Welcome back to another episode of TheCase.Report! In this episode we dive into all things Parkinson’s disease (PD) with 3 of our finest NCHDs - Liam Loughrey, Sarah Daubaras and Conor O’Gara.

They 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 PD. This episode is bursting with clinical pearls as we discuss what to consider and what not to miss in PD patients. It’s not one to miss!

We’re delighted to have Dr Barry Keane, Consultant in Emergency Medicine at St James’ University Hospital join us this month as our Adult in the Room. With a fellowship in Geriatric Medicine under his belt there is no one better to correct our homework and offer some pearls of wisdom into the complexities of Geriatric Emergency Medicine, and Parkinson’s Disease in the ED.

With over 3900 NOFs reported in Ireland in 2021, these fractures represent a significant burden of morbidity and mortality, particularly for our older patients. Early recognition of these patients 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.

Ever wondered how to make a referral to 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? In this episode Dr Conor Davis talks us through all the above and more, as well as running his very own case in true TCR style!

Time to enter the Echo Chamber! Callum kickstarts the first ultrasound bonus of the season, welcoming Dr Mai Nguyen, Consultant in Emergency Medicine at University Hospital Limerick, to join him.

Dr Nguyen is the Director of Ultrasound Training for Emergency Medicine in the hospital, an EGLS instructor and a Level 1 Ultrasound Trainer. In short, the perfect guest to run through all things eFAST in the approach to a trauma patient. If you didn’t want to build your POCUS skills before, you sure will after this episode!

Welcome back to another episode of thecase.report! After a small episode hiatus, we’re back talking all things Trauma. Following on from our South Africa Special II last month, we’re back in Ireland in a rural ED where Eoghan, the only Reg on in ED this evening gets a pre-alert about a female involved in a road traffic collision with prolonged extraction.

From the seatbelt sign and it’s association with intra-abdominal pathology to the “Hateful Eight” and the electrolytes in red cells, Callum, Eoghan and our AITR Dr Sean Croughan are doing a deep dive of managing the unstable trauma patient.

As always, don’t forget to follow us on socials on instagram, twitter and facebook to keep updated with all things TCR. Right then, let’s get to it!

In our 3rd episode of season 4, Dr Lee speaks of his unforgettable experience completing his Trauma and Resuscitation fellowship in Chris Hani Baragwanath Hospital in Soweto. With over 2,000 inpatient beds and a dedicated trauma unit, Barra hospital ranks as the 5th largest hospital in the world.

In our first bonus of the season, Leah sits down with Dr Jamie Kearns and peppers him with questions. Can he withstand the onslaught?

Jamie is a Consultant in Sports and Exercise Medicine at UPMC Sports Surgery Clinic and Head of Medical at Munster Rugby. He was awarded FFSEM (Irl) in 2017 and was elected to the Board of the FSEM in 2018.

Do you know the red flags to look out for in gastroenteritis? What advice would you give to someone with distal ulnar palsy regarding recovery and lifestyle changes? Does a normal xray always mean there's nothing wrong? In our latest sports medicine episode we're answering all these questions and more! Tune in wherever you get your podcasts and follow along with show notes at thecase.report.