Awake in VF
Awake in VF. Inferior OMI complicated by refractory ventricular fibrillation, CPR-induced consciousness, stellate ganglion block and successful PCI.
Category LITFL
The Mono That Wasn’t
Recognising HIV one ED visit at a time By the time HIV is diagnosed, the patient may already have passed through the emergency department more than once. The median interval between acquiring HIV and diagnosis is around three years, and…
Böhler angle
Böhler angle: radiographic measurement, normal values, clinical use, limitations and the original 1929 description by Lorenz Böhler.
Baumann angle
Baumann angle. How to measure distal humeral alignment, normal values, use after paediatric supracondylar fractures, limitations and history.
Gartland classification
Gartland classification of paediatric supracondylar humeral fractures. Types I–IV, clinical use, Wilkins modification and historical development
Critical Debrief: Clinical Event Debriefing
Podcast: What is clinical event debriefing? How does it differ from simulation debriefing? How do you actually make it routine in a busy ED?
Dulcor
Dulcor: a proposed sweet sign of chronic inflammation, linking glycation and advanced glycation end-products with Celsus’s classical cardinal signs.
De Quervain disease
De Quervain disease: first dorsal compartment stenosing tendinopathy, history, diagnosis, Finkelstein/Eichhoff tests and treatment.
Finkelstein Test
Finkelstein test: original manoeuvre for de Quervain disease, Eichhoff confusion, false positives, Brunelli and WHAT variants.
Alfred Velpeau
Alfred Velpeau (1795-1867), French surgeon and anatomist. Velpeau bandage, projection, quadrilateral space, and leukaemia
Followership
Followership is a critical competency that enhances team performance, patient safety, and error prevention through active engagement, adaptability, speaking up, mutual monitoring, and collaborative support. However, effective followership also depends on supportive leadership and organisational culture.
The Pyramid Dressing
pyramid dressing technique for temporary control of extremity arterial haemorrhage, converting tourniquet control into focused local pressure.