CBRNe – Chemical, Biological, Radiological and Nuclear incidents

January 16, 2020

NHS England, Public Health England and the Health Protection Agency have produced several very useful resources for us to use – BUT First. Remove –… Read more


January 13, 2020

Hyponatraema is a common finding, especially within our elderly population. However, its significance is is not a simple numbers game, and needs senior input. Prior… Read more

Care of the Next Infant (CONI)

January 7, 2020

What is CONI? Parents who have experienced a sudden and unexpected death of a baby or child often feel anxious when they have another baby.… Read more

Influenza POCT (Adult)

December 17, 2019

The 2019-20 Flu season has arrived, and we need to be thinking about who to test and who to treat. Full guide HERE But don’t forget… Read more

Lower Back Pain: Red & Yellow Flags

December 14, 2019

Each year 1:15 of the adult population will seek medical help for Lower Back Pain, that is 2.6 million patients in the UK. Most Lower… Read more

CT Abdo/Pelvis & Pregnancy Testing

December 11, 2019

Radiology are now requesting blood pregnancy testing reproductive females from 10-35days from last period. But what is wrong with urine pregnancy testing? Read more


December 11, 2019

Classification Normal: 1.1-0.7 Mild: 0.69-0.5 Moderate: 4.9-4.0 Severe: <0.4 Signs/Symps (normally <0.5) MSK: Muscle Twitch, Tremor, Tetany, Cramps CNS: Apathy, Depression, Hallucination, Agitation, Confusion, Seizure… Read more

Frailty Same Day Emergency Care Unit

December 5, 2019

The Fraility Same Day Emergency Care Unit (SDEC) is open at HRI. This unit is designed to enable frail patients to return to their own… Read more