First Aid (ALL)
- Encourage bleeding
- Wash with copious amounts of water or saline
- Don’t Suck
- Don’t use Caustic agents
Category: MSK
Rare Antidotes – how to get
Getting some of the rarer antidotes has recently been clarified across Yorkshire – LEEDS Guide Read more
#NoF – Unsuspected NoF
We have seen multiple incidence where clinicians of ALL grades have assessed patients with falls and examined hips and even mobilised patients
Evidence shows (and reflected in the incidents) this predominantly effects patients with:
- Communication difficulties: inc. Delirium, dementia, learning difficulties
- Live in Supported accommodation
- Normally require help mobilising
If a patient presents with ANY of these and a fall – X-ray Pelvis
Tick-Bourne Diseases
The prevalence of diseases transmitted by tick bite have increased in recent years, within the UK. And it is now recognised that there are 3 main infections
- Lyme Disease
- Tick-Bourne Encephalitis
- Babesia
#NoF – Beware Occult Hip Fractures
Studies suggest around 1% of hip fractures are missed on plain X-ray. So as usual you must combine clinical and radiological findings. Read more
Animal Bites – Mammalian
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.
Major Trauma: STOP>SORT>GO
YAS crews may on occasions (rarely) bring us a Major Trauma patient that meets the criteria for bypass to the MTC because they have a problem that the crew cannot manage, or they won’t survive to LGI e.g. an unmanageable airway/ incompressible haemorrhage. In these instances we will get a pre-alert either from the crew or more likely the Major Trauma Triage Co-ordinator in EOC with some information but primarily the reason the patient is coming to us.
Paediatric Ketamine Sedation
RCEM 2022 Safe sedation in the ED and RCEM Ketamine for paediatric procedural sedation guideline. Please read these documents in full or participate in RCEM learning for further information.
Adult Sedation
This guideline is a brief summary of the RCEM 2022 Safe sedation in the ED and RCEM – Pharmacological Agents for Procedural Sedation and Analgesia in the Emergency Department – March 2020. Please read these documents in full or participate in RCEM learning elearning for further information. Read more
Nail Trephination
Bleeding under the nail from blunt trauma can be very painful. Lucky we have the tools on hand to ease some of that pain.
