Author: huw masson
Notifiable Diseases
Registered Medical Practitioners in England and Wales have a statutory duty to notify Public Health about the following diseases. To facilitate rapid treatment and control of outbreaks. (Links to Wikipedia for illustrative purposes) Read more
Metastatic Spinal Cord Compression (MSCC)
You need to be a bit more suspicious and have a lower threshold for investigation than in patients without Known, Suspected OR Previous Malignancy Read more
Transfusion Care Pathway
When giving blood products you need to use the transfusion care pathway.
- Octaplex
- Blood/Plt’s/FFP
It can be found on intranet > Policies & Documents Library >Other Systems [green button] > Clinical records repository > Search [title And transfusion] – its only 9 clicks away (and some writing)
Alprostadil
To maintain or restore patency of the ductus arteriosus
Only to be used in infants who are ventilated or where ventilation is immediately available
DO NOT DELAY IN STARTING Alprostadil if: there is clinical
suspicion of duct dependent CHD while waiting for paediatric cardiology opinion OR echocardiogram, even when in-house echo facilities are present.
PDF: Alprostidil
Journal Club – July 2018
The impact of ED crowding on early interventions and mortality in
patients with severe sepsis
10th July 2018 12:00
(cross-site in the seminar rooms) Read more
Ordering X-Rays from Triage
Be specific
- Subtle fractures are hard to pick up – especially if the wrong X-Ray is requested. Ordering the right X-Ray helps patients.
- Finger injury – request X-Ray Finger(specific), NOT a hand (they are different views and often of little use)
- Wrist injury – request X-Ray Wrist NOT Radius & Ulna
- You can request they include the distal half of radius and ulna if the pain covers that area but still request a wrist
Paediatric Clavicle Fracture
Clavicle fracture is a common presentation and some patients can be managed at home without fracture clinic follow up.
Inclusion Criteria
- Isolated mid-shaft clavicle fracture
- Parents/Carers comfortable to manage at home
MRI Questionnaire
When we need to book an MRI e.g. for Cauda Equina, we need to print the MRI Questionnaire and complete it!
Although, most of this is built in to the EPR request that is not good enough, so avoid delays and do the form
SUDIC – Sudden Unexpected Death In Child
Occasionally children (<18 yrs) unfortunately will either die in ED or be brought in dead, this is obviously a terrible time for the child’s family and for staff. Despite this there are several important things we must do. Read more
