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RCEMLearning
@rcemlearning.bsky.social
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Royal College of Emergency Medicine. ELearning and #FOAMed resource
https://www.rcemlearning.co.uk/
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rcemlearning.bsky.social
Are you an international medical graduation and looking for a short clinical placement in the UK? Apply to be our 2026 RCEM Global Observer. This scheme is open to those from low resource settings.

Visit the RCEM website for more information and apply by the 2nd March 2026.

rcem.ac.uk/internati...
Visiting Observer Fellowship Scheme Deadline 2nd March 2026 Apply for short clinical observer ship placements within the NHS
February 10, 2026 at 4:01 PM
rcemlearning.bsky.social
NEW: GLP-1 agonists, hailed as “wonder drugs,” help shed weight rapidly. But how do they work and what risks lurk beneath? What do we need to know about them in the emergency department?

www.rcemlearning.co....
NEW, Anti-Obesity Drugs: What EM Physicians Need to Know, Blog, RCEMLearning
February 10, 2026 at 12:00 PM
rcemlearning.bsky.social
NEW: A 25-year-old Chinese male, who works in asset management, presents to the urgent care centre with a 5-day history of muffled hearing and tinnitus in the right ear.

What do you think is the most likely diagnosis? #ClinicalCase

www.rcemlearning.co....
RCEMLearning, A Case of Muffled Hearing, Clinical Case, NEW
February 9, 2026 at 6:00 PM
Reposted by RCEMLearning
drlizherrieven.bsky.social
Did you know people with a learning disability are TWICE as likely to die from an avoidable cause of death?

Join us online on 19th May to find out why and learn how we can improve outcomes.

@rcem.ac.uk @rcemevents.bsky.social @rcemlearning.bsky.social

#MedSky

rcem.ac.uk/virtual-even...
Caring for autistic patients and those with learning disabilities or complex needs in the ED - RCEM
An updated one-day online study day looking at the barriers to healthcare and resultant health inequalities faced by neurodivergent patients and those with a learning disability in the ED.
rcem.ac.uk
February 7, 2026 at 8:06 PM
rcemlearning.bsky.social
SUNDAY QUESTION: Imbalance of which pair of neurotransmitters is responsible for alcohol withdrawal syndrome (AWS)?

Tell us the correct answer?
Imbalance of which pair of neurotransmitters is responsible for alcohol withdrawal syndrome (AWS)? a). Adrenaline and GABA b). GABA and NDMA c). NDMA and noradrenaline d). Carbon monoxide and NDMA
February 8, 2026 at 4:00 PM
rcemlearning.bsky.social
UPDATE: A 3-day-old boy is brought in by his parents with increased work of breathing, increased lethargy and a blue tinge around his lips after short feeds.
What is the most likely cause of his collapse? #SBA

www.rcemlearning.co....
RCEMLearning logo, Collapsed Neonate, SBA, UPDATE
February 6, 2026 at 4:00 PM
rcemlearning.bsky.social
NEW: A 55-year-old gentleman presents to the Emergency Department (ED) with a striking, itchy rash most noticeable on his torso, arms, and legs.

Which term best describes the rash? Find out more about the case: www.rcemlearning.co....
#ClinicalCase
NEW: The Rash Decision: A Surprising Culprit behind a Sudden Eruption. Clinical Case.
February 5, 2026 at 6:30 PM
rcemlearning.bsky.social
RCEM Members, we are hosting an SBA Writing Day for you

When: 20/3/2026, 10am – 3pm
Where: Octavia House

Organised by our team & the eLearning Committee, this is a face-to-face workshop-style event involving collaborative group work & peer review activities
Register here: eu.jotform.com/form/...
SBA Writing Day 2026, 20th March 2026, 10am - 3pm
February 5, 2026 at 12:30 PM
rcemlearning.bsky.social
UPDATE: Tonsillectomy is a common procedure performed by ENT surgeons. The majority of post-tonsillectomy bleeds are self-limiting. However, bleeding can be occult and early identification is important to prevent further complications
RCEMLearning, Post-tonsillectomy Bleed. Learning Session/Reference. UPDATE
February 4, 2026 at 7:01 PM
Reposted by RCEMLearning
drlizherrieven.bsky.social
A blog about me (not by me!) and the fab RCEM learning disability, autism and complex needs study day. Bookings open now for the NEW version! New speakers, new sessions - this may be the best year yet!

