S4E8: Fractured Neck of Femur - Geriatric EM

Join us today for our first Sports Medicine Episode of season 5, where we’re bring our case to the streets of Dublin. Liam Loughrey and Carl Byrne join our very own Leah Flanagan who finds herself running a marathon (she doesn’t believe she could do one, but we believe in her here at TCR)! This month our adult in the room is Dr Stephen Gilmartin. He is an Emergency Medicine Consultant at Sligo University Hospital with a special interest in Sports & Exercise Medicine and minor injuries. With experience acting as the team doctor for professional rugby and inter-county GAA teams, who better to correct our homework?Listen now on Spotify, Apple Podcasts or wherever you get your podcasts, and as always, be sure to follow along on Bluesky, Instagram, Facebook and X to keep updated with all things TCR.

Joining us on our Parkinson’s Disease bonus episode this month, EM trainees Henrietta Sabbagha and Gideon-Phil Meyer speak to Conor O’Gara about their Parkinson’s disease Quality Improvement Projects they have supervised in Irish hospitals. We learn about their excellent audits to try and improve PD care in their emergency departments and pick up transferable tips for how to do so across the country.  We run through their projects, discuss the highs and the lows, and we take home some hot tips to take forward for our own QIP projects! Listen now on Spotify or wherever you get your podcasts, and as always, be sure to follow along on Bluesky, Instagram, Facebook and X to keep updated with all things TCR. Right then, let’s get to it!

Welcome to November's main episode of TheCase.Report! In this episode we dive into all things Parkinson’s disease (PD). Our team keep their differentials broad as they work up and diligently manage a 78-year-old man presenting with an acute behavioural change on a background of Parkinson's Disease. We’re delighted to have Dr Barry Keane, Consultant in Emergency Medicine at St James’s Hospital join us this month as our Adult in the Room to review our work. This episode is bursting with clinical pearls as we discuss what to consider and what not to miss in Parkinson's Disease patients. 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!

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.

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!