A-a gradient
March 25, 2018A-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
AAGBI – Intubation Check List
April 2, 2019Simple pre-intubation checklist for the whole team to be aware of so we can make intubation in ED as safe as possible. PDF: Full Version… Read more
Acute Behavioural Disturbance / Excited Delirium
December 24, 2017Most 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
Anion Gap & Metabolic Acidosis
March 26, 2018The anion gap (AG) represents the amount of unmeasured anions in the plasma. AG =([Na]+[K]) – ([HCO3]+[Cl]) The main contributor to the AG is albumin… Read more
Aortic Dissection
June 16, 2018Aortic Dissection (AD), is uncommon (1 AD:200 ACS) but is…Rapidly FATAL! Unfortunately recognising aortic dissection is difficult with a clinician pickup rate of 15-43%. Read more
Are You CO Aware?
October 24, 2018With 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
Bradycardia
August 12, 2018ALS Bradycardia Algorithm – Adult Causes Cardiac: Heart Block, Myocardial infarction, Myocarditis Metabolic: Hypothermia, Hyperkalaemia, Hypokalaemia, Hypothyroid, Hypoxia Toxin: digoxin, B-blocker Treatment For ALL conditions… Read more
C-Spine Injury
September 4, 2018C-spine injury ranges from the obvious fracture-dislocation to the less obvious ligamentous injury, affecting about 2.5% of blunt trauma patients. However, ALL of them are… Read more
COPD think VBG
February 18, 2018We 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
Devastating Brain Injury?
February 15, 2018Scenario (Not uncommon) A patient either post arrest or head injury has a CT demonstrating significant brain injury and Leeds says “No” What do we… Read more
Domestic Abuse
August 27, 2018Domestic abuse can affect anyone and often its not readily disclosed on an ED admission. We must be alert to the fact some of our… Read more
DVLA – Driving & Medical Conditions
May 8, 2018For 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
EMBRACE & Paediatric Critical Care
July 18, 2019In our trust we don’t have paediatric critical care beds. However, in our region we use EMBRACE (a paediatric critical care transport team), who can… Read more
Emergency General Anaesthetic Checklist
February 13, 2018PREPARE or prepare to fail Read more
Head Injury
February 27, 2018Background Defined as any traumatic injury to the head other than superficial facial injuries. The commonest cause of death and disability in people age 1-40… Read more
Hypothermia
December 22, 2017Remove COLD, Add WARM, Don’t SHAKE Use common sense, and do basics <32’C CORE temperature probe (skin temp inaccurate) Active renaming (warm fluids etc) Don’t… Read more
LA – Toxicity
December 22, 2017We are regularly doing femoral blocks next to major vessels. So warn the patient of the symptoms, & keep them monitored(at least 15 min). Symptoms… Read more
Lateral Canthotomy
May 7, 2019Retrobulbar Haematoma secondary to blunt eye injury is a a rare but potentially sight threatening injury. Blood collects in the retrobulbar space Pushing the eye… Read more
Major Incident/MAJAX Guide
January 23, 2019NHS England have published this fantastic resource [Click here] covering Major Incidents including; gunshot, crush, nerve agents and much more. This is not to replace… Read more
Major Trauma Network
February 16, 2018We are part of the West Yorkshire Major Trauma Network with our MTC at LGI WYMTN: Guides We know that from time-time patient are brought to… Read more
Massive Transfusion Pathway
February 6, 2018In 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
Meningitis – Adults
December 16, 2017This advice is based on Becky’s CTR, as well as NICE and the joint consensus statement. Keep your suspicions high – early signs it may not be… Read more
Myocardial Infarction (MI) – PPCI/Thrombolysis
June 22, 2018PPCI (Leeds PPCI Pathway) Target: Door to balloon 90min Criteria: Time: Chest pain within 12hrs (or worsened within 12hrs) ECG: ST elevation MI (1mm Limb… Read more
NEW: Burns Referral Pathway
May 8, 2019A new burns referral pathway has been developed with Mid Yorks to securely send images of the patients burn. Allowing the burns team to arrange… Read more
Octaplex – work fast its an EMERGENCY!
December 16, 2017In recent incidents we have had significant delays in giving OCTAPLEX. So we have developed this advice. Activate EARLY in head injury patients on warfarin.… 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
Pulmonary Embolism – PE
December 20, 2017PE 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
Purple Glove Syndrome – Case
September 23, 2018Is a rare complication of I.V. Phenytoin, which presents with a triad of: Pain, Oedema & Discolouration, typically in the hand. In our case a… Read more
Rape & Sexual Assault
March 6, 2018Don’t Preform intimate examinations on Sexual assault/Rape patients Unless life-threatening injuries are suspected e.g Haemorrhage. As our examination will inevitably destroy evidence that may aid this patients case… Read more
Rare Antidotes – how to get
August 30, 2018Getting some of the rarer antidotes has recently been clarified across Yorkshire (Accessing rarely used antidotes-SOP) Read more
