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A-a gradient = Alveolar Oxygen – arterial Oxygen This is “relatively” simple way of working out if the paO2 on a ABG is normal, and demonstrates… Read more

We are frequently asked to check the lactate on Venous Blood Gases (VBG’s), by the nursing staff. However, remember to look at the first result… Read more

Due to the limited capacity when referring patients to the “New Arrhythmia Clinic” we MUST Send a BNP We don’t need to wait for the result… Read more

Asthma is common and potentially fatal. Severity – Severe or Life threatening – think RESUS Treatment within 30 min – bronchodilators and steroids should bee… Read more

We have recently introduced the use of VBG in COPD. Why Change? Pain – we all know and warn our patients ABG’s are painful. Patients… Read more

NIV/CPAP  is an Aerosol Generating Proceedure (AGP) Staff must wear full APG PPE In Side room with a door Door Marked with APG sign –HERE… Read more

The rules have changed since 25th march 2020 on death certification, below is a brief summary of how this might affect us. We are aiming… Read more

2 video links to PHE how to Don and Doff your PPE Read more

To improve management and maintain protection for staff and patients we have created a RespED at both sites, much of the flow chart is based… Read more

As we know COVID-19 is putting an incredible burden on resources, especially for higher level respiratory support. It is important to target those resourses in… Read more

The 2019-20 Flu season has arrived, and we need to be thinking about who to test and who to treat. Full guide HERE But don’t forget… Read more

Please see the updated SOP for Middle East respiratory syndrome coronavirus. Make sure you are familiar with this protocol and for anymore information please contact… Read more

Any patient presenting to ED with ONLY Ophthalmic symptoms should be referred directly by the ED triage team to Ophthalmology: Referral 08:30 – 17:30 Mon-Fri,… Read more

CAP is far less common than URTI’s, however, it needs to be considered within your differentials. Depending on severity there is a guide to investigation… Read more

To drain or not to drain? – that is the question (Follow the BTS algorithm).This is not for Tension! Read more

PE is somehow both the most over and under diagnosed condition. with severity ranging from the questionable sub-segmental PE to the Massive PE (an indication… Read more

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