Author: embeds
Protected: EZ-IO Checklist
Protected: CRH Resus Additional
#EUSEM2020 (virtual conference)
My first virtual conference – has been great to dip in and out of all the streams at my leisure. Just a shame they didn’t send some Danish liquorice.
So here is my Summary…..(Kids, Resus, Heads, Others)
Syncope – ESC 2018
- Defintion:Transient Loss of Consciousness (TLOC) due to cerebral hypoperfusion, characterised by a rapid onset, short duration, and spontaneous complete recovery.
- Common ED Complaint: 1.7% of all attendances
- Difficult Diagnosis: less than 50% get a diagnosis in ED
- Mortality & Serious Outcome: 0.8% mortality & 10.3% serious outcome @ 30 days
Ask 3 Questions!
- Is this Syncope?
- What is the underlying cause?
- What is the best Follow-Up for this patient?
Antibiotics Guides
Sepsis – Click Here
Suspected Covid-19 – Click Here
Site Specific – Click Here
Paediatric – Click Here
Can’t find it in our drug cupboard
try the Emergency Drug Cupboard
Self-Discharge
Still in the ED
- Explain why we would like them to stay and the management options as clearly as possible
- Assess mental capacity (over 16 years)
- Complete
- Remember under 18’s, legally don’t have the right to refuse treatment (however, the principles of the mental capacity act should be applied)
Left ED
- Assess the risk, do we need to:
- Police safe & well check
- Contact patient/next-of-kin
- Inform GP
- Inform Safeguarding team
- Did not wait/complete treatment– flow chart
- Inform Nurse-in-Charge
- Add to handover board if actions are required by the in-hours team
Searchs: abscond, absconded, did not wait, didnt wait, didn’t wait
COPD – exacerbations
COPD patients vary widely, due to their comorbidities, social circumstances, and wishes. So choosing the best treatment pathway for the patient can be complex. Involve senior decision makers.
Questions
- Is hospital the best place for them?
- Do they need NIV?
- Are they dying? – would you want to die surrounded by strangers or with your family?
