ACS – Low risk [CDU]

December 19, 2017

For single episodes of cardiac chest pain. Who have a Troponin <39F/58M Ensure Not multiple episodes Pain Free Troponin <39F/58M No ECG changes PDF:cdu_Part2 Read more

Admission Criteria

December 19, 2017

CDU is not a place to put patients that specialities are refusing(Escalate to seniors) Patients must be Over 16yrs old Have a NEWS <5 Fit… Read more


December 19, 2017

For those with anaphylaxis NOT allergy, who have required IM/IV medication However, those requiring a 2nd dose of Adrenalin should be admitted to a monitored… Read more

Are You CO Aware?

October 24, 2018

With the onset of colder weather, many households in the UK are turning on their heating for the first time in months. Heating appliances need… Read more

Cauda Equina

December 19, 2017

  Are you concerned that the patient has Cauda Equine, which is NOT secondary to Cancer, Sepsis or Spinal Trauma Patients should have at least… Read more

Drugs & Alcohol misuse in young people

March 6, 2018

Ending up in the ED as a result of alcohol and or substance use is NOT normal behaviour Children who use alcohol or other substances… Read more

DVLA – Driving & Medical Conditions

May 8, 2018

For many conditions the patient should be informed to stop driving and inform the DVLA of their condition. It is the patients responsibility to inform the… Read more

Head Injury

February 27, 2018

Background Defined as any traumatic injury to the head other than superficial facial injuries. The commonest cause of death and disability in people age 1-40… Read more

Head Injury – CDU

December 19, 2017

  For patients requiring head injury observations and doesn’t require inpatient admission. Some patients with skull fracture or small bleeds may need admission to CDU… Read more

Hip injury but NO #NoF

December 19, 2017

Has the patient injured their hip but no evident #NoF. As long as the patient is otherwise fit for discharge they could be admitted to… Read more

MRI Questionnaire

March 21, 2018

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… Read more

Post Neb

December 19, 2017

Patients requiring nebulisers should have a minimum of 2hrs observation prior to discharge. This is to ensure that there is no significant deterioration when the… Read more


December 19, 2017

For known epileptic patients, who require period of post fit observation prior to discharge.Ensure Normal for patient No focal neurological deficit GCS >13 Not secondary… Read more

RCEM CPD 2019 Day 1

April 2, 2019

 HEAD AND NECK Tracheostomy Emergency Care – Dr Brendan McGarth Needs to distinguish Tracheostomy from laryngectomy as a laryngectomy has no connection to the… Read more

RCEM CPD 2019 Day 2

April 3, 2019

NEUROLOGY #RCEMcpd  @RCEMevents Advances in Acute Stroke Intervention  Dr Ian Rennie Acute Stroke Thrombolysis only recannulates approximately 10% of large vessels. MR CLEAN trial reduced… Read more

RCEM CPD Conference Day 3

April 4, 2019


Renal Colic

December 19, 2017

  For those who’s history and examination is consistent with Renal Stones and require CTKUB, for diagnosis. CTKUB is available 08:00 – 21:00. Immediate CTKUB… Read more


January 15, 2019

We often worry about patients developing rhabdomyolysis and consequently developing AKI. However, there is much debate and little consistency in the published data, over how… Read more