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RCEMLearning
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Royal College of Emergency Medicine. ELearning and #FOAMed resource
https://www.rcemlearning.co.uk/
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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

www.rcemlearning.co....
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
www.rcemlearning.co....

#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
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UPDATE: It’s Friday evening and you’re at work in the ED. Jack is a 15-year-old boy who has taken an overdose of paracetamol a couple of hours ago. His girlfriend soon after called an ambulance.

So…What do you do? Call his mum right?

www.rcemlearning.co....
RCEMLearning logo in white. Confidentiality, Capacity and Consent in PEM. Blog. UPDATE.
November 11, 2025 at 6:00 PM
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We’ve already released TREC modules 1 & 2 and are looking for volunteers to help test Modules 3 & 4.

Keen to build your research skills? You help shape future EC training, by getting involved

Sign up: docs.google.com/form...
We are looking for TREC Testers Improve on your research skills and help shape the future of EC training
November 11, 2025 at 4:01 PM
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NEW: Young female presents with sudden onset left sided flank pain.

What is the most likely diagnosis? #ClinicalCase

#LimbPain #Swelling #Joint

www.rcemlearning.co....
NEW. A Case of Blue Leg. Clinical Case. RCEMLearning logo in white
November 10, 2025 at 1:42 PM
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SUNDAY QUESTION

What is the most likely diagnosis?

Answer below with the correct answer
A 3-year-old child was brought into the Emergency Department (ED) by their mum. The child was running up the stairs with a handful of pistachio nuts and fell face forwards. Mum noticed she started to breathe rapidly and became blue in the face. Initial Obs: HR – 130/min, RR – 40-45 /min Spo2 – 85% on room air BP – 116/70mmHg Temperature – 36 Respiratory System – Reduced air entry over left lung base. No audible wheeze. No rashes noticed on examination. She was given high flow oxygen. Saturations continued to deteriorate and she eventually needed Bag valve mask ventilation and was intubated in view of hypoxia. What is the most likely diagnosis? a). Sepsis – Pneumonia b). Anaphylaxis c). Inhaled Foreign body d). Lung trauma – Haemothorax
November 9, 2025 at 7:06 PM
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We've launched a new section on the RCEMLearning website. If you want to solely focus on ECG, visit out ECG Topic Hub.

www.rcemlearning.co....
JUST LAUNCHED ECG TOPIC HUB Focus your learning by checking our latest section on RCEMLearning
November 8, 2025 at 9:05 AM
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UPDATE: Gabo, a 19-year-old college student was brought to the Emergency Department (ED) by his mother who is concerned about strings of unusual behaviours in the past 3 weeks

You want to examine his mental state, where do you start? #SAQ
www.rcemlearning.co....

#MentalHealth
November 7, 2025 at 5:19 PM
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NEW: The baby looks well at first, nothing really worrying - but he has been crying for last 2 days, which is unusual for him. His mother`s concern leads us to a serious diagnosis.

#ClinicalCase www.rcemlearning.co....
RCEMLearning in white. The Unsettled Infant in the ED. Clinical Case. NEW.
November 6, 2025 at 4:10 PM
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NEW: A patient presents to the Emergency Department with a painful swollen knee. He cannot move his knee fully and has a fever.

Read our latest #SBA here: www.rcemlearning.co....
RCEMLearning logo in white. Painful Knee. NEW. SBA.
November 5, 2025 at 7:48 PM
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Join us in congratulating Dr Eslam Elshafie for achieving 100% on our Curriculum Cup Neurology 2 quiz!

Well done on your result!
Congratulations to our Curriculum Cup: Neurology 2 Top scores Dr Eslam Elshafie Please join us in celebrating their great achievement
November 5, 2025 at 5:44 PM
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📨 The latest RCEM Member Newsletter has landed!
Dive into the #RCEMnewsletter for the latest College news, events, and opportunities straight from your inbox.
November 5, 2025 at 1:15 PM