Do NOT use this regime for:
- Pregnant women
- Children under 16 years
- Urology surgery prophylaxis patients
- ANY patient who has ascites, limb amputation, cystic fibrosis, endocarditis, major burns, Cisplatin Chemotherapy, renal transplant.
Author: huw masson
EMBRACE & Paediatric Critical Care
In our trust we don’t have paediatric critical care beds. However, in our region we use EMBRACE (a paediatric critical care transport team), who can transfer critically ill children to specialist centers (in or out of region).
EMBRACE
- 0114 268 8180
- Guidance
Y&H Paed Critical Care
Drugs:
- Trust guide
- Remember: Midazolam 10mg/2ml is used(not the 5mg/5ml we have in ED)
- Found in theatres control drug cupboard (see trust guide)
Notifiable Diseases
Registered Medical Practitioners in England and Wales have a statutory duty to notify Public Health about the following diseases. To facilitate rapid treatment and control of outbreaks. (Links to Wikipedia for illustrative purposes) Read more
Transfusion Care Pathway
When giving blood products you need to use the transfusion care pathway.
- Octaplex
- Blood/Plt’s/FFP
It can be found on intranet > Policies & Documents Library >Other Systems [green button] > Clinical records repository > Search [title And transfusion] – its only 9 clicks away (and some writing)
Journal Club – July 2018
The impact of ED crowding on early interventions and mortality in
patients with severe sepsis
10th July 2018 12:00
(cross-site in the seminar rooms) Read more
Ordering X-Rays from Triage
Be specific
- Subtle fractures are hard to pick up – especially if the wrong X-Ray is requested. Ordering the right X-Ray helps patients.
- Finger injury – request X-Ray Finger(specific), NOT a hand (they are different views and often of little use)
- Wrist injury – request X-Ray Wrist NOT Radius & Ulna
- You can request they include the distal half of radius and ulna if the pain covers that area but still request a wrist
MRI Questionnaire
When we need to book an MRI e.g. for Cauda Equina, we need to print the MRI Questionnaire and complete it!
Although, most of this is built in to the EPR request that is not good enough, so avoid delays and do the form
SUDIC – Sudden Unexpected Death In Child
Occasionally children (<18 yrs) unfortunately will either die in ED or be brought in dead, this is obviously a terrible time for the child’s family and for staff. Despite this there are several important things we must do. Read more
Devastating Brain Injury?
Scenario (Not uncommon)
A patient either post arrest or head injury has a CT demonstrating significant brain injury and Leeds says “No”
