ACS Pathway 2022

July 27, 2022

When is the ACS pathway used?  The ACS pathway is for patients where coronary ischemia is in your differential. It is not a blanket pathway… Read more


July 10, 2022

Quality improvement (QI) is important in the Emergency Department. For our trainees it is an essential part of training, but we can and should all… Read more

Acute Flaccid Paralysis (AFP)/ Acute flaccid myelitis (AFM)

June 28, 2022

AFP/AFM is rare rare but serious neurological condition, which is associated with POLIO infection but has also been linked with other infections (and in the… Read more

VTE prophylaxis in lower limb Immobilisation (ED – 2022)

June 22, 2022

In the Emergency Department (ED) lower leg immobilisation after injury is a necessary treatment but is also a known risk factor for the development of… Read more

Paediatric Blast Injury

June 14, 2022

Save the Children, have published a used full guide on management on blast injuries in children. Taking you through pre-hospital, ED and inpatient care. Although… Read more


May 28, 2022

Wear Gloves & Wash Your Hands!!! There have been >100 patients identified as having Monkeypox in the UK during the current outbreak. Most of these… Read more

Intranasal Fentanyl

May 12, 2022

There is currently a national shortage of Intranasal Diamorphine therefore we are using Intranasal Fentanyl as a replacement. Dose is 1.5micrograms/Kg for the initial dose… Read more

Obstetric Emergencies at HRI

April 21, 2022

Pregnant patients with Severe Life threatening conditions e.g serious trauma, cardiac arrest, serious medical condition Manage as per ALS/ATLS/MOET guidance (Don’t forget uterine displacement manually).… Read more