NIV (Non Invasive Ventilation)

May 5, 2021

NIV should be considered for use in patients with a  persisting Acute Hypercapnic Respiratory Failures after a maximum of one hour of standard medical therapy. Complete the… Read more

Proximal Myopathy/Muscle Weakness

May 1, 2021

The Case An elderly patient attends the ED with difficulty mobilising, Nursing staff tell you that the patient needs a CT head for STROKE? –… Read more

Massive Transfusion Pathway

April 27, 2021

In the case of patient with Massive Haemorrhage weather that be from Trauma, Surgical, O&G, UGIB, you can activate the MTP Remember: Do the Basics… Read more

DKA in Kids

April 27, 2021

Diabetic Ketoacidosis – remember in paediatrics this may be the 1st presentation of diabetes. Fluid – are more considered that adults due to the risk… Read more

High INR

April 26, 2021

Patients sometimes present to ED or are send to ED due to over anticoagulation with warfarin 1. Is there Major/Significant bleeding? Yes Resuscitate (ABCD) Give… Read more

Mental Capacity Act (2005)

April 24, 2021

Applies to all over 16’s Principles Everyone is presumed to have capacity – until a lack of capacity has been established All practical efforts have… Read more

Return to Custody

April 24, 2021

If patients are being discharged to the care of the police, we need to: Complete the Police discharge paperwork Document it in the notes Read more

Cervical (Carotid OR Vertebral) Artery Dissection

April 24, 2021

Cervical artery dissection is a rare but significant cause of stroke and headache/neckache, which is easy to overlook. Leading to a typically delay in diagnosis… Read more