COVID-19 Drive-By

February 14, 2020

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 (Non Invasive Ventilation)

February 6, 2020

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

Retrobulbar haemorrhage

February 2, 2020

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

Urinary Catheterisation in ED

February 2, 2020

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: Ondansetron small increased risk of oral clefts following use in the first 12 weeks of pregnancy

January 29, 2020

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

Wuhan novel coronavirus (WN-CoV) & Avian Flu

January 24, 2020

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

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