I’m entering a few months prep for the UK and Ireland exit exam in Emergency Medicine: the FRCEM. I’ll be adding lots of little notes on pearls I’ve learned along the way. A lot of my revision is based around the Handbook of EM as a curriculum guide and review of contemporary, mainly UK guidelines. I also focus on the areas that I’m a bit sketchy on. With that in mind I hope they’re useful.
You can find more things on the FRCEM on this site here.
This one is special and has turned into an AFEM episode
This seems to be a favourite for examiners and not something i use commonly in real life
4 Nerves involved (the biggies in bold)
- auricolotemporal [V3]
- greater auricular [C2,3]
- auricular branch of [X]
- lesser occipital [C2]
Also note the names of the parts of the ear
The block (from the OHEM)
- Greater Auricular
- 1cm below ear lobe all the way from post border of SCM to angle of mandible
- Lesser occipital
- infiltrate just behind the ear
- Auriculotemporal
- just anterior to the EAM and tragus (watching out for the superficial temporal artery
Here’s a video from EMRAP with a further somewhat simplified method
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