- Activate EARLY in head injury patients on warfarin.
- Order on EPR & Paper [see below]
- Infuse over no more than 30 min
- Recheck INR at 30 min after finished infusion
Indications
- EMERGENCY reversal of Warfain
- Factor II or X deficiency
Gallstones are common, with a prevalence of approximately 10–15% of adults in Europe and the U.S. Most of the time patients are asymptomatic. but there are several ways gallstone disease can present.
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%
Necrotising fasciitis (NF) is a rare but serious bacterial infection that affects the soft tissue and fascia (Fournier gangrene, is NF affecting the perineum). In many cases NF progresses rapidly and early recognition and treatment is vital to halt progress. The mainstay of treatment is IV antibiotics and aggressive surgical debridement. Any delay increased the amount of tissue loss as well as the mortality. Read more
The Surgical and ED teams have worked closely to provide an agreed process, to aid patient flow through the ED and help to maintain our acute beds for those patient who need them.
Between 07:00-18:00 SDEC should be utilised as much as possible for those patient who may not require admission. If you have any doubts contact the SDEC sister
‘Small volume’ rectal bleed includes bleeding predominantly on the toilet paper, <200mls, maximum of two bleeds prior to ED attendance, haemodynamically stable, no evidence of collapse/dizziness. If in doubt, speak to the NIC
Absence of melaena – a PR examination by ED clinical is required
All other surgical referrals should be referred as normal to the surgical team. For patients who require an in-patient bed:
If patients require urgent surgical assessment and/or treatment at CRH and no bed is available at HRI, the patient must be transferred immediately to HRI ED for surgical assessment
Chronic pancreatitis is a low grade inflammatory disease of the pancreas. It can occur after an attack of acute pancreatitis or can present on its own. Some patients are best under the Surgical team and some under Gastro/Medical teams Read more
Not normally difficult to spot, but look for it in unexplained anaemia, or collapse.
Questions
Anyone being admitted should be brought to HRI
Emergency Endoscopy is arranged by Med Reg
Radiology are now requesting blood pregnancy testing reproductive females from 10-35days from last period. But what is wrong with urine pregnancy testing?
Read more