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Acute alcohol withdrawal and alcoholic hepatitis are common scenarios presenting to the Emergency Department (ED) and the ward. Recognition, investigation and management principles...

Atrial Fibrillation

Atrial Fibrillation is the most common arrhythmia and it can often feel like an on call shift is dominated by patients with AF when it is not controlled. Patients with AF present t...

Difficult Conversations

Difficult conversations are exactly that: difficult. They may be difficult for numerous factors that are related to the subject matter, the patient, their relatives and friends and...

Acute Kidney Injury (AKI) is a disease process that carries a significant mortality impact. The complications that accompany AKI can be difficult to manage and may require speciali...

Acute Kidney Injury (AKI) I is a medical emergency that has received significant media attention in recent years. It has a significant impact on long term outcomes for patients.  ...

Head Injuries

Head injuries are not just common to the Emergency Department, but common occurrences when covering the wards as a junior doctor. They can present a challenge both in assessment an...

How do I manage a patient with diabetes who is going for surgery? Should I start  vsriable rate insulin infusion? When does there normal treatment get restarted?    Scott speaks...

Falls In The Elderly

Over 280000 falls occur in acute, community and mental health hospitals across England and Wales each year. These falls can increase length of stay, prevent return to previously in...

Bowel Obstruction

Bowel obstruction is a common surgical presentation and in the presence of ischaemia carries a mortality up to 40%. What makes the diagnosis? How good are the investigations? Ga...

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