NEONATAL CRASH CALL – IF NEEDED
CALL NEONATAL CONSULTANT (MAY ONLY GIVE ADVICE AS AT CRH)
CONSIDER CALLING THE ED CONSULTANT
***Remember Grab Box***
Author: embeds
Protected: HRI – Neonatal Grab Box
Protected: CRH Cubicles (Paeds) Checklist
Paediatric Infections – School Exclusion/Isolation
Prevent the spread of infections by ensuring: routine immunisation, high standards of personal hygiene and practice, particularly hand-washing, and maintaining a clean environment. However, Public Health England recommend exclusion in some conditions.
Upper Limb DVT
Upper Extremity DVT (UEDVT) is far less common than Lower Extremity DVT, and posses a diagnostic challenge. We can use the Constant score in combination with D-Dimer.
Atrial Fibrillation/Flutter (AF)
Before you start
- Whats the cause? – treating the precipitant often sorts the AF (adding B-Blockers to Sepsis can make things worse)
- Stable or Unstable? – Electricity vs. Drugs
- CHADS-VASC vs. ORBIT– Anticoagulation (previously HAS-BLED)
- Rhythm vs. Rate control??
- NEW Symptomatic Arrhythmia Clinic – referral form attached tho the PDF
OPAT – Cellulitis 2023
Our OPAT service can provide IV antibiotics for cellulitis for those patients that can be managed as out patients but either require IV antibiotics or have failed oral therapy.
Protected: CRH: Triage Checks
Sore Throat and Group A Strep 2022
Due to the increased prevalence of Group A Strep (GAS) during winter 2022-23 national guidance on how we treat sore throats was updated (National advice to lower the threshold for antibiotics was rescinded 15ht Feb 2023)
SAH – NICE 2022
Headache is a common presentation to ED and Subarachnoid Haemorrhage (SAH) is the diagnosis we never want to miss. However, working out who needs a scan can be difficult as 50% of patients presenting with a subarachnoid have no neurological deficit.
- ‘Thunder Clap’ headache peak of pain within 5min is a RED-FLAG
- Although, most patients with ‘Thunder Clap’ don’t have SAH, this should not deter emergent investigation
- Patients may present more subtlety the following should make you consider the diagnosis:
- neck pain or stiffness (limited or painful neck flexion on examination)
- photophobia
- nausea and vomiting
- new symptoms or signs of altered brain function (such as reduced consciousness, seizure or focal neurological deficit)
- Always be suspicious if the patient has communication difficulties.
