Paediatric Hypoglycaemia (BM <2.6) is a relatively common presentation in the Emergency Department. However, if we don’t do the BM it’s easy to miss.
Hypoglycaemia is generally caused by disruption in one of the following:
We are part of the West Yorkshire Major Trauma Network with our MTC at LGI
We know that from time-time patient are brought to us and we find injuries that are more appropriate to manage at the MTC. This is inevitable as the on scene triage tool is never going to identify every major trauma patient – this is a failing of the tool not the crew. The decision tree below can help you arrange transfers in the most timely and appropriate manner. Read more
NIPPV 3 machines are used throughout the trust to deliver NIV and CPAP – and should be commenced in ED if transfer to ward/ICU is adding significant delay
This video demonstrates how to set up CPAP on the NIPPV 3
Dog, and other mammalian bites, are a common presentation with the ED.
They can be easy to treat, but need some particular attention if we are going to get them right.
AKI is a common issue for patients presenting to the ED and not only has a significant mortality associated with it but also a massive cost to the NHS. Early recognition and treatment can improve outcomes. Read more
Mallet Deformity is an inability to maintain extension of the distal phalanx of the finger at the distal intraphalangeal joint.
British Society of Thoracic Imaging (BSTI) have released a free learning resource containing CXR and CT of confirmed Covid-19 cases, will short history including time image was taken from onset of symptoms.
From the China experience CXR/CT doesn’t seem to be a rule out strategy in ED at the moment – However, its a useful resource to help recognition of Covid-19 CXR’s
We are frequently asked to check the lactate on Venous Blood Gases (VBG’s), by the nursing staff. However, remember to look at the first result (pH) it is the most important.
Acidosis: Unless you have a good reason (e.g. you know its due to DKA) you should be investigating and performing an Arterial Blood Gas (ABG)
