This applies to all children/young people under 16 years old and those 16-18 years who are considered vulnerable, engaging in sexual activity. Getting this right is immensely challenging, as it is impossible to cover all variables influencing decision making within this guidance, further more you need to carefully weight the often conlicting needs of the child. (Involve seniors early if you have any doubts) Read more
Author: huw masson
Paediatric Clavicle Fracture
Clavicle fracture is a common presentation, and some patients can be managed at home without fracture clinic follow up.
Inclusion Criteria
- Isolated mid-shaft clavicle fracture
- Parents/Carers comfortable to manage at home
Patients at risk of harming themselves or others
Remember to complete ReACT or CAMHS assessment tools on EPR Read more
Gentamicin – Prescribing on EPR
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.
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
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”
