We often worry about patients developing rhabdomyolysis and consequently developing AKI. However, there is much debate and little consistency in the published data, over how to diagnose and who needs admission to treat. So its important to consider both clinical context along with laboratory values
Preform intimate examinations on Sexual assault/Rape patients
Chest injury as part of major trauma, can range from painful to life threatening so prompt treatment and recognition is vital. Esp. in ‘Silver Trauma’ when ‘minor’ injuries may have devastating consequences – the full guidance can be found @WYMTN – HERE
The prevalence of diverticula Is unknown as most are asymptomatic. However, it is rare before the age of 40 and increases with age.
For people with diverticulosis, the lifetime risk of developing acute diverticulitis is about 4–25%
Vascular surgery has been reconfigured across etc region. The vascular oncall will be based at BRI 24/7.
Multiple pathways have been developed below to help guide appropriate use – full guide HERE
Some patients benefit from control of bleeding using embolization techniques, which is a procedure performed by an Interventional Radiologist.
Patients should be treated in their receiving hospital to the maximum of that hospital’s capability, where at all possible. When all local treatment options have been exhausted, the patient should be discussed with one of the Arterial Centres (BRI) with a view to transfer for ongoing management by IR techniques.
Access is very limited to this clinic. It is envisioned by WYVas that access to UVAC for ED patients will be arranged through direct (telephone) referral to either:
Bleeding in early pregnancy is a relatively common problem and in the many cases (esp. with spotting) the pregnancy remains viable. However, bleeding in early pregnancy should never be thought of as normal, and it is vital that we investigate this appropriately.
Anti-D immunoglobulin guide
Delirium is one of a number of geriatric syndromes and has significant associated morbidity and mortality.
Remember there is NO SUCH THING AS A “POOR HISTORIAN” !! – Just a poor clinician! If your patient is not cooperating and can’t tell you very much then you need to find out why!!! Read more
Emergency Medicine is a challenging environment, balancing patient needs, time constraints and systems pressures. When this intensifies as responsible clinicians we can ALL feel frustrated, and this can lead to Rudeness. Which, far from rectifying the issues has been show to only exacerbate the issues.
How to apply the FERNO traction splint for our in-hospital patients
