MEM-EM: The Memorising Emergency Medicine Podcast23 Mars

Sepsis in pregnant or recent pregnant patients recognition, Diagnosis & Mx

Suspected Sepsis in Pregnant and Recently Pregnant People: Recognition, Diagnosis, and Early Management

Executive Summary

Sepsis in the obstetric population is a life-threatening medical emergency requiring immediate recognition and intervention. This guideline (NICE NG255, 2025) replaces NG51 and provides a tailored framework for pregnant people and those who have been pregnant within the last six weeks.Critical Takeaways:

The 6-Week Window: Always consider sepsis in any person who is pregnant or has been pregnant (including miscarriage or termination) within the previous six weeks.

High-Risk Criteria: Identify "High Risk" status immediately using the stratified criteria (e.g., RR ≥ 25, HR > 130, SBP ≤ 90, or altered mental state).

The 1-Hour Bundle: For high-risk patients, the senior clinical decision-maker must assess, and broad-spectrum antibiotics must be administered within one hour.

Source Control: Active search for the infection source (including imaging of the abdomen and pelvis) is mandatory if the source is not immediately apparent.

Senior Involvement: Specific clinician grades are defined for senior review (ST3+ for adults, ST4+ for under 18s).

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Approach to Low Back Pain & Cauda Equina Syndrome in the ED

Mnemonic for BACKPAIN Red Flags & Do Not Miss DDX =BACKPAIN can be CRAFTIBack Pain Red Flags* Bladder, Bowel & Erectile Dysfunction or Bilateral Sx** Anaesthesia (saddle) Cancer or Coagulopathy – S...

3 Juni 19min

Locating the Source of Sepsis: The LUCAS mnemonic

Clinical Epidemiology and Bedside Identification of Sepsis Sources in the United Kingdom: A Comprehensive Analysis of the Expanded LUCAS Framework and NHS Presentation TrendsThe clinical management of...

6 Apr 17min

Sepsis resuscitation: Applying the Pathophysiology, Guidelines and future of sepsis care at the bedside.

Sepsis is a time-critical medical emergency defined as life-threatening organ dysfunction caused by a dysregulated host response to infection [1]. Globally, it remains a leading cause of morbidity and...

30 Mars 20min

Mental SIM: HALO Procedure - Tracheostomy & Laryngectomy Emergency Mx Algorithm

What to do in these emergency situations.

27 Mars 28min

RCEM Syllabus Summaries - Acute Airway Obstruction (RP1), Choking (RC1), Stridor (RC2)

Executive SummaryAcute airway obstruction, designated under the Royal College of Emergency Medicine curriculum as clinical presentation RP1, remains one of the most significant challenges in the Natio...

19 Mars 19min

RCEM Syllabus Summaries - Resus Overview

Executive SummaryThe modern management of resuscitation presentations in the Emergency Department (ED) requires a standardized approach using the Airway, Breathing, Circulation, Disability, and Exposu...

19 Mars 25min

Identification of Tension Pneumothorax

Executive SummaryTension pneumothorax (TPT) is a life-threatening condition occurring in approximately 1% to 3% of prehospital major trauma and intensive care patients. While traditionally taught as a...

19 Mars 19min