RCEMLearning

UPDATE: Editors Note - It is easy to fall into the drama triangle, especially with TRES. It is important to document meeting minutes and agreed plans going forward. Remember that you can always ask for help and advice and that you won’t always have the answers.

https://www.rcemlearning.co.uk/foamed/managing-educational-supervision/

Missing the annual conference?

Robert Hirst has us covered with the "RCEM AC Megamic May 2026". Rob catches up with several speakers/presenters at the conference who discuss topics such as deconstructing culture around the EM, three interesting papers in PEM or working in the ED as an older clinician.

Check it out the RCEMLearning website or wherever you get your podcasts
https://www.rcemlearning.co.uk/foamed/rcem-ac-megamic-may-2026/

NEW: A febrile patient presents with severe headache, periorbital swelling, proptosis, painful ophthalmoplegia and cranial nerve deficits following recent facial or sinus infection

What is the most likely diagnosis?

https://www.rcemlearning.co.uk/modules/cavernous-sinus-thrombosis-a-life-threatening-cause-of-ophthalmoplegia/

Ophthalmoplegia, Proptosis, Cranial nerve palsy

UPDATE: In this we're talking about hyperglycaemia in the ED. There aren't any official guidelines on management, but our experience has shown that there's a huge variation in practice, and many cases are mismanaged

https://www.rcemlearning.co.uk/foamed/hyperglycaemia/

SUNDAY QUESTION

They should be fluid challenged in the normal manner with 500-1000 mls of crystalloid, Catheterise the patient to measure urine output, Avoid nephrotoxic antibiotics, If the patient has a tunnelled line, remove it immediately

True or False?