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RCEMLearning
@rcemlearning.bsky.social
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Royal College of Emergency Medicine. ELearning and #FOAMed resource
https://www.rcemlearning.co.uk/
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rcemlearning.bsky.social
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
rcemlearning.bsky.social
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
rcemlearning.bsky.social
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
rcemlearning.bsky.social
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
rcemlearning.bsky.social
UPDATE: This week marks the start of #StressAwarenessWeek

Our #blog is to convince you why the conversation about our breaks, our sleep and our rest is one to start having, keep having and not stop having. Keep reading. And keep talking.

www.rcemlearning.co....
RCEMLearning logo in white. Rest, Sleep and our Breaks – the conversation we can’t tire of. Clinical Case. UPDATE.
November 4, 2025 at 12:30 PM
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NEW: It's Monday which means another addition to our #POCUS series on RCEMLearning

Today's question: How does POCUS help in evaluation of pneumonia? #ClinicalCase

www.rcemlearning.co....
RCEMLearning logo in white. Lung POCUS for Pneumonia. Clinical Case. NEW
November 3, 2025 at 4:30 PM
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We are hiring two Digital Education Fellows

RCEMLearning funds up to £4,000 towards a relevant postgraduate education qualification and both Fellows will remain based in their Trusts on an 80:20 split (80% clinical, 20% RCEMLearning)

Learn more and apply www.rcemlearning.co....
RCEMlearning logo in white. We are hiring... Digital Education Fellows. Requirements RCEM member Hold a primary medical qualification Work in EM Evidence an educational portfolio Working as an ACP/complete a Master’s in ACP Apply by emailing rcemlearning@rcem.ac.uk your CV and 500 word statement
November 3, 2025 at 12:00 PM
rcemlearning.bsky.social
SUNDAY QUESTION: Taken from "Silver Shock", answer below with the correct answer
An 82-year-old female has been brought in by ambulance following a fall at home, having sustained a 5cm skin tear to the right shin. The paramedics report “minimal” blood loss on scene. They have not administered any medication. She has a history of atrial fibrillation, hypertension and Parkinson’s disease Her regular medications include Apixaban, Ramipril, Bisoprolol, Adcal-D3, Co-Careldopa and Entacapone. Which of the following is most reliable parameter for the EARLY recognition of shock in this patient? a). Heart rate b). Respiratory rate c). Systolic blood pressure d). Temperature
November 2, 2025 at 4:00 PM
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What is the chain of virus transmission?

Transmission usually occurs when an infectious agent is transmitted from an infected individual to a susceptible person
Suspectable Host: Elderly, infants, immunocompromised, anyone. Pathogen: Bacteria, virus, fungi, parasite Reservoir: People, animals, soil, food, water Portal of Exit: Coughing/Sneezing, Bodily secretions, faeces Mode of transmission: direct contact, indirect contact, vectors Portal of entry: Mouth, nose, eyes, cuts in skin
November 1, 2025 at 3:54 PM
rcemlearning.bsky.social
UPDATE: A 67-year-old man with a history of psoriasis presents in hypovolaemic shock with a 3 day history of malaise, oliguria and widespread erythema.

Check out our #ClinicalCase here: www.rcemlearning.co....
RCEMLearning logo in white. A picture of a red blotchy swollen hand. Alt text: Simply Red: Rash Decisions in Resus. Clinical Case
October 31, 2025 at 7:57 PM
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UPDATE: These modules covers the anatomy, common pathology and the clinical and radiological assessment of the shoulder and brachial plexus.

Check out our latest #LearningSession (LS) and #Reference (Ref):
LS: www.rcemlearning.co....

Ref: www.rcemlearning.co....

RCEMLearning logo in white. A picture of a man with an animation of his shoulder muscles. Alt text: Shoulder and Brachial Plexus Injury. Learning Session/Reference
October 30, 2025 at 5:00 PM
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NEW: An elderly lady is brought to your ED by ambulance after falling at home. She is hypotensive, tachypnoeic and agitated. She has a wound on her right shin with no active bleeding

Check out our latest #SBA here:
www.rcemlearning.co....

#AcuteConfusion #Older #Patient #MedEdu
RCEMLearning logo in white. A picture of a white sign with a red outline, inside is a symbol of two older people. Alt text: NEW, SBA, Silver Shock
October 29, 2025 at 10:58 AM
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UPDATE: A 54-year-old man with a history of MI, Hypertension, Diabetes and Dyslipidaemia presents with acute central chest pain that started 2 hours ago

You think this is a regular day at the office and a very straight forward case, but is it? #SBA

www.rcemlearning.co....
RCEMLearning logo in white. A person clutching their chest. alt text: Another Chest Pain. SBA
October 28, 2025 at 4:00 PM
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NEW: Young man with chronic cocaine use presents with painful hand swelling, worsening leg ulcers and a purpuric rash. Investigation shows raised inflammatory markers but no clear source of infection.

What is the most likely diagnosis? #ClinicalCase

www.rcemlearning.co....
RCEMLearning logo. NEW. A picture of a person lying on a table with bright red patches all over their skin. Alt text: Marked by the Mix. Clinical Case
October 27, 2025 at 12:22 PM
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Check out our latest #SundayQuestion, what is the correct answer?
A 2-year-old girl presents to the Emergency Department (ED) with a 10-day history of food refusal and episodic non-bilious, non-bloody vomiting. The parents report that the child is otherwise well with no fever or abdominal pain. Bowel habits remain normal, and urine output is satisfactory. There is no known history of witnessed foreign body ingestion, medication use, trauma or bleeding disorder. The child has had 2 previous assessments within the past week, but no specific diagnosis is made. She now re-attends and has a single episode of blood-stained vomitus in the department. Observations are within normal limits, but the child appears withdrawn and pale. The child is not in respiratory distress and there is no abdominal tenderness. In a stable child, not requiring resuscitation, which is the single most urgent investigation to perform at this stage? a). Urinalysis b). FBC, clotting screen, group and save c). Chest/abdominal plain film d). Abdominal ultrasound
October 26, 2025 at 4:00 PM
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Our Curriculum Cup: Neurology 2 leader board is closing soon.

See if you can reach the top spot!

www.rcemlearning.co....
RCEMLearning logo in white. A picture of a brain. Alt text: Curriculum Cup: Neurology 2. NEW
October 23, 2025 at 1:40 PM
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NEW: A 2-year-old presents with a 10-day history of food refusal and vomiting, now with blood-stained vomitus. Chest X-ray reveals a button battery lodged in the distal oesophagus.

Check out our latest #ClinicalCase: www.rcemlearning.co....
RCEMLearning logo in white. A picture of a sick child in bed. Alt text: NEW. Button Battery Ingestion in Children. Clinical Case
October 22, 2025 at 7:08 PM
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NEW: We all use #POCUS in our daily clinical practice; however, have you ever considered the safety profile POCUS

Learn more from our latest POCUS #ClinicalCase: www.rcemlearning.co....
RCEMLearning logo in white. A picture of a person conducting an ultrasound. Alt text: POCUS Safety in EM. Clinical Case
October 20, 2025 at 7:49 PM