Not quite GTA – This applies to patients who have contacted NHS-111, and have been screened by a microbiologist. From an ED point-of-view, this is… Read more

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. However, ICU… Read more

What is retrobulbar haemorrhage? Rapidly progressing haemorrhage into the retrobulbar space which is rare but potentially sight threatening. Retrobulbar haemorrhage causes a rapid rise in… Read more

Pre-catheterisation Confirm appropriate indication Relief of acute or chronic urinary retention Need for accurate measurements of urinary output in critically ill patients Patient requires prolonged… Read more

MHRA (Medicines & Healthcare products Regulatory Agency)  has recently published a warning regarding the use of ondasetron in early pregnancy.leading to a small but significant risk… Read more

As you have heard on the news the WuHan Flu is spreading Public Health England – Advice Recognition Local – Advice Management Latest Trust Link Covid-19 Drive-By COVID-19… Read more

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

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