HST: Life-threatening rashes (HAP 28) and Rashes in kids (PAP 18)

As a result of the extraordinary rota changes required to provide resilience during the COVID pandemic, unfortunately teaching has been cancelled this month. I didn't want you to miss out though! So here is a collated list of resources which will cover these curriculum elements for your delectation and delight.
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For a general overview to start, I suggest completing this RCEM Learning module: Dermatological examination

Erythroderma

Have a read of this Annals of Emergency Medicine review article on Erythroderma. There is also an e-lfh module, which is written by dermatologists, but still a really useful overview of the initial assessment and management, and took me about 20 minutes: go to NHS e-lfh and search for 'Erythroderma'.

Skin appearance in meningococcal disease 

I'm not going to teach you to suck eggs here...
There are multiple resources available for meningococcal sepsis, but here are a couple you could complete for CPD/link to your portfolio.

The Meningitis Research foundation has put together this e-learning module 'Clinician's Guide to Recognition and Early Management of Meningococcal Disease in Children'
Or this module from RCEM: Meningococal Disease and Meningococcal Meningitis.
Neither focus on the dermatological presentation per-se, but obviously touch on clinical features.

Drug reactions involving the skin

There is an excellent BMJ Best Practice article covering this topic, if you don't have a personal log in you can access via OpenAthens.

Angioedema

Back to RCEM Learning for this topic.

Transfusion reactions

And BMJ Best Practice for this one.

Rashes in kids

This is an excellent RCEM learning resource on Rashes in children with lots of case examples and pictures - highly recommended. There is also a module on Common Childhood Exanthems, which provides extra detail (and more pictures!)

Eczema

This is the RCPCH Allergy Care Pathway for Children with Eczema. It is quite lengthy and I suggest is used as a reference rather than working your way through the whole thing, in particular there is a useful flow chart overview of patient pathways at the beginning.
The NICE guideline can be accessed here. Should be noted that it was written in 2007 and is currently being reviewed.
There is an e-lfh module but, be warned, it is dermatology heavy!
This is a public facing website from the US, but I still found it helpful for a basic overview. If you find any better ED-suitable resources, please share in the comments.

Seborrheic dermatitis

There is a NICE Clinical Knowledge summary available here.
Again, I found this US public facing website provided a good basic overview of this condition.
This is a UK based dermatology website for primary care, and therefore handy for EM  dealing with primary care type presentations.

Bites & infestations

I got itchy just reading about this topic!
There are a few RCEM learning resources covering this element: Lemons & Lymes, Itches in my Britches, and The Forest.

C Bosanko
​April 2020