RCEMLearning
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RCEMLearning
@rcemlearning.bsky.social
220 followers 300 following 400 posts
Royal College of Emergency Medicine. ELearning and #FOAMed resource
https://www.rcemlearning.co.uk/
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NEW: A 32-year-old man presents to emergency department (ED) after being found to have elevated blood pressure during a military fitness assessment. He has no significant past medical or surgical history, takes no medications, and does not smoke or drink alcohol.
RCEMLearning logo in white. A Chest X-ray reveals figure 3 sign and rib notching. Alt text: NEW, A Persistent Hypertensive Colonel. Clinical Case.
December 5, 2025 at 4:30 PM
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UPDATE: Whilst Vaccination programmes have resulted in a reduction in the occurrence of many childhood illnesses, Emergency Clinicians should still be aware of common childhood exanthems, as well as newer types such as Gianotti-Crosti Syndrome.
RCEMLearning logo in white. A picture of a child with a red rash sitting outside. Alt text: Common Childhood Exanthems. Learning Session/Reference.
December 4, 2025 at 4:00 PM
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NEW: It's #SBA day

A 68-year-old man with a prior history of MI is pre-alerted to hospital as having had a pre-syncopal episode with an abnormal ECG.

What should be the initial first steps?

www.rcemlearning.co....
RCEMLearning logo in white. A person holding their chest looking down. An Electrical Storm. SBA. NEW
December 3, 2025 at 5:00 PM
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UPDATE: ECGs can be challenging, right? And so can children. Add the two together and……..arrghh - Paediatric ECGs!! Don't worry, we got you covered in our updated #blog

www.rcemlearning.co....
RCEMLearning logo in white. A close up picture of ECG. Alt text: Do away with the Heartache – ECGs in Children. Blog. UPDATE
December 2, 2025 at 5:01 PM
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NEW: A male presents with a large bulge to his bicep area after going to punch and then missing a punch bag in an arcade. Why does he now have such a big bicep? #ClinicalCase

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NEW. A picture of a young man with a bulging bicep. The Case of the Bulging Bicep. Clinical Case. RCEMLearning logo in white.
December 1, 2025 at 2:42 PM
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The last SUNDAY QUESTION of the month!

What is the correct answer?
A 34-year-old female presented to the emergency department (ED) with a 3-day history of left ear pain, without discharge or tinnitus. Over the last 24 hours this had progressed to a severe generalised headache with a high fever. On examination, she appeared unwell, septic and drowsy. She was tachycardic and febrile. Observations were as follows: HR 110, BP 98/50, RR 24, Sats 98% on air, GCS 14 (E3, V5, M6), Temp 39.3 degrees centigrade Heart sounds were normal and the chest was clear to auscultation. Abdomen was soft. She had no mastoid tenderness or meninigism. Neurological examination was normal. Which one of the following will be least helpful in the initial clinical assessment of this patient? a). Travel history b). Mental state examination c). ENT examination d). Collateral history
November 30, 2025 at 4:00 PM
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UPDATE: A 60-year-old man presented to the emergency department with a 1 week history of increasing lethargy, intermittent tingling in both arms and palpitations

Check out our updated #ClinicalCase here: www.rcemlearning.co....
RCEMLearning logo in white. A bunch of bananas in the aisle. Alt text: Hyperkalemia. Clinical Case. UPDATE.
November 29, 2025 at 9:30 AM
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It's time!!

