A-a gradient

March 25, 2018

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

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

Asthma – Adult

December 24, 2017

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

COPD – exacerbations

December 22, 2017

COPD patients vary widely, due to their comorbidities, social circumstances, and wishes. So choosing the best treatment pathway for the patient can be complex. Involve… Read more

COPD think VBG

February 18, 2018

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

Influenza POCT (Adult)

December 20, 2018

Flu season 2018-9 is here and we need to think about Influenza PCR testing POCT role-out has been delayed, however, please consider need for Tamiflu/Oseltamivir in… Read more

Pneumonia – Paeds

December 24, 2017

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

Pneumonia (Community Acquired)

March 9, 2018

BTS Definition of CAP Signs of acute Lower Respiratory Tract illness (LRTI) [Cough] &:  ≥1 other LRTI Symptom [Pleuritic pain, Tachypnea, Dyspnea, etc] New Focal Chest… Read more

Pneumothorax – Medical ones

December 20, 2017

To drain or not to drain – that is the question (Follow the BTS algorithm).This is not for Tension! Suggestion: Large pneumothorax consider placing a Seldinger drain… Read more

Pulmonary Embolism – PE

December 20, 2017

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

Pulmonary Embolism in Pregnancy

July 19, 2019

Unfortunately the the normal pathway for investigation of PE performs poorly in pregnancy RCOG have the following pathway 1. Investigation – of suspected PE Clinical… 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