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This month, your patient is a teenager (whatever). He has right iliac fossa pain and a hoody to put on. Can you help with both?

This issue reviews abdominal anatomy, the physiology of the digestive system and provides some advice on spotting appendicitis amongst the 15 differential diagnoses of right iliac fossa pain!

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Just when you thought it was safe to go into the bathroom, anaphylaxis strikes! Your patient has suffered a life threatening allergic reaction to toothpaste and needs your assistance.

This issue will explain the pathophysiology of anaphylaxis, with tips on recognition (including the potential differential diagnoses) and the management of this condition.

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A minor RTC involving a bus brings out the cervical collars, a longboard and some bad clinical practice!

This issue explores cervical spine clearance, including the use of the NEXUS low-risk criteria and Canadian c-spine rules.



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I have now updated the audit section to include specific interventions by AP/ECPs. In order to see the list on the audit entry form, you simply need to tick one of the following job roles:

• Advanced Practitioner
• ECP - nurse
• ECP - paramedic
• Paramedic Practitioner

The list of interventions is limited at present, so I'd be grateful if you could send me any suggestions you have for this section and I will update the database.

It's a full moon and your patients seem to be affected! The patient in this issue is drunk and has suffered a head injury, but is refusing to go to hospital. What are you going to do?

This issue explores mental capacity and provides guidance about how you can assess mental capacity, act in their best interests and not fall foul of the Law.

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