I hit my head!

Question 1: What is the definition of concussion?

Question 2: When to return to play/activity post minor head trauma?

Question 3: What are some of the life threatening complications post head traumas?





To help answer these questions check the following resources:

1) LITFL:Minor Injuries 002.

2) WikEM: EBQ: PECARN Pediatric Head CT Rule.

3) Ontario Neurotrauma Foundation: Guidelines for Pediatric Concussion.

4) American Academy of Paediatrics: CONCUSSIONS.


Suspecious Boo Boo’s!


Question 1:What are the definitions & types of child maltreatment/abuse?

Question 2: Whats are the current stats in Saudi Arabia? A reality check!

Question 3: What’s your approach?




To help answer these questions check the following resources:

(1) PEM ED Podcast.

(2) Arch Dis Child Educ Pract Ed.

(3) NICE.

(4) Adverse childhood experiences, chronic diseases, and risky health behaviors in Saudi Arabian adults: a pilot study. 

(5) The National Family Safety Program.

(6) Child abuse and neglect in Saudi Arabia: journey of recognition to implementation of national prevention strategies.

(7) Determining child maltreatment incidence in Saudi Arabia using the ICAST-CH: A pilot study.



 Question 1: Hey pal, do you really need to know PALS?!

 Question 2: Sudden Infant Death Syndrome (SIDS), What’s the role of community   advocacy?!

 Question 3: Basic Life Support (BLS) community advocacy, what is the evidence?!



To help answer these questions check the following resources:

1) Circulation

2) E-learning in pediatric basic life support: A randomized controlled non-inferiority study.

3) ALiEM: Patwari Academy videos: PALS

4) Resuscitation Council (UK).

5) Draft recommendations to tackle Sudden Infant Death Syndrome published for consultation.



Question 1: What is the definition of “Thunderclap” Headache?

Question 2: What are the differential diagnoses?

Question 3: What are the basics of ED management of SAH?

Question 4: Are there any clinical decision rules that can help?


To help answer these questions check the following resources:

(1) Emergency Medicine Cases:Episode 14 Part 1: Migraine Headache and Subarachnoid Hemorrhage

(2) Emergency Medicine Cases :Episode 14 Part 2: Thunderclap Headache – Cerebral Venous Thrombosis and Cervical Artery Dissection

(3) LITFL: Subarachnoid Haemorrhage: Initial Management

(4) LITFL: Subarachnoid Haemorrhage – The ED perspective

(5) JAMA: Clinical Decision Rules to Rule Out Subarachnoid Hemorrhage for Acute Headache

Skin & Soft Tissue Infections (SSTI’s)



Question 1: What are some the most common Skin & Soft Tissue Infections encountered in the ED. What are the treatment options?

Question 2: Would you admit every patient with cellulitis?

Question 3: Drain’em, When not to?



To help answer these questions check the following resources:

(1) http://cid.oxfordjournals.org/content/59/2/e10.long

(2) http://www.orthobullets.com/hand/6102/felon 

(3) http://lifeinthefastlane.com/minor-injuries-007/


Lipid Emulsion!


Hello from Dubai!

This marks the final day of #ESEM2014 Dubai, and what a conference it was!

Those guys have done an amazing job on all fronts, from the superb organizational aspects to inviting over 120 national, regional and international speakers!, not only that, they have created an excellent pre-conference workshop which spanned over two days, which included unique tracks, such as faculty development  and feedback chaired by Dr. Ken Doyle, ED ultrasound and for the first time in the region On Board Medical Emergencies chaired by two awesome emergency physicians Dr. Anna Carvalho & Dr. Vincent Poirier and so many more!

And, above all it was such a great reunion of McGllians!

It would have not been possible with out the AMAZING work that Dr. Saleh AlFaris, Dr. Ayesha AlMemari & Dr. Sara Kazim put into ESEM2014! So Kudos to them, for making a dream come true, and I would like to wish them all the best in their next ESEM Conference in 2015 Abu Dhabi.

Last but not least, I had the opportunity to record my first ROCCEM cast! and who’s better than Dr. Ken Doyle to inaugurate ROCCEMcast!

So, till next time, thank you Dubai! for such a wonderful experience!


ROCCEM cast #1





Question 1: How do you mange active epistaxis ?
Question 2: Is there any association between hypertension & epistaxis ?
Question 3: Is topical Tranexamic acid (TXA) effective in the treatment of epistaxis ?


To help answer these questions check the following resources:

(1) http://lifeinthefastlane.com/epistaxis/
(2) http://www.edtcc.com/blog/2011/12/18/myth-buster-episode-2-hypertension-and-epistaxis.html
(3) http://www.emlitofnote.com/2013/09/tranexamic-acid-for-epistaxis.html

(4) http://thesgem.com/2013/11/sgem53-sunday-bloody-sunday-epistaxis-and-tranexamic-acid/ 

(5) http://www.acepnow.com/article/topical-tranexamic-acid-better-nasal-packing-anterior-epistaxis/ 

(6) http://rebelem.com/topical-tranexamic-acid-epistaxis-oral-bleeds/

Under pressure!



Question 1: What is hyperbaric O2 therapy?

Question 2: What are the indications of hyperbaric oxygen therapy?

Questions 3: What are the contraindications and complications of hyperbaric oxygen therapy?


To help answer these questions check the following resources:


1) The Under see and Hyperbolic Medical Society. UHMS

2) The Healthcare Improvement Scotland’s systemic review.

3) A well prepared PowerPoint presentation available directly on Google search by GASTON DANA, D.O.