Severity – Severe or Life threatening – think RESUS- Treatment within 30 min – bronchodilators and steroids should bee given within 30min
- 1hrs Observation after Neb – better after a neb don’t just send home they may deteriorate when it wears off.
- PEFR – must be >75% expected prior to discharge (at least 1hr after treatment finished)
- Discharge advice sheet – can print off from this guide, remember to check inhaler technique and consider a spacer
Author: embeds
Sex, Bites, and Needle Sticks
First Aid (ALL)
- Encourage bleeding
- Wash with copious amounts of water or saline
- Don’t Suck
- Don’t use Caustic agents
Link to ALL Trust protocols – HERE
Read moreMeningitis – Adults
- Keep your suspicions high – early signs it may not be clear
- Sepsis Kills – give antibiotics & fluid early
- Consider Acyclovir
- Give Dexamethasone with Antibiotics – it can reduce neurological sequelae
- Consider indications for CT before LP
- Get SENIOR support early
Antibiotics Guides
Non-Major Trauma Pelvic Fractures in Older Adults
The vast majority of non-major trauma pelvic fractures presenting to Calderdale & Huddersfield A&E will be fragility fractures in elderly patients — almost exclusively:
- Isolated pubic rami fractures (anterior ring, FFP-I)
- Pubic rami fractures with concurrent non-displaced sacral fracture (FFP-II)
These represent 84% of all elderly pelvic fractures nationally, and virtually all are non-operative injuries by definition. The remaining cases are a small minority and are addressed in the referral criteria below.
Read moreMEWS Chart
MEWS is the early warning score used during Pregnancy and 6 weeks postpartum.
HCID’s (High Consequence Infection Diseases)
High Consequence Infectious Diseases (HCIDs) include a group of rare but severe infections that require
ACTIONS – CARD HERE
- Immediate isolation
- Enhanced PPE
- Early specialist involvement.
Sickle Cell
Painful Crisis
Severe pain is the most common reason that patients with sickle cell, will attend the ED. The pain can be agonising (and often underestimated by us), we need to act fast to help ease the symptoms
Read moreToddlers Fracture
Toddlers Fractures
- Typically occur between 9months and 4yrs of age.
- After a low energy twisting injury, such as;
- Slipping and twisting while walking/running/jumping
- Leg caught when sliding off parent/chair/toy
- Clinical Features:
- Wont put foot down
- Not walking
- Often little tenderness
- Gentle twist of ankle and knee will be painful
- Xray features:
- Spiral fracture tibia (often seen best on lateral view
Major Haemorrhage Protocol
In the case of patient with Massive Haemorrhage weather that be from Trauma, Surgical, O&G, UGIB, you can activate the MHP
Remember:
- Do the Basics – don’t forget ABCD
- Inform Transfusion and get someone to run a G&S sample down
- FFP can take up to 45min and platelets come from Leeds
- If you no longer need the MTP – inform transfusion and return products ASAP