rcem.ac.uk/blog/intervi...
Interview with Dr Elizabeth Herrieven: Insights on Caring for Patients with Learning Disabilities, Autism, and Complex Needs in the ED - RCEM
Explore our exclusive interview with Dr Elizabeth Herrieven, the lead behind our popular study day: Caring for Patients with Learning Disabilities, Autism, and Complex Needs in the ED. The full study ...
rcem.ac.uk
February 1, 2026 at 8:37 PM
rcemlearning.bsky.social
UPDATE: Paediatric cases of Bell’s Palsy are relatively uncommon. Understandably, witnessing a rapidly developing facial asymmetry in a child will cause worried parents/guardians to rush to see a doctor #Blog

www.rcemlearning.co....

#FacialNerve #Palsy #BellsPalsy #ChildHealth
The Droopy Dribbler: Paediatric Presentations of Bell’s Palsy. UPDATE. Blog
February 3, 2026 at 5:30 PM
rcemlearning.bsky.social
NEW: It's a new month, which means another Curriculum Cup. 30 questions. 30 minutes.

Our user picked topic: Mental Health

www.rcemlearning.co....

#Quiz #Curriculum #MedEdu #Education
RCEMLearning logo in white. Mental Health, Curriculum Cup. NEW
February 2, 2026 at 5:00 PM
rcemlearning.bsky.social
SUNDAY QUESTION: Which one of the following statements is correct regarding the pathophysiology and clinical presentation of a patient with Ramsay Hunt syndrome?
SUNDAY QUESTION Which one of the following statements is correct regarding the pathophysiology and clinical presentation of a patient with Ramsay Hunt syndrome? a). The patient does not require any further infection control advice b). Facial weakness with vesicles on the contralateral side of the tongue is a diagnostic feature c). Ramsay Hunt syndrome causes an upper motor neurone weakness of the facial muscles d). The rash may be present on the side of the neck
February 1, 2026 at 4:00 PM
rcemlearning.bsky.social
NEW: A 4-year-old boy, previously well, presents to the emergency department (ED) with a 6-day history of high fever, unresponsive to paracetamol.

Which is the most likely diagnosis? #ClinicalCase

www.rcemlearning.co....
The Child with an Unbreakable Fever Clinical Case Which is the most likely diagnosis? NEW - RCEMLearning
January 30, 2026 at 12:00 PM
rcemlearning.bsky.social
UDPATE: A 24-year-old restaurant cleaner was about to clean an electrical Bain Marie. All of a sudden she noticed a flash of light coming out of the instrument. Although her hand was not in contact on the surface, she immediately developed a burning sensation and erythema [cont]
January 29, 2026 at 5:02 PM
rcemlearning.bsky.social
Trauma in pregnancy, whether minor or major, increases the risk of preterm labour, placental abruption, foeto-maternal haemorrhage, and pregnancy loss. Delivery after a traumatic event carries significant risk of morbidity and mortality for both the mother and foetus
Trauma in Pregnancy. Learning Session. NEW.
January 28, 2026 at 12:00 PM
rcemlearning.bsky.social
UPDATE: A 22-year-male arrives in the Emergency Department (ED) at midnight with post coital pain & bleeding from the external genitalia. He doesn’t report any audible penile snapping or popping sound during intercourse.

Nothing significant on past medical history.
RCEMLearning logo. Sting on a Banjo String! Clinical Case. Update
January 26, 2026 at 6:01 PM
rcemlearning.bsky.social
SUNDAY QUESTION - Which of the following is correct?
A young male is brought to you with a 7/7 history of gradually worsening headache and lethargy. He is from Uganda and has recently been home to see his family. He is cachexic and lethargic. He has a temp of 37.9oC. Which of the following is correct? a). This presentation is unlikely to be TB meningitis due to the sub-acute course b). You would expect CSF analysis to show very high levels of protein and high levels of glucose in TB meningitis c). Immunocompromised patients are at increased risk from Cryptococcus, toxoplasmosis and TB meningitis d). Brain abscesses are more common in females than males
January 25, 2026 at 4:03 PM
rcemlearning.bsky.social
UPDATE: A 21-year-old female presents to Emergency Department (ED) with 6 day history of occipital headache and seeing flashing lights. She has otherwise been well with no fevers or collapses.

