in both hands and an unsteady gait.
Read our updated #ClinicalCase here: www.rcemlearning.co....
A 30-year-old gentleman with a history of Glucose-6-phosphate dehydrogenase (G6PD) deficiency presents with significant abdominal pain, indigestion and nausea. His pain is worse after eating fatty or spicy meals. He admits to a recent alcohol binge and says that he drinks at least four strong coffees per day. He has also been taking ibuprofen regularly for neck pain. The patient has no other medical illnesses and is not known to have any allergies. He is a heavy smoker and is of average build.
Which of the following drugs should generally be avoided in G6PD deficiency? a). Ibuprofen b). Omeprazole c). Primaquine d). Codeine
SUNDAY QUESTION: Taken from our module "Picking your brain (or blood) cells …"
What is the correct answer?
RCEMLearning logo in white. A birds eye picture of winding motorway. Alt Text: Is Normalisation of Deviance the “Standard” in Medicine? Blog
UPDATE: Has being overwhelmed with tasks become “the norm"?
What are your thoughts? #blog
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RCEMLearning logo in white. A picture of a head xray. Alt text: An Abnormal Forehead Swelling. NEW. Clinical Case
NEW: A 46-year-old male self-presents to the Emergency Department (ED) with 3 months refractory headache, subacute forehead swelling (unknown duration) with acute periorbital oedema
What is the most appropriate first line of investigation? #ClinicalCase
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RCEMLearning logo in white. A picture of a person holding a urine sample. Alt text: Urinary Tract Infections in Children. Learning Session/Reference. UPDATE
UPDATE: These modules looks at the techniques available to collect urine samples from children in the ED
You can read our #LearningSession (LS) and #Reference (Ref):
LS: www.rcemlearning.co....
Ref: www.rcemlearning.co....
RCEMLearning logo in white. A picture of a older man in distress. Alt text: Retinal Detachment. SBA
NEW: A 58-year-old man presents to your Emergency Department with a headache and right sided vision loss.
Which clinical feature most strongly suggests an ocular rather than central cause of his symptoms? #SBA
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