CDU @ HRI has closed!

CDU at HRI has now become SDEC(frailty) hence our pathways at HRI have changed. The table below indicates where our current CDU patients will go and which team will be looking after them

PathwayDestination Specialty
Head Injury (post-CT)AMUEM
Cauda EquinaSAU/AmbulatoryOrthopedics
Chest PainAAU/SDECMedicine/EM
Hip Pain SDEC/AMUFrailty/Medicine
Major TraumaSAUSurgery
Renal ColicSAUSurgery
Smoke InhalationAMUMedicine

Admission Criteria for CDU

December 19, 2017

CDU is not a place to put patients that specialities are refusing (Escalate to seniors) Patients must be: Over 16yrs old NEWS 4 OR Less… 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

CDU – ACS (low risk)

December 19, 2017

For single episodes of cardiac chest pain. Who have a Troponin <39F/58M Specific admission criteria Single episode of “Cardiac” chest pain >15min No Current Chest… Read more

CDU – Anaphylaxis

December 19, 2017

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

CDU – Cauda Equina

December 19, 2017

Are you concerned that the patient has Cauda Equine, which is NOT secondary to Cancer, Sepsis or Spinal Trauma Specific admission criteria Signs of Cauda… Read more

CDU – Frailty Input

December 19, 2017

For those patent who are “medically” fit for discharge, however, they need input from social care or OT/Physio/Frailty Specific admission criteria Medically discharged Require NO… Read more

CDU – Head Injury

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 for… Read more

CDU – 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

CDU – Post-Ictal

December 19, 2017

For known epileptic patients, who require period of post fit observation prior to discharge. Specific admission criteria Epileptic (with “normal” seizure) GCS over 13 NOT… Read more

CDU – 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… Read more

CDU – Renal Colic

December 19, 2017

For those who’s history and examination is consistent with Renal Stones and require CTKUB, for diagnosis. Specific admission criteria History consistent with renal stone AAA… Read more

CDU – Self Harm

December 19, 2017

Specific admission criteria Awaiting RAID/CAMHS(≥16) assessment OR Single Overdose requiring 4-24 hours observation NO antidote required NO Cardiac monitoring required NO significant signs/symptoms Read more

CDU – Smoke Inhalation

December 19, 2017

  For those who need a period of observation post smoke inhalation, but do not require admission. Specific admission criteria Smoke inhalation(within 12 hours) CO… Read more

CDU – Transfer

December 19, 2017

For patients awaiting cross site transfer Specific admission criteria Transfer agreed Fit for transfer Manageable behavior Emergency treatment complete Read more

CDU – Trauma (Significant mechanism but NO injury)

December 19, 2017

This pathway is for those patients who despite having a significant mechanism of injury, has survived relatively unscathed. Although they don’t require admission they could… 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

Frailty Same Day Emergency Care Unit

December 5, 2019

The Fraility Same Day Emergency Care Unit (SDEC) is open at HRI. This unit is designed to enable frail patients to return to their own… 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

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

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



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

Scombroid Poisoning- NOT another fishy allergy

April 19, 2018

Scombroid poisoning (AKA – Histamine fish poisoning) is apparently more common than we think and accounts for 40% of seafood related illness in the USA… Read more

Suspected Cauda Equina Syndrome

November 27, 2019

CDU at HRI has closed therefore the pathway for the management of patients requiring MRI for suspected CES has changed. In hours ED will arrange… Read more