What is the most likely diagnosis? #ClinicalCase www.rcemlearning.co....
You can't see my hand? Clinical Case. UPDATE A 21-year-old female presents to Emergency Department (ED) with 6 day history of occipital headache and seeing flashing lights. She has otherwise been well with no fevers or collapses. PMH: Mitochondrial 3243 A>G Mutation O/E: Left-sided homonymous hemianopia, otherwise normal. VBG: pH 7.37, Lactate 3.7
January 23, 2026 at 6:00 PM
rcemlearning.bsky.social
Thank you to Age UK and Beccy Cooper for hosting an important event in parliament this week on the crisis of corridor care. Our VP, Dr James Gagg, engaged with MPs, along with health care sector leaders, to raise what our members, their colleagues and our patients are facing in EDs.
January 23, 2026 at 9:58 AM
rcemlearning.bsky.social
NEW: This module examines the unique challenges of managing trauma in pregnant patients and equips healthcare providers with the essential knowledge to optimise outcomes for both mother and foetus in traumatic situations

#LearningSession www.rcemlearning.co....
Trauma in Pregnancy. Learning Session. NEW.
January 22, 2026 at 12:00 PM
rcemlearning.bsky.social
NEW: A 48-year-old man on carbamazepine developed acute ataxia and vomiting after starting clarithromycin for cellulitis, with toxic carbamazepine levels, highlighting a preventable drug–drug interaction [cont]. #ClinicalCase
A Minor Infection, a Major Interaction: Carbamazepine Toxicity Triggered by Clarithromycin. Clinical Case. UPDATE.
January 21, 2026 at 9:00 AM
rcemlearning.bsky.social
UPDATE: A 7-year-old child presents to the Paediatric Emergency Department (ED) after falling forward from his scooter onto outstretched hands. His wrist is swollen and painful. The following x-rays are taken.

What is the most likely diagnosis? #SBA

www.rcemlearning.co....
RCEMLearning. Childhood Forearm Injury. SBA. UPDATE
January 20, 2026 at 7:48 PM
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UPDATE: A 94-year-old man, who lives alone in his home, and is fully independent for all his activities of daily living. He presents to the Emergency Department complaining of vomiting every time he eats

What's the most likely cause? #ClinicalCase www.rcemlearning.co....
Can't keep it in. Clinical Case. UPDATE. RCEMLearning. Mr Ship is a 94-year-old man, who lives alone in his home, and is fully independent for all his activities of daily living. He presents to the Emergency Department (ED) complaining of vomiting every time he eats. For the last 5 weeks Mr Ship has been complaining of vomiting after everything he eats. He is only able to keep a small amount of Weetabix down in the morning, and then has to survive on liquids from then on. He will still vomit small amounts of liquid. His vomit is clear with no blood. He also feels as though his trousers are starting to feel looser. He has put this down to poor oral intake. He has no abdominal pain, and his bowels continue to open every other day. He has had multiple ERCP’s for recurring cholangitis, and is on 30mg Lansoprazole for GORD following a recent presentation to the ED. On examination his abdomen is soft non tender, bowel sounds present, and his bloods are all normal. His past medical history includes hypertension, and barrettes oesophagus.
January 19, 2026 at 12:30 PM
rcemlearning.bsky.social
SUNDAY QUESTION: Which of the following is the most appropriate initial management option?

#eLearning #MedEdu
SUNDAY QUESTION - The patient looks clammy and is cool peripherally. Pulse is 130 beats per minute and blood pressure 80/40mmHg Which of the following is the most appropriate initial management option? a). Endoscopy b). Omeprazole 40mg IV c). Oxygen via non-breather mask d). Terlipressin 2mg IV
January 18, 2026 at 4:00 PM