The ability to insert a chest drain safely and painlessly is an important core skill for physicians. This article describes techniques for insertion of larger bore trochar and cannula type chest drains

A 33 year old, previously healthy woman was referred to hospital with a 3 month history of cough, 6kg weight loss, dyspnoea and night sweats. She described intermittent expectoration of purulent sputum

The backdrop of Captain Scott’s Antarctic vessel The Discovery was the setting for the Sixth Meeting of the Society for Acute Medicine in Dundee. Hosted by Dr Mike Jones and Dr Liz Myers, delegates

Abstract The Neuroleptic Malignant Syndrome and the Serotonin Syndrome are two rare but potentially fatal complications of psychopharmacology. This review focuses on the clinical aspects of these conditions,

Abstract Medical emergencies in pregnant women pose many challenges if both the baby and mother are to have an optimal outcome. Multidisciplinary team working is essential to ensure that the correct

Abstract Myasthenia gravis was first described 300 years ago, but today is one of the most well characterised autoimmune diseases. Whilst its prognosis was previously grave, cholinergic and immunomodulatory

Abstract Upper gastrointestinal haemorrhage remains a common medical emergency with significant mortality. Management depends on appropriate and timely resuscitation, therapeutic endoscopy and surgery.

The treatment of atrial fibrillation is perceived to be complex due to its varied clinical presentations and numerous potential therapeutic options. Our article aims to provide the physician with a

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