22 live webinars, Wednesday evenings at 7pm, on the emergencies and urgent ward-cover calls you get bleeped about. Case-illustrated. Suitable for final-year medical students, foundation doctors, and anyone wanting a practical refresher.
A live webinar series — 22 evenings, streamed on this page. The sessions aren’t recorded: the written notes are the record. They go up here free after each one, whether you came or not.
Sessions
A–E assessment and the arrest call Wednesday, 9 September 2026, 19:00–19:30 (UK time) Structured A–E assessment of the acutely unwell patient, recognition of deterioration, escalation and the call for help, and the immediate priorities on arriving at a cardiac arrest.
Hypotension and the shocked patient Wednesday, 16 September 2026, 19:00–19:30 (UK time) Volume status and perfusion, differentiating hypovolaemic, distributive, cardiogenic and obstructive shock, the fluid challenge and assessment of response, and criteria for escalation.
Low urine output, retention and acute kidney injury Wednesday, 23 September 2026, 19:00–19:30 (UK time) Assessment of oliguria and anuria, bladder examination and catheter troubleshooting, distinguishing retention from true oliguria, and the initial investigation and management of acute kidney injury.
The new oxygen requirement Wednesday, 30 September 2026, 19:00–19:30 (UK time) A structured approach to falling oxygen saturations: oxygen delivery and targets, arterial blood gas interpretation, focused examination, initial investigations, and differentiation of the common causes.
Heart failure and acute pulmonary oedema Wednesday, 7 October 2026, 19:00–19:30 (UK time) Recognition of acute decompensated heart failure, oxygen and nitrate therapy, intravenous diuresis and assessment of response, indications for CPAP, and criteria for critical care referral.
Acute severe asthma Wednesday, 14 October 2026, 19:00–19:30 (UK time) Severity assessment, oxygen targets, bronchodilator and corticosteroid therapy, the role of intravenous magnesium, serial blood gas interpretation, and recognition of impending respiratory failure.
COPD exacerbation and type 2 respiratory failure Wednesday, 21 October 2026, 19:00–19:30 (UK time) Controlled oxygen therapy and target saturations, bronchodilators, corticosteroids and antibiotics, interpretation of hypercapnia and respiratory acidosis, and indications for non-invasive ventilation.
Fever and sepsis Wednesday, 28 October 2026, 19:00–19:30 (UK time) The febrile inpatient: systematic search for a source, recognition of sepsis, and the practicalities of blood cultures, empirical antibiotics, fluid resuscitation and escalation.
The delirious or agitated patient overnight Wednesday, 4 November 2026, 19:00–19:30 (UK time) Assessment of acute confusion, identification and treatment of reversible precipitants, non-pharmacological and pharmacological management of agitation, capacity assessment, and safe prescribing.
Reduced GCS and the patient who is difficult to rouse Wednesday, 11 November 2026, 19:00–19:30 (UK time) A structured approach to the drowsy patient: A–E assessment, capillary glucose, medication review, hypercapnia, neurological causes requiring urgent imaging, and thresholds for airway support.
Active seizure and status epilepticus Wednesday, 18 November 2026, 19:00–19:30 (UK time) Immediate management of the seizing patient, recognition of status epilepticus, first- and second-line anticonvulsant therapy, and post-ictal assessment and investigation.
Tachycardia Wednesday, 25 November 2026, 19:00–19:30 (UK time) The peri-arrest tachycardia algorithm: identification of adverse features, narrow- and broad-complex rhythms, supraventricular tachycardia and fast atrial fibrillation, and indications for cardioversion.
Bradycardia Wednesday, 2 December 2026, 19:00–19:30 (UK time) Recognition of haemodynamically significant bradycardia, adverse features and the risk of asystole, atropine and second-line agents, transcutaneous pacing, and early specialist referral.
Hyperglycaemia, DKA and HHS Wednesday, 9 December 2026, 19:00–19:30 (UK time) The hyperglycaemic inpatient: indications for ketone testing, diagnostic criteria for diabetic ketoacidosis and the hyperosmolar hyperglycaemic state, and the differences in their management.
Hypoglycaemia Wednesday, 16 December 2026, 19:00–19:30 (UK time) Recognition and treatment of hypoglycaemia according to conscious level, oral and parenteral glucose, management of recurrent and drug-induced hypoglycaemia, and investigation of the underlying cause.
Hyperkalaemia Wednesday, 6 January 2027, 19:00–19:30 (UK time) Electrocardiographic features of hyperkalaemia, indications for intravenous calcium, insulin-dextrose and other potassium-shifting therapies, potassium removal, and monitoring and repeat testing.
Anaphylaxis Wednesday, 13 January 2027, 19:00–19:30 (UK time) Diagnostic criteria for anaphylaxis, intramuscular adrenaline dose and route, repeat dosing and fluid resuscitation, management of refractory cases, and observation and follow-up.
Upper GI bleeding and major haemorrhage Wednesday, 20 January 2027, 19:00–19:30 (UK time) Initial resuscitation and vascular access, risk stratification, transfusion and blood product support, activation of the major haemorrhage protocol, and timing of endoscopy and specialist referral.
Pulmonary embolism, including high-risk PE Wednesday, 27 January 2027, 19:00–19:30 (UK time) Clinical suspicion and risk stratification, diagnostic pathways, anticoagulation, and the assessment and management of haemodynamically unstable pulmonary embolism, including thrombolysis.
Opioid toxicity and naloxone Wednesday, 3 February 2027, 19:00–19:30 (UK time) Recognition of opioid-induced respiratory depression, titrated naloxone dosing to restore ventilation without precipitating withdrawal, and monitoring for recurrent toxicity as naloxone wears off.
The patient who falls overnight Wednesday, 10 February 2027, 19:00–19:30 (UK time) Post-fall assessment: examination for injury, head injury assessment in the anticoagulated patient, imaging thresholds, documentation, and identification of the precipitant.
The dying patient overnight Wednesday, 17 February 2027, 19:00–19:30 (UK time) Recognition of dying, review of ceilings of care and resuscitation decisions, anticipatory prescribing for symptom control, communication with families, and the practicalities of overnight care.
About this series
Twenty-two case-illustrated sessions on the emergencies and urgent ward-cover calls you are either already getting as a foundation doctor or, if you are a medical student, will be getting within the next 12 months. Same format as our highly acclaimed FY1: The Missing Manual series. Each one runs 30 minutes, on a Wednesday evening, built around a single case.
Each week I take one call and work through it in order: what to assess, what to do, who to speak to, and what your senior hopes you might do.
It runs from A–E and arrest calls through hypotension, the new oxygen requirement, sepsis and reduced GCS to arrhythmias, DKA, hyperkalaemia, seizures, major haemorrhage and the dying patient overnight. Almost all of it is the first half hour, before anybody senior is at the bedside.
Open to foundation doctors, medical students and doctors at any stage who want a practical refresher. Come to one session or all 22.
Cheers,
Oli — med reg in Cambridge, maker of bleep.guide
Registration is free and takes a minute — it opens right here on this page.