The following conditions can be referred through the ENT CAS clinic.
- If same day referral required talk directly with ENT on-call
- If suitable for CAS but no availability email ENTSecs@cht.nhs.uk
Category: speciality
Ophthalmology Referral Pathway
The following pathway will continue post-pandemic
InHours: Direct dial from HRI 152539, From CRH 2539.
Out of Hours: On Call Ophthalmology
We should no-longer be completing Email referrals to ophthalmology – if ophthalmology are insisting please contact Ruth Lush via switch who will fed back to staff.
ED to Opthalmology COVID-19 Referral Pathway v2Massive Transfusion Pathway
In the case of patient with Massive Haemorrhage weather that be from Trauma, Surgical, O&G, UGIB, you can activate the MTP
Remember:
- Do the Basics – don’t forget ABCD
- Inform Transfusion and get someone to run a G&S sample down
- FFP can take up to 45min and platelets come from Leeds
- If you no longer need the MTP – inform transfusion and return products ASAP
Giant Cell Arteritis – GCA
GCA is a is a vasculitis generally seen in the over 50’s and associated with polymyalgia rheumatic (PMR). However, unlike a lot of rheumatology, GCA is far from a benign condition that can be passed back to the GP’s, it can lead to some significant problems
- Sudden irreversible visual loss
- Development of thoracic aortic aneurysm
Dabigatran Reversal
Bleeding on Dabigatran?
- <C>ABCD – as usual trying to stop bleed
- Bloods: FBC, Clotting, U&E, G&S
- Discuss with Haematologist (esp. if taken within 12-24hr)
- Idarucizumab (PRAXBIND) 5g IV
- Found in Emergency Drug cupboard
- We experienced delay finding as spelt wrong in the catalogue!
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
Eye Clinic Referral Criteria
What should you send to Eye Clinic and how soon?
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)
