HCPS3i Archives - RCEMLearning Netherlands

An Apple a Day keeps the Doctor Away

A 14-month-old boy presented to the Emergency Department following a choking episode the previous day at kindergarten. He had been eating a piece of diced apple at the time.…

A Constant Cough

A 9-week-old female infant presents to Paediatric A&E at 2200 hrs with a history of coughing, difficulty in breathing, lethargy and reduced feeding.…

Barking in the Night

A 2-year-old boy is brought to the ED at 2 am with noisy breathing and a barking cough.…

Nifty NIPPV

A 72-year-old gentleman who has not seen a doctor in decades presents with dyspnoea and acidosis with increased work of breathing.…

Deteriorating and Desaturating

An elderly man presents to the ED with shortness of breath, although he initially appears well, things deteriorate quickly and rapid assessment and treatment is required.…

Bronchi Baby

Diagnosing and managing acute bronchiolitis: when to investigate and how to decide if a child can be cared for at home or in hospital.…

Story of a puffy face

Cerebral and respiratory complications from mass effect of thoracic/ neck malignancies can be a very challenging situation to manage. Would you know what to do if this presented to your ED…

The Unhappy Wheezer

A 5-week-old boy is brought to the PED by his parents. He has had nasal congestion, cough and wheeze for 3 days.…

A mother has rushed into the emergency department very concerned that her baby is blue. This case covers the importance of understanding cyanosis, with consideration for the potential causes and manag…

A Stuffy Situation

An 83-year-old gentleman is brought to the emergency department by ambulance with acute dyspnoea at rest.…

Coughing, Wheezy and Stridulous Children

Children with noisy or difficult breathing often present to the Emergency Department (ED). The acuity of these patients varies, but any of the conditions that cause respiratory symptoms can be life th…

Breaking Evidence: EuSEM top scoring PEM abstracts 1-3

Paediatric Emergency Medicine (PEM) has a fast growing following and an evolving research base. Here we present the top scoring paediatric abstracts as presented at EUSEM 2018…

W is for Winter.. and Wheeze: Paediatric Acute Asthma

Winter is upon us, and the wheezers are slowly filling our waiting areas…

PEM and ex-Prems

Advances in neonatal care have resulted in more ex-prems being discharged into the community, and these fragile neonates tend to be frequent fliers…

The Curious Incident of the Barking Cough in the Night Time: Croup in the ED

Once you have heard the classic croupy cough, you wont forget it…

Croup

Eighty percent of children presenting with an acute onset of stridor and a cough have croup…

Tension Decision

A 3-year-old girl was brought to your emergency department by her parents with five days of gradually increasing respiratory distress.…

A Whole Can of Worms

This patient presented with having one week of colicky abdominal pains and had passed this in his faeces earlier this evening.…