Primaries Pearls

Short, high-yield clinical teaching points written for Year-1 senior residents sitting the EM Primaries exam. Anchored to Mahadevan & Garmel (the bundled Clinical Companion textbook), focused on recognition + initial management — a different content stream from the Snell · Ganong · Katzung · Harrison FRCEM Basic Sciences anchors that drive the MCQ bank.

📖 Now reading

First Primaries pearls — live now

5 pearls live, more in the launch queue below. Subscribe to a Primaries plan to read full content (titles + tags stay open as a discovery surface).

Resuscitation · Sepsis · Hour-1 bundle · 4 min read

Sepsis bundle in the first hour — the Hour-1 bundle that saves lives

resuscitation sepsis hour-1-bundle antibiotics high-yield

Cardiology · STEMI · ECG · 4 min read

Recognising STEMI from a single ECG glance — the 4 classic cues

cardiology stemi ecg acs high-yield

Allergy · Anaphylaxis · Resus · 3 min read

Anaphylaxis — IM adrenaline first, before everything else

allergy anaphylaxis adrenaline resus high-yield

Neurology · Status epilepticus · 4 min read

Status epilepticus first-line — lorazepam vs diazepam vs PR diazepam

neurology seizures status-epilepticus benzodiazepines high-yield

Tropical · Severe malaria (paediatric) · 3 min read

Severe malaria in the Ghanaian child — IV artesunate, not quinine

tropical malaria paediatric ghana artesunate

What's coming next

Each pearl will be a 3-minute read built around one classical recognition pattern. Examples in the launch queue:

Anterior shoulder dislocation — recognition + the reduction method that works at district level
Posterior circulation stroke (vertigo + ataxia + diplopia) — the deadly miss

Different from Membership Pearls (advanced patterns + landmark trials) — Primaries Pearls test recognition fundamentals, the way the entry exam does.

In the meantime — practise the 1,727 Primaries questions

The full Primaries Tutor mode is live: ~800 Basic Sciences MCQs (Snell · Ganong · Katzung · Harrison FRCEM-anchored — Phases A + B) bundled with the 912 Mahadevan Clinical Companion across all 51 chapters.

Enter Primaries Tutor →