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Charlotte Davies
63 followers -
EM Trainee, SJA and Motorsports Doctor who also loves Bell Ringing, making cakes and reading.
EM Trainee, SJA and Motorsports Doctor who also loves Bell Ringing, making cakes and reading.

63 followers
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Meningitis
Causes Viral or aseptic meningitis is the most common form and may be caused by enteroviruses. Meningococcal disease is the most common (Neisseria meningitides) - infancy and adolescence and over the Winter months. Pneumococcal - commonest cause in elderly ...
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Phenytoin Toxicity
An 80 year old attends your emergency department "not right". He is known epileptic, but you are unable to get a collateral history to know what form his seizures normally take. He is on phenytoin, and as far as you know is compliant. He looks well, but has...
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Adult C-Spine Immobilisation
I think the RCEM guidelines say everything we need to know about adult c-spine immobilisation.  They're summarised beautifully by ALIEM here  together with a good discussion on distracting injuries . 
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Adrenal Crisis
Addison's Disease Anterior pituitary - ACTH, GH, FSH, LH, TSH, PRL Posterior pituitary- ADH, oxytocin Presentation History of recent physical stress like stress, major injury, myocardial infarction  Nausea and vomiting, muscle pains, confusion, coma, fatigu...
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Hyperemesis Gravidarum
We all know that nausea and vomiting in pregnancy is common affecting 50–75% of pregnant women any time from the 4th week of pregnancy, most common in the 9th and 12 week, and we probably misdiagnose some of these people with hyperemesis gravidarum which af...
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Tetanus
Are you getting inconsistent advice about tetanus in ED? Here's what you need to know. #FOAMed pic.twitter.com/ub8nQliSdk — Adam Fleury Baker (@EmergencyBaker) April 25, 2017 Wound Management  In any patient with a wound, first do a risk assessment of the w...
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Cerebral Venous Thrombosis
In a lot of places I work, headaches either go home for GP review, or get admitted as a ?SAH. And if they're a possible SAHs, they get a normal CT in six hours (maybe) and many go home without an LP. This really worries me, as there's loads of other serious...
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Management part 3 - Safety and Risk
Blog post retyped as somehow, it converted itself into Greek (ish). Incident – an untoward or unexpected event including verbal abuse and threats. Accident – an incident that results in loss or damage like violence. Clinical Incident – an incident occurring...
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Nasal Foreign Body
Nasal foreign bodies are surprisingly common. The technique is not too dissimilar to that of removing auricular foreign bodies. In theory, they might be hidden behind a turbinate and tricky to see - and therefore tricky to remove. 1. Mother's Kiss This work...
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