Acute Behavioural Disturbance / Excited Delirium

December 24, 2017

Most of us will have seen patients like this – agitated, aggressive and often with police or security pinning them down. High risk of Cardiovascular… Read more

Button Battery Ingestion

July 9, 2018

A button battery lodged in the Oesophagus is a medical emergency as it can cause necrosis and significant GI bleed – Refer immediately If anybody… Read more

CAMHS – referral

December 24, 2017

Unlike RAID, our colleagues in CAMHS won’t take referrals form nursing staff. So there is no point arguing about it. A Dr or ACP will… Read more

Delirium in the ED

March 11, 2019

Delirium is one of a number of geriatric syndromes and has significant associated morbidity and mortality. 3 subtypes of delirium Hyperactive – easies to spot,… Read more

Mental Capacity Act (2005)

February 21, 2018

Applies to all over 16’s Principles Everyone is presumed to have capacity – until a lack of capacity has been established All practical efforts have… Read more

Patients at risk of harming themselves or others

March 18, 2019

Ligature cutters are keep at the Nurse-in-Charges station Remember to complete ReACT or CAMHS assessment tools on EPR Read more

Safeguarding Adult & Child

January 7, 2018

Safeguarding is massively important but often not done! This can be due to lack of recognition OR not knowing what help there is. Often our… Read more