TheCase.Report

Welcome back to TheCase.Report, it's our first episode of season 5! It's hard to believe that we're moving into the 5th year of TCR! All the way back in our first ever episode we had an infective case that was very topical at the time - covid - And so to kick things off for Season 5, we're looking at another highly infective case of viral haemorrhagic fever. Joining us on our case this month are our NCHDs Conor O’Gara, Leah Flanagan and Ralph Hurley O’Dwyer, who treat us to a comprehensive run through of the case. We were delighted to be joined by Dr Deirdre Morley and Dr Catherine Uhomoibhi for the second segment in the episode. They are working as co-leads on the development of the National High Level Isolation Unit (HLIU), and discuss the process of designing the HLIU as well as some Irish-led international simulation they've been leading in the Infective Diseases sphere. As always, don’t forget to follow us on socials on ⁠⁠instagram⁠⁠, ⁠⁠x and ⁠⁠facebook ⁠⁠to keep updated with all things TCR. Coffee in hand? Right then, let’s get to it!

Season 5 is just around the corner! We'll be kicking off the new season October 7th. Mark your calendars! In the meantime, Mohammed is off to Pakistan this week to PakTraumaCon 2024. Being the insufferable nerd that he is, he's not satisfied annoying his colleagues and new acquaintances only at the conference, but has also been after them for chats before even getting on the plane... Someone needs to stop him! Joining him on this bonus is Prof Junaid Abdul Razzak, also a speaker at PakTraumaCon this year. Prof Abdul Razzak is Vice Chair of Research at Weill Cornell Medicine in New York, and is also the Director of the Centre of Excellence for Trauma and Emergencies at the Aga Khan University in Karachi. Right! Let's get to it.

Let's take a look (or a listen) back to last year's IEMTA ASM, and specifically the inaugural Fergal Hickey lecture, given by none other than Dr Fergal Hickey himself. Make sure you don't miss out on a ticket for this year's IEMTA ASM in RCSI's Albert Theatre, April 27th. Ticket info to follow, so keep an eye on our socials!

This time is always busy for our trainees with interview preparation so Leah took the opportunity to sit down with Dr Andrew Neill, consultant in Emergency and Intensive Care Medicine in the Mater Hospital to discuss the controversial topic of REBOA. They discuss the UK-REBOA trial and the evidence behind the technique and why we should be cautious about it's used in the Irish trauma system in particular. As always, don’t forget to follow us on socials on ⁠⁠⁠instagram⁠⁠⁠, ⁠⁠⁠twitter ⁠⁠⁠and ⁠⁠⁠facebook ⁠⁠⁠to keep updated with all things TCR. Coffee in hand? Right then, let’s get to it!

Ever wondered how to pursue an EM fellowship after finishing your SpR training?  Is it worth it, and if so what are the benefits of doing a fellowship?  We’re very excited to welcome back a familiar voice to our bonus episode this week to answer these questions and more!  TCR alumnus Dr Deirdre Breslin joined Geriatric Emergency Medicine (GEM) lead Dr Conor O’Gara to chat all things fellowships, frailty and finding out what to do with your interest in GEM.  Dr Breslin is an EM consultant in the Mater Misericordiae University Hospital (MMUH).   She has a special interest in GEM, having worked as the TCR production lead in GEM and completed a GEM fellowship prior to taking up her consultant post. Her insights and tips make this both an interesting and important discussion.   As always, don’t forget to follow us on socials on ⁠⁠instagram⁠⁠, ⁠⁠twitter ⁠⁠and ⁠⁠facebook ⁠⁠to keep updated with all things TCR. Coffee in hand? Right then, let’s get to it!

With over 3900 neck of femur fractures (NOFs) reported in Ireland in 2021, these fractures represent a significant burden of morbidity and mortality, particularly for our older patients. Early recognition coupled with meticulous management, both in the ED and beyond, is instrumental in ensuring optimal outcomes. Orla Kelly puts TCR newcomers Conor O’Gara and Jane Cassidy through their paces with today’s case before we sit down with our Adult in the Room - Dr Mustafa Mehmood, Consultant in Emergency Medicine in St James’s Hospital, and architect of the department’s ‘Code Hip 240’  protocol. As always, don’t forget to follow us on socials on ⁠instagram⁠, ⁠twitter ⁠and ⁠facebook ⁠to keep updated with all things TCR. Coffee in hand? Right then, let’s get to it!

Ever wondered how to make a referral to The Irish Paediatric Acute Transport Service (IPATS) when working in a tertiary hospital? What is the criteria for transferring a child, when can it be done by IPATS and when should the transfer be organised by the referring hospital? What do you need to have prepared before sending a child and how should you prepare to expect the unexpected? We thought we’d start off the new year as we mean to go on with a paeds bonus episode on the first day of 2024! In this episode EM consultant Dr Conor Davis talks all things paediatric transfers and answers the above questions and more. And seeing as we are thecase.report, we might have even managed to give an EM consultant their own case to tackle! As always, don’t forget to follow us on socials on instagram, twitter and facebook to keep updated with all things TCR. Coffee in hand? Right then, let’s get to it!

We're in the Paediatric section of the TCR Emergency Department where Mo, Stephen and Rachel are concerned about a five day old baby. GBS sepsis is no joke, and our team bring us through the management of one of the most daunting cohorts of all: the septic neonate. Our Adult in the Room Dr Rasha Sawaya reviews our work, and also talks about feeding issues, what to do when your initial management doesn't work, and gives some tips and tricks for ED NCHDs who are graduating to more senior roles. Join the conversation on X, Instagram, and Facebook. We've got some great infographics and notes to compliment your learning that you can find at thecase.report. This will be our last episode of 2023, but we've got an incredible PEM bonus episode coming early in the new year. And as always: "May your coffee be strong, and your rounds grand."

Time to enter the Echo Chamber! Dr Mai Nguyen joins Callum to discuss eFAST in Trauma in this bonus episode. Following on from a very detailed discussion of all things trauma in lasts week's main episode, we're diving into the specifics of using POCUS in trauma, and importantly how to do it effectively and efficiently. Dr Nguyen is a Consultant in Emergency Medicine at University Hospital Limerick where she is the Director of Ultrasound Training for Emergency Medicine, an EGLS instructor and a Level 1 Ultrasound Trainer. In short, the perfect guest to run through all things eFAST. If you didn’t want to build your POCUS skills before, you sure will after this episode! Listen along with the show notes and get involved in the conversation on Twitter and Instagram.

From the seatbelt sign and it’s association with intra-abdominal pathology to the “Hateful Eight” to the electrolyte breakdown in red cells, Callum, Eoghan and our AITR Dr Sean Croughan are doing a deep dive of managing the unstable trauma patient in this month's episode of thecase.report. Oh, and don't forget about distracting injuries! Following on from our second South African Special Episode last month, we’re back in Ireland in a rural ED. Eoghan, the only Reg working in ED this evening gets a pre-alert about a female involved in a single vehicle road traffic collision. Follow the case from zero-point survey to a detailed debrief with the show notes online. As always, don’t forget to follow us on socials on instagram, twitter and facebook to keep updated with all things TCR. Right then, let’s get to it!