RCEMLearning

SUNDAY QUESTION - What is the best initial management plan for this presentation? Tell us the right answer below!

NEW: A 12-year-old boy presents to Emergency Department (ED) with ongoing left hip pain for the last five weeks. His parents and school have noticed that he has been limping however he is able to weight bear independently. What's the most likely diagnosis?

We're hiring a Digital Education Fellow Develop digital learning resources for a national platform, gain editorial and leadership experience, and receive mentoring alongside up to £4,000 towards a relevant postgraduate education qualification Apply now, deadline: 30/10/26 www.rcemlearning.co....

We're hiring a Digital Education Fellow Develop digital learning resources for a national platform, gain editorial and leadership experience, and receive mentoring alongside up to £4,000 towards a relevant postgraduate education qualification Apply now, deadline: 30/10/26 www.rcemlearning.co....

NEW: A 58-year-old man with type 2 diabetes presents with sudden painless blurring of vision in his left eye. He describes seeing “a red fog” and black spots floating around. There is no eye pain or trauma. #SBA www.rcemlearning.co....

NEW: This session provides a practical, evidence-based overview of its pathophysiology, clinical features, investigations and acute management with a focus on fast-track diagnosis, steroid initiation and red flags #LearningSession #Reference LS - www.rcemlearning.co.... Ref - www.rcemlearning.co....

NEW: A 61-year-old man presents to the Emergency Department (ED) with palpitations and atypical chest pain. His medical history includes left ventricular failure and a recent prostatectomy. He denies syncope, orthopnoea and acute dyspnoea. #ClinicalCase www.rcemlearning.co....

SUNDAY QUESTION: What is the most likely diagnosis? a). Foreign Body b). Acute Anterior Uveitis c). Bacterial Conjunctivitis d). Microbial Keratitis Answer us below!

UPDATE: Tracheostomy emergencies are a relatively common and often alarming occurrence – do you know how to manage a patient presenting with a tracheostomy emergency? #SBA www.rcemlearning.co....

NEW: Here are a few thoughts on some questions we’ve been asked that we had to pretend we knew the answers to. Send us your questions (and answers) by commenting below and let us know whether these EM aligned thoughts are a useful #blog! www.rcemlearning.co....

NEW: A 24-year-old man is pre-alerted to Resus with a HR of 180 and “muscle weakness”. On arrival, he describes a 36-hour history of rapidly progressive weakness and aches initially affecting his legs and now his arms. #ClinicalCase www.rcemlearning.co....

NEW: An elderly woman with abdominal pain and normal initial observations develops acute mesenteric ischaemia. This SBA explores recognition and management of this vascular emergency #SBA www.rcemlearning.co....

UPDATE: So, what is a major incident? Simply put, it is any incident that requires an extraordinary response from health services - ambulance services, primary care, community services and hospital Trusts #Blog www.rcemlearning.co....

NEW: An elderly woman presents with chest discomfort and markedly raised troponin levels. Initial investigations suggest an acute coronary syndrome, but invasive angiography reveals unobstructed coronary arteries, prompting further investigation. #ClinicalCase www.rcemlearning.co....

UPDATE: Many, many moons ago, we put some details about non-technical skills (which we erroneously called “human factors”) together in an iBook. We’re not making iBooks anymore, so here is an entire iBook, as a #blog post. www.rcemlearning.co....

UPDATE: A 72-year-old man presents to the ED with a 3 week history of intermittent abdominal pain; it is now constant in nature and 8/10 in severity #ClinicalCase www.rcemlearning.co....

NEW: A 58-year-old man presents to the Emergency Department (ED) with a 3-day history of progressive shortness of breath. He reports that his symptoms have gradually worsened, initially occurring on exertion but now present even at rest. #ClinicalCase www.rcemlearning.co....

NEW: A patient presents to the ED following an assault. Where is his missing tooth? #SBA www.rcemlearning.co....

UPDATE: A 75-year-old man presented to the ED of a District General hospital complaining of severe abdominal pain that followed an episode of vomiting earlier in the day #ClinicalCase www.rcemlearning.co....

UPDATE: These modules covers the principles of triage in major and mass casualty incidents, including the use of Ten Second Triage (TST) and the Major Incident Triage Tool (MITT) #LearningSession: www.rcemlearning.co.... #Reference: www.rcemlearning.co....

UPDATE: A conducted energy device (CED) ‘taser’ was discharged into a patient’s shoulder. Before this patient is taken into police custody, you’ve been asked to assess them in your ED #SBA www.rcemlearning.co....

NEW: A 13-year-old girl is brought into the Paediatric Emergency Department (ED) after review in the outpatient clinic, where on auscultation air entry on the right side of her chest is noted to be significantly reduced #ClinicalCase

SUNDAY QUESTION: Which of these is true of pre-eclampsia? a). It is thought to be caused by vasodilation b). It is a multi-system disease c). The pathophysiology is clearly understood d). The cause is not thought to be related to genetics

NEW: A 50-year-old female patient re-attends to the Emergency department (ED) with left shoulder pain 10 days after a fall. She initially attended another ED shortly after the injury where she was reviewed by an ED consultant and discharged with analgesia. #ClinicalCase www.rcemlearning.co....

UPDATE: Urgh...another pain in the back #SBA "A resident doctor asks for your advice in managing patients presenting with acute back pain in your emergency department (ED). How will you manage each patient?" www.rcemlearning.co....

SUNDAY QUESTION, tell US the right answer: During which stage of labour does the delivery of the placenta and membranes occur? a). Third stage b). Active second stage c). Established first stage d). Dormant second stage

UPDATE: Learn how to recognise and manage silver trauma in emergency medicine, including assessment, treatment, and key clinical considerations #Blog www.rcemlearning.co....

NEW: These sessions focus on white-eye blowout fractures, often subtle but serious orbital injuries most commonly seen in, but not exclusive to, paediatric and adolescent patients #LearningSession #Reference LS 🔒: www.rcemlearning.co.... Ref: www.rcemlearning.co....

UPDATE: A 25-year-old male presents to your ED with central sharp chest pain, shortness of breath and palpitations #SBA www.rcemlearning.co....

UPDATE: A 25-year-old obese female, who is 1-week post-partum, presents with worsening shortness of breath on minimal exertion, orthopnoea, pedal oedema and a dry cough #ClinicalCase www.rcemlearning.co.... #breathlessness, post-partum, shortness of breath, #cough

UPDATE: A patient with “kidney troubles” now has acute kidney injury. How will you identify and manage her AKI? #SBA www.rcemlearning.co....

NEW: A 54-year-old woman presents with postprandial abdominal pain and weight loss. CT angiography confirms Median Arcuate Ligament Syndrome #ClinicalCase www.rcemlearning.co....

NEW: A 54-year-old man presents with tearing chest pain and an ECG suggesting STEMI, but imaging reveals aortic dissection, highlighting the need to exclude dissection before anticoagulation #ClinicalCase www.rcemlearning.co....

NEW: A patient presents with bilateral painful red feet and minimal inflammatory markers. This case explores key differentials and highlights an important non-infectious cellulitis mimic in emergency practice. #SBA www.rcemlearning.co....

SUNDAY QUESTION Intermittent recording of foetal heart rate using handheld Doppler or POCUS is useful in the assessment of the patient in labour. What would count as a “normal”/“reassuring” foetal heart rate? a). 80-100bpm b). 180-200bpm c). 100-109bpm d). 110-160bpm