A new, updated edition of the FRCEM Intermediate SAQ. This 2020 Edition of the revision material has been updated to include new and revised guidelines, correct misprints and Referencing all chapters as per readers recommendations. It Supersedes the 2019 edition.The Royal College Emergency exams are no mean feat. Anyone who has gone through the process knows the extensive amount of knowledge one needs to amass for these examinations. The new edition of the SAQ intermediate comes at a crucial time in one's preparation for these exams.This is a constant & fast evolving branch of medicine. As Emergency Medicine Doctors in practice we are required to be quick and efficient decision makers, taking carefully calculated risks but this can be done only on a strong knowledge base. It is exactly this that the College evaluates on, if as Emergency doctors we can make the right decision when the time comes.The new edition of this book endeavours to do just that, prepare you on this journey towards the examination by giving concise and specific points on all topics covered by the syllabus of the Royal college. As new guidelines keep getting published, as changes in treatment and drug therapy keep evolving, it has been my constant endeavour to keep up with these changes.There are new topics added to this edition: Short and concise Chapters Major changes to resuscitation guidelines. Complete rewriting of Palpitation section. Changes to drug overdose sections in toxicology Acute coronary syndrome management Significant updating of following newly tested topics: Headache Section Dental Emergency Traumatic ocular Injuries Traveller's Fever and Diarrhoea Penile Conditions BRUE, The New ALTE Sepsis, what is Really New? Wound Management Ultrasound in the ED Relevant guidelines from NICE & from the college have been added on all repeatedly tested topics. To make learning easier, images have been added with details. The format of each topic is covered in bullet points to make learning and retention easy. The organization of this book is divided according to the curriculum on the RCEM website and follows the pattern of acute and major presentations, Trauma Emergencies, Paediatrics, Anaesthesia, Procedures and Common competencies. This book was one I first made from my extensive collection of notes which I personally made to study for the MRCEM and FRCEM. And now after successful completion of these exams not just for me but for countless others, I hope this book helps you successfully bridge the gap to success in these daunting but not impossible exams.