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Severe abdominal pain. A soft abdomen. Tachycardia, hypertension, hyponatraemia… and dark urine. What are you missing? In the latest Art of Emergency podcast, we tackle Acute Porphyria — the classic diagnostic trap, the key investigations, important precipitants, and what you need to do in the ED.

In this episode, we look at an SAQ on Immunological Emergency. The case involves a differentiation of the septic vs other post transplant complications and how to go about your assessment and management. We've included additional potential exam questions in a table format including high yield tips to take your answers to the next level. Check out the cast notes and SAQ at https://artofemergency.com/

In this episode, we look at an SAQ on Vision Loss which includes a discussion on Painless vs Painful Vision Loss along with interpretation of a fundoscopic image and management. We also talk about Ultrasound in the diagnosis of Vision loss with some case pictures attached. Vision loss is a favourite SAQ topic of examiners, so ensure you use this podcast as an impetus to get your exam prep into sharp focus (pardon the pun). Check out the cast notes and SAQ at https://artofemergency.com/

In this episode, we look at Trauma in the Rural setting which makes it an important modifier in the ACEM fellowship exams. We talk about the initial resuscitation, preparation and actions. We then include a bit of bread and butter MTP and throw in a discussion on how you would transport a patient like this to a major centre. We also discus briefly TEG and ROTEM. Check out the cast notes and SAQ at https://artofemergency.com/

In this episode, we take a deep dive into an SAQ on Cardiac Arrest in Pregnancy. This is an important area of study for the Fellowship Written SAQ where the modifiers for bread and butter Resuscitation medicine is tested. Our modifier for this episode is Pregnancy. Whether you're preparing for your exams or refining your clinical practice, this episode will give you the critical insights you need. Let's dive in. Check out the cast notes and SAQ at https://artofemergency.com/

In this banger of an episode, we take a deep dive into an SAQ on Methadone. This is an emerging public health area for emergency medicine trainees to build strong, exam-ready knowledge. In this episode, we take a focused look at methadone — covering its pharmacology, key prescribing considerations, and the management of methadone withdrawal syndromes. Whether you're preparing for your exams or refining your clinical practice, this episode will give you the critical insights you need. Let's dive in. Check out the cast notes and SAQ at https://artofemergency.com/

In this episode, we take a deep dive into an SAQ on Drowning / Submersion Injury. This is something with specific Australian context, implications and data. Check out the cast notes and SAQ at https://artofemergency.com/

Welcome to our first podcast of 2025 on Dysbarism focussing on Decompression Illness. We wanted to cover this important summer topic with a deep dive on Physics and pathophysiology which will make it a lot easier to understand and score high marks on potential SAQs. As usual the accompanying SAQ document has potential questions that could be asked on this topic. Go to https://artofemergency.com/ for the SAQ and cast notes.

This final episode of 2024, we go into Xmas and New Year with a bang and discuss an important clinical presentation with a unique pathophysiology. Treating the presenting features with the usual protocols may actually be counterproductive here. Prompt diagnosis and recognition leads to a positive outcome for the patient in the emergency department itself. Go to https://artofemergency.com/ for the SAQ and cast notes.

In this episode, we cover a common ailment but with a paediatric qualifier - iron deficiency anaemia in a child. We discuss what the red flags are for a child needing admission for anaemia (not what you would think) and differentials along with investigations. Go to https://artofemergency.com/ for the SAQ and cast notes.

A highly relevant cast on a potential exam SAQ very relevant to the ED Physician. How do you feel about such a patient? What are the distinguishing features from this compared to epileptic seizures? How do you assess and manage this condition? We delve into this and more in this cast that will elevate your exam prowess for the fellowship written and osce exam. Go to artofemergency.com for the accompanying worked up SAQ sample.

Today's cast is a short and sweet discussion on an exam question regarding Orbital compartment syndrome that was written by our podcast host. This is a recurrently examined topic in both written and osce exams in the ACEM fellowship exams. Please check out the relevant SAQ on artofemergency.com

Here we discuss the administration and logistical challenges faced by a Rural Emergency department in a question and answer table format for the same clinical scenario as Cast 24 - Haematological Malignancy. For the Cast Notes go to artofemergency.com

We discuss a question here on a patient presenting with a Haematological Malignancy delving into the differentials and their aetiologies (more possible questions and answers revealed in the SAQ document), clinical features, CXR and CT interpretation along with complications. Please follow the link to the SAQ on www.artofemergency.com.

In this episode, Kishan and I are back with a bang - a lot has happened over the last 12 months. We discuss an SAQ on a special situation / complex case of Postpartum Psychosis. This is designed to have 3 sub-questions totalling 12 marks. We begin with identifying features on history followed by specific examination and management options. This type of SAQ is one where if you have not come across the topic before, it will be difficult to score full marks. Check out the full SAQ on www.artofemergency.com