Domestic abuse can affect anyone and often its not readily disclosed on an ED admission. We must be alert to the fact some of our patients may be attending with domestic abuse. Please explore concerns and escalate if you’re unsure. Our colleagues in the Pennine Domestic Violence Group have kindly drawn this a guidance up for us.
Author: embeds
Rare Antidotes – how to get
Getting some of the rarer antidotes has recently been clarified across Yorkshire (Accessing rarely used antidotes-SOP)
Be #urosceptical
Ditch the Dipstick – for patients >65Yrs or Catheterised!
Approx. 50% of over 65’s and most of those with catheters have asymptomatic bacteriuria. The patient will not benefit from treatment and often gives us premature closure (i.e. we blame a fictitious UTI for the patients symptoms and stop thinking). Read more
Epistaxis – ACP/MG Teaching
Slide set – HERE
Main topics
- Anatomy
- Cautery
- Packing – Don’t force it call for ENT help (septal deviation or spurs)
- Remember – Elderly patients can have devastating posterior bleeds call ENT early
Kindly presented by Mr Habib
Paediatric Sepsis Podcast (RCPCH)
RCPCH have released a GREAT series of podcasts on paediatric sepsis. It is from a paediatric slant, but is applicable to the ED and well worth a listen [For Docs and Nurses]
NEWS 2 & Clinical Response
AAGBI – Intubation Check List
Simple pre-intubation checklist for the whole team to be aware of so we can make intubation in ED as safe as possible.
PDF: Full Version (included tracheostomy displacement algorithm)
Pre-Arrival Blood (O-ve)
On rare occasions you may receive a pre-alert, where you want blood available for the patient when they arrive (for example in major haemorrhage). This process has been agreed with transfusion so this can be done safely and responsibly. Read more
Headache – ACP/MG teaching
Slides available – here
Main topics of discussion were:
- Primary vs Secondary headache
- Red Flags
- Temporal Artritis
- Venous Sinus Thrombosis – its variable presentation, and need to highlight in the CT request.
