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.
The new oxygen requirement
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
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
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
Controlled oxygen therapy and target saturations, bronchodilators, corticosteroids and antibiotics, interpretation of hypercapnia and respiratory acidosis, and indications for non-invasive ventilation.
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Fever and sepsis
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
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
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
Immediate management of the seizing patient, recognition of status epilepticus, first- and second-line anticonvulsant therapy, and post-ictal assessment and investigation.
Tachycardia
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
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
The hyperglycaemic inpatient: indications for ketone testing, diagnostic criteria for diabetic ketoacidosis and the hyperosmolar hyperglycaemic state, and the differences in their management.
Hypoglycaemia
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
Electrocardiographic features of hyperkalaemia, indications for intravenous calcium, insulin-dextrose and other potassium-shifting therapies, potassium removal, and monitoring and repeat testing.
Anaphylaxis
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
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
Clinical suspicion and risk stratification, diagnostic pathways, anticoagulation, and the assessment and management of haemodynamically unstable pulmonary embolism, including thrombolysis.
Opioid toxicity and naloxone
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
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
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.
A–E assessment and the arrest call
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
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
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.
