Haematology and Oncology Study Day

Thank you to all the trainees who attended the CGH study day. Here are the SAQ’s I promised for practice. Any errors are probably my own but worth loking at the structure. Often you don’t have to know the answer to the first question to complete the rest and sometimes the answer to the first few questions is given later on so make sure you read it carefully!

SAQ answers

SAQ questions

We had some excellent speakers this morning with Dr Oliver Miles talking about thrombosis and reversal of anticoagulants and Dr Rebecca Frewin talking about Neutropaenic sepsis. Below are some links to their slides so you can refresh your memory.

Dr Oliver Miles – Management of Emergencies in Haemostasis and Thrombosis

Dr Rebecca Frewin – Management of Neutropenic Sepsis

Key points to remember:

  • The Superficial Femoral vein is part of the Deep venous system
  • If you suspect neutropaenia and sepsis – treat early! Don’t wait for the FBC.
  • Younger chemotherapy patient may present late and are more likely to die!
  • Clotting studies might be useful in NOAC overdose but what assay does your lab use?
  • Neutropaenic patient + pleuritic chest pain – think fungus!
  • Neutropaenic patient with nasty sinus pain and a black spot on their nose/hard palatte – think mucor – call for help
  • And many more….



Be Prepared! Environmental Emergencies

Escanaba-Dorchester rescue from Wikimedia Commons

This month we have some great notes from Tim Slade from the Bristol Royal Infirmary Training day.  Thanks to Becky Maxwell for editing and linking. This had a focus on Environmental Emergencies (HAP 11) with a little Major Incident Planning (HAP 20) thrown in.

Just like a good Scout these are the topics where it pays to ‘Be Prepared’. If you are looking to revise the management of heat related injuries (maybe before a trip to the southern hemisphere…) or just brushing up on your cold and drowning related presentations ahead of the British winter then these pages should be of use. Added to this are some important pearls on diving medicine and altitude medicine with links to further resources.

There are also some great pictures by Helen Laird and top tips from the CBRN training session. Just incase you need to start the decontamination process. I’m still waiting for a suit big enough to fit the vertically challenging amongst us….

As usual these are tied into the CEM HST syllabus

Comments and suggestions welcome.


Paediatric Pearls

DON'Ts on a paediatric ward https://www.flickr.com/photos/liyeung/
DON’Ts on a paediatric ward

We now have 4 new pages covering various sections of the Paediatric Acute Presentation Syllabus! This is all thanks to the super work of Isabel Vielba, who took great notes on the BRI paediatric training day and Becky Maxwell for editing and linking them to lots of FOAMed resources.

As always, comments and suggestions welcome


Management – the last FCEM hurdle


The OSCE has finished and there’s one last hurdle before you can pack the books away……The Management VIVA! Tom and I have put together our top tips on how to tackle the management exam.

Greg Cranston made great notes on

Complaints and PALS

Mental Capacity Act

We have links to some useful resources for management revision alongside these notes.

Good Luck Guys, it’s nearly over!

Becky and Tom










Regional Training Update

Sexually Transmitted Disease and Urological Emergencies

February 2014 Regional Training Day – Author Cerys Griffiths

Cerys gives us an excellent summary of all the key points and Becky Maxwell provides some useful  links to the CEM Higher Speciality curriculum. If you didn’t make the training day or just want a reminder then here’s all the information you need.

As always if you know a good FOAMed resource to link in then me know.


#severn2014…..The legend lives on!

So the legend of #severn2014 lives on, in the form of a blog on the Emergency Medicine Journal site.

We are delighted that quite a few of you are engaging on Twitter since the conference, this is exactly the outcome we were hoping for. We are looking forward to engaging even more with you all in the future.

If you were  not at the conference, or just want to listen again all the audio presentations can be found on this website (thank you Tom!)

We will be in touch over the next few days for ideas on developing this website further, so in the meantime have a think about what you would to see on here.

Social Media Workshop Wizardry

Andy Neill has kindly posted a breakdown of his workshop at the Severn Social Media Conference and it is filled with chocolatey FOAMed loveliness. In fact it is so good I’ve given it its own page on the website. If you want a reminder of all the hints and tips on how to get started and make the most of your time in the world of FOAMed and social media, they’re all there.

Combined with this are the links to Blogs and Podcasts you might find useful.