We've released our latest #CurriculumCup - Gastroenterology and Hepatology

Can you reach the top of our leader board? Give it a try here: www.rcemlearning.co....
RCEMLearning logo in white. A picture of a generated image of a person's organs. Alt text: Curriculum Cup: Gastroenterology and Hepatology. NEW.
November 28, 2025 at 4:46 PM
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NEW: A female patient in her 50s’ presents to the Emergency Department (ED) at 8:00am following ingestion of tea brewed with yew tree leaves at approximately 3:30am. Her partner found her at 7:20am drowsy but rousable

Check out our latest #ClinicalCase www.rcemlearning.co....
RCEMLearning logo in white. A ECG showing Monomorphic VT. Alt Text: Brewing Trouble. Clinical Case. NEW
November 27, 2025 at 1:15 PM
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NEW: A 75-year-old male patient is brought in by an ambulance with 3 episodes of frank hematemesis, total volume around 500ml. He is on Rivaroxaban and Bisoprolol for Atrial Fibrillation and last took his tablets 4 hours ago #SBA

www.rcemlearning.co....
RCEMLearning logo in white. A traditionally painted picture of a person holding another person vomiting blood. Alt text: Haemetemesis in Anticoagulated Patient. SBA. NEW
November 26, 2025 at 7:41 PM
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UPDATE: For Addiction Awareness Week (24th - 30th November), we revisit our #blog. Stories can help us understand patients, ourselves and colleagues better, and so be better emergency physicians

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RCEMLearning logo in white. A picture of a police care and police tape. Alt text: Anecdote-based Emergency Medicine #1: excited delirium. Blog. UPDATE.
November 25, 2025 at 4:19 PM
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"A failure to act means more people will be left to grieve the loss of a loved one."

The deaths of more than 900 people in Wales were associated with long waits in A&E last year, new analysis from the Royal College of Emergency Medicine reveals.

Read more here:
'A failure to act means more people will be left to grieve the loss of a loved one’ - Over 900 excess deaths associated with long A&E waits in Wales last year - RCEM
25/11/25 - It comes as RCEM publishes it's political manifesto ahead of next year's election in Wales.
rcem.ac.uk
November 25, 2025 at 7:11 AM
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UPDATE: An 18-year-old male is brought to the emergency department (ED) by his mother complaining of a 1-week history of worsening weakness of both lower limbs, a tingling sensation in both hands and an unsteady gait.

Read our updated #ClinicalCase here: www.rcemlearning.co....
RCEMLearning logo in white. A picture of a grey rabbit in grass and a yellow circle with a V inside. Alt text: LOL, it’s not funny! Clinical Case. UPDATE.
November 24, 2025 at 4:00 PM
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SUNDAY QUESTION: Taken from our module "Picking your brain (or blood) cells …"

What is the correct answer?
A 30-year-old gentleman with a history of Glucose-6-phosphate dehydrogenase (G6PD) deficiency presents with significant abdominal pain, indigestion and nausea. His pain is worse after eating fatty or spicy meals. He admits to a recent alcohol binge and says that he drinks at least four strong coffees per day. He has also been taking ibuprofen regularly for neck pain. The patient has no other medical illnesses and is not known to have any allergies. He is a heavy smoker and is of average build. Which of the following drugs should generally be avoided in G6PD deficiency? a). Ibuprofen b). Omeprazole c). Primaquine d). Codeine
November 23, 2025 at 4:00 PM
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UPDATE: Has being overwhelmed with tasks become “the norm"?

What are your thoughts? #blog

www.rcemlearning.co....
RCEMLearning logo in white. A birds eye picture of winding motorway. Alt Text: Is Normalisation of Deviance the “Standard” in Medicine? Blog
November 22, 2025 at 4:34 PM
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NEW: A 46-year-old male self-presents to the Emergency Department (ED) with 3 months refractory headache, subacute forehead swelling (unknown duration) with acute periorbital oedema

What is the most appropriate first line of investigation? #ClinicalCase

www.rcemlearning.co....
RCEMLearning logo in white. A picture of a head xray. Alt text: An Abnormal Forehead Swelling. NEW. Clinical Case
November 21, 2025 at 7:45 PM
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UPDATE: These modules looks at the techniques available to collect urine samples from children in the ED

You can read our #LearningSession (LS) and #Reference (Ref):

LS: www.rcemlearning.co....
Ref: www.rcemlearning.co....
RCEMLearning logo in white. A picture of a person holding a urine sample. Alt text: Urinary Tract Infections in Children. Learning Session/Reference. UPDATE
November 20, 2025 at 12:06 PM
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NEW: A 58-year-old man presents to your Emergency Department with a headache and right sided vision loss.

