MedSysEvidence-graded reference

MedSys / Emergencies & first aid / All chapters

Every chapter

Twenty-six chapters, all covering adults and children together. Search finds section headings as well as titles — so “tourniquet”, “honey” or “pupils” will get you to the right page.

Reference and measurement

The charts and the technique. Printable, and worth reading before you need them.

ChapterWhat it coversRead
01 Vital signs — all ages Ranges from birth to adult, the three-band assessment for an unwell child under 5, and why an adult chart cannot work the way a paediatric one does. Printable. 9 min
02 Blood pressure, measured properly Technique for adults and children, cuff sizing, what a difference between arms can mean, and the two observations no device does for you. 4 min
03 Single-lead ECG and low-cost monitors What a consumer ECG device is genuinely good at, the inconclusive rate nobody quotes, how to get a trace worth reading — and why a reassuring trace during chest pain is dangerous. 7 min
04 School medical room Situation-to-equipment tables for a school setting, and a single-lead ECG primer. Written to be printed and pinned up. 4 min
06 Pulse oximetry Why 94% and 90% are not four points apart, the two conditions where a perfect reading accompanies someone in serious trouble, and the four ways the device lies to you. 8 min

When something is happening

One chapter per emergency, each covering adults and children together.

ChapterWhat it coversRead
05 Cardiac arrest and resuscitation Why CPR and a shock do different jobs, why "the AED did not shock" is not reassurance, and the four ways a pulse oximeter lies to you. 13 min
07 Choking Why the sequence differs between infant, child and adult, why thrusts need follow-up even when they work, and where the shop-bought suction devices actually belong. 7 min
08 Drowning A hypoxic arrest, so the priority inverts: five rescue breaths before compressions, and no attempt to drain water. 2 min
09 Catastrophic bleeding Direct pressure, wound packing, and why a tourniquet is an escalation rather than a last resort. 3 min
10 The collapsed or altered person Seizures, stroke, diabetic emergencies and opioid overdose — organised by what you see rather than by what it turns out to be. 5 min
11 Fainting Three questions separate the harmless from the dangerous. What to check, how long to keep someone lying down, faint against seizure, and what to do about the head they banged. 15 min
12 Stroke The treatments and the clock, why the late window is unsettled, what to ask when you are asked to decide, finding the cause, and preventing the next one. 13 min
13 Urinary tract infection (UTI) Recognition by group, first-choice antibiotics and their exclusions, what survives a penicillin allergy, and why a dipstick should not diagnose it in over-65s. 8 min
14 Sepsis and meningitis Both are taught around a rash, and the rash is the least reliable part of either. 9 min
15 Poisoning and ingestion Why paracetamol is silent early, why a swallowed button battery is a two-hour emergency, and the four rules that cover most of the rest. 8 min
16 Heat illness Hot and lucid is exhaustion; hot and confused is heat stroke. Cool first and transport second — and why an ear thermometer can read normal at 41 °C. 7 min
17 Cold, hypothermia and frostbite Handle gently because a cold heart is unstable, warm the trunk and not the limbs, and why someone can deteriorate after rescue rather than before it. 6 min
18 Electrical injury and lightning Nothing happens until the power is off, the visible burn is never the injury, and why lightning reverses the usual triage order. 5 min
19 Crush injury The danger is the release rather than the crushing. The fifteen-minute rule, what you can always do, and why the team appears not to be rushing. 5 min
20 Cuts, grazes and cleaning them Why tap water is a sound irrigant, why air drying beats a used tissue, and the improvised choices that matter when you have nothing. 6 min
21 Bites and stings Tick removal and what erythema migrans actually looks like, why the UK does not give antibiotics after a tick bite, human bites and knuckle wounds, and the four things not to do for an adder bite. 6 min
22 Head injury Which knocks need hospital, the anticoagulant exception, how long to watch, the subtle signs of a slow bleed weeks later, and what pupils can and cannot tell you. 8 min
23 Burns and scalds Twenty minutes of cool running water matters more than anything done later — and the persistent myths about what to put on it. 2 min
24 Eye and dental injuries Irrigate a chemical splash before finding sterile fluid, never reimplant a baby tooth, and why a knocked-out adult tooth goes in milk. 4 min
25 Obstetric emergencies Bleeding, pre-eclampsia, cord prolapse, birth before arrival, CPR in pregnancy — and preterm labour, where a delay of 24 to 48 hours changes the outcome. 9 min
26 Anaphylaxis Adrenaline doses by age and weight, why antihistamines are not treatment, why an airway tube will not help, and the positioning error that kills people. 7 min

Nothing here is training. Reading about compressions does not make anyone able to do them under pressure; a half-day course does, and the difference between the two is most of the outcome. And none of it replaces calling 999.