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Brugada Syndrome

Brugada Syndrome is an ECG abnormality with a high incidence of sudden death in patients with structurally normal hearts. First described in 1992 by the Brugada brothers, the disease has since had an exponential rise in the numbers of cases reported. The mean age of sudden death is 41, with the age at diagnosis ranging... Continue Reading →

Chickenpox in Pregnancy

by Rachel Mackenzie, SSN, Practice Nurse Developer What is Chickenpox? Chickenpox is a very contagious infection caused by the varicella-zoster virus. It mainly affects kids, but adults can get it, too. The telltale sign of chickenpox is a super-itchy skin rash with red blisters. Over the course of several days, the blisters pop and start... Continue Reading →

National Early Warning Score (NEWS) 2

by Rachel Mackenzie, SSN, Practice Nurse Developer "NEWS2 is the latest version of the National Early Warning Score (NEWS), first produced in 2012 and updated in December 2017, which advocates a system to standardise the assessment and response to acute illness. NEWS2 has received formal endorsement from NHS England and NHS Improvement to become the... Continue Reading →


by Georgie Brown, ENP, Learning Disabilities Link Nurse Hi everyone I have recently taken on the role of the Learning Disabilities link nurse. As most of you know, my son Jesse has Down’s syndrome and because his development is delayed, I have been learning Makaton to help communicate with Jesse. Being able to communicate is... Continue Reading →

Lateral Epicondylitis (Tennis Elbow)

Lateral epicondylitis, also known as "Tennis Elbow", is the most common overuse syndrome in the elbow. It is a tendinopathy injury involving the extensor muscles of the forearm. These muscles originate on the lateral epicondylar region of the distal humerus. It should be remembered that only 5% of people suffering from tennis elbow relate the injury to tennis! ... Continue Reading →

3rd Degree Heart Block

3rd Degree Heart Block (Complete Heart Block) Overview In complete heart block, there is complete absence of AV conduction – none of the supraventricular impulses are conducted to the ventricles. This one minute video shows what is happening really well. A perfusing rhythm is maintained by a junctional or ventricular escape rhythm as Chris explained in the WhatsApp group. Failing this,... Continue Reading →

Quick Case Studies

The idea behind Quick Case Studies, is to get the whole team to contribute to everyone's learning. We didn't want it to be a chore or take up much of your time so figured a small table / word document to fill in with a few bullet points would be enough. There are enough of... Continue Reading →

RCN Competencies

Launch of the RCN Emergency Nurse Competencies in our department These national competencies were launched in 2017 and we are now adopting them in our ED rather than having lots of different competencies (like triage and resus competencies). The only other competencies we will use are the national major trauma competencies which you will cover... Continue Reading →

Maisonneuve Fracture

Maisonneuve fracture refers to a combination of a fracture of the proximal fibula together with an unstable ankle injury (widening of the ankle mortise on x-ray), often comprising ligamentous injury (distal tibiofibular syndesmosis, deltoid ligament) and/or fracture of the medial malleolus. It is caused by pronation external-rotation mechanism. This injury is highly unstable. Essentially all the ligaments and fascia... Continue Reading →

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