Which clinical feature most strongly suggests an ocular rather than central cause of his symptoms? #SBA

www.rcemlearning.co....
RCEMLearning logo in white. A picture of a older man in distress. Alt text: Retinal Detachment. SBA
November 19, 2025 at 8:06 PM
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NEW: A 2-year-old presents to the emergency department with 2 days history of fever, irritability and a rapidly spreading rash.

What is your most likely diagnosis? #ClinicalCase
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#Infections #Skin #Rash
NEW. Clinical Case. Beyond the Blisters. RCEMLearning logo in white. A small toddler lying down sick.
November 18, 2025 at 7:33 PM
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NEW: These modules covers common #MentalHealth challenges faced by children and how they often manifest in the Emergency Department setting.

Check out our latest #LearningSession (LS) and #Reference (Ref):

LS: www.rcemlearning.co....
Ref: www.rcemlearning.co....

#Depression
RCEMLearning logo in white. A picture of a sad child in a grey hoodie. NEW: Mental Illness in Children, Learning Session/Reference
November 17, 2025 at 3:26 PM
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SUNDAY QUESTION, take from our POCUS series.

Remember you can access them for a short amount of time by going here. Then they will become Members only content

www.rcemlearning.co....
A 34-year-old woman presents to the Emergency Department (ED) with a one-week history of haematuria and three day history of progressively worsening right side flank pain. She describes this pain as 10/10 in severity, colicky in nature and is unable to get comfortable. She has come in today as she started to vomit this morning, and the pain is now unbearable. Her observations are HR 120, BP 90/72, spO2 – 99% on room air, RR 20, Temp 38.9C On examination, she is unable to get comfortable on the examination bed, and she is sweating. PA- She is tender in the suprapubic region and over both renal angles. Urine dip results- nitrite/leukocyte – positive, blood-negative, pregnancy test negative FBC: WCC 18, CRP 60, Hb 130, eGFR >90, normal LFTs. Venous blood gas: pH 7.40, HCO3- 26.0, Lactate 3.6. What diagnosis would be the first priority to rule out? a). Acute pyelonephritis b). Lower urinary tract infection c). Musculoskeletal pain d). Obstructed uropathy with sepsis
November 16, 2025 at 4:00 PM
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Measles is nearly twice as contagious as the common cold. And far more serious!

What are the risk factors of measles to look out for in the ED?
Measles Risk Factors Unvaccinated Partially vaccinated Contact with confirmed or highly likely case Member of an under-vaccinated community Travel to areas where measles is circulating Attendance at a mass gathering event
November 15, 2025 at 5:56 PM
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UPDATE: An elderly woman attends with a vague history of weakness and confusion but an unremarkable clinical examination. How will you proceed? #SBA

#Electrolyte #Disorders #Weakness

www.rcemlearning.co....
RCEMLearning logo in white. A picture of a person holding another person's hand. Alt text: Feeling weak. SBA. UPDATE.
November 14, 2025 at 4:30 PM
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UPDATE: These modules covers the recognition and management of potentially difficult airway scenarios, including appropriate equipment preparation and more!

Check out our #LearningSession (LS) and our #Reference (Ref):

LS: www.rcemlearning.co....
Ref: www.rcemlearning.co....
RCEMLearning logo in white. A picture of a medical doll who has a neck brace and a tube in its mouth. Alt text: Difficult Airway Management. Learning Session/Reference. UPDATE
November 13, 2025 at 1:28 PM
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NEW: A 40-year-old male with B-cell lymphoma presents to the ED complaining of lethargy, dry mouth and generalized weakness. The patient has no fever. How will you manage this? #SBA

www.rcemlearning.co....

#Cancer #Treatment #Complications
RCEMLearning logo in white. Post Chemotherapy Seizure. SBA. NEW
November 12, 2025 at 11:00 AM