2 Week Wait – from ED
September 24, 2023Non-Site-Specific Service The non-site-specific service is an excellent service for the investigation of suspected cancer within 2 weeks. Primarily NSS accept referrals for Cancer of… Read more
Consenting for Blood Transfusion
December 2, 2020We frequently consent for Blood Transfusion, but what risks do we tell the patients about and how common are those risks? Read more
COVID-19 Vaccine Induced Thrombosis/Thrombocytopenia (VITT)
April 9, 2021Inclusion Criteria [Both of]: Received AstraZeneca (AZ) COVID 19 vaccination within 42 days (typically 5-42 days from immunisation) New Onset thrombocytopenia (PLTs <150×109/L) – with… Read more
Dabigatran Reversal
September 16, 2019Bleeding 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
DVLA – Driving & Medical Conditions
November 28, 2020For 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
April 26, 2021Patients 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
Lower Limb DVT
June 9, 2021Signs and Symps No single feature is diagnostic: Single limb oedema – Most specific Leg pain – 50% but is nonspecific Calf pain on dorsiflexion… Read more
Massive Transfusion Pathway
April 27, 2021In 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, 2018This 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
Methaemoglobinaemia
February 19, 2021Q: Why are Smurf’s Blue? A: Methaemoglobin (MetHb) of course! – MetHb is produced by oxidisation of the Iron in Haemoglobin (Hb) from Fe2+ to Fe3+… Read more
Octaplex – work fast its an EMERGENCY!
April 3, 2021Activate EARLY in head injury patients on warfarin. Order on EPR & Paper [see below] Infuse over no more than 30 min Recheck INR at 30… Read more
Pre-Arrival Blood (O-ve)
March 13, 2019On 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
Primary Intracerebral Haemorrhage
December 1, 2020In anybody who there is suspicion of a non-traumatic haemorrhage arrange an urgent CT Head. All patients need IV access and U&E, FBC, Coag If… Read more
Sickle Cell Crisis
June 7, 2019Painful 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, 2018PDF: 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
Upper Limb DVT
April 19, 2023Upper Extremity DVT (UEDVT) is far less common than Lower Extremity DVT, and posses a diagnostic challenge. We can use the Constant score in combination… Read more
VTE prophylaxis in lower limb Immobilisation (ED – 2023)
June 22, 2022In the Emergency Department (ED) lower leg immobilisation after injury is a necessary treatment but is also a known risk factor for the development of… Read more
