Dabigatran Reversal

September 16, 2019

Bleeding on Dabigatran? <C>ABCD – as usual trying to stop bleedBloods: FBC, Clotting, U&E, G&SDiscuss with Haematologist (esp. if taken within 12-24hr)Idarucizumab (PRAXBIND) 5g IVFound… Read more

Deep Vein Thrombosis (DVT)

December 22, 2017

It is worth remembering that HRI and CRH have different processes for the management of DVT see Management section. Signs and Symps No single feature… 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

High INR

March 17, 2018

Patients sometimes present to ED or are send to ED due to over anticoagulation with warfarin 1. Is there Major/Significant bleeding? Yes Resuscitate (ABCD) Give… Read more

Massive Transfusion Pathway

February 6, 2018

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… Read more

Metastatic Spinal Cord Compression (MSCC)

October 3, 2018

This is guide to the investigation of¬†Metastatic Spinal Cord Compression (MSCC) in Oncology/Haematology patients. You need to be a bit more suspicious and have a… Read more

Octaplex – work fast its an EMERGENCY!

December 16, 2017

In recent incidents we have had significant delays in giving OCTAPLEX, So ….. Activate EARLY in head injury patients on warfarin. Order on EPR &… Read more

Pre-Arrival Blood (O-ve)

March 13, 2019

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… Read more

Sepsis

March 13, 2018

Background Sepsis is a life-threatening condition that arises when the body’s response to an infection injures its own tissues and organs. Sepsis can lead to… Read more

Sickle Cell Crisis

June 7, 2019

Painful Crisis Severe pain is the most common reason that patients with sickle cell, will attend the ED. The pain can be agonising (and often… Read more

Transfusion Care Pathway

July 13, 2018

PDF: 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 >… Read more

VTE prophylaxis in Lower Limb Injury

December 16, 2017

Consider in ALL over 16’s with lower limb immobilisation. Bloods not required for everyone. Prescribe for 2 weeks (to cover any delay to # clinic)… Read more