0-12yrs WETFLAG
September 7, 2019Tips: If particularly BiIG – go up 1-2 yrs If particularly SMALL – go down 1-2 yr Prepare ET Tubes 0.5mm bigger and smaller Chid’s… Read more
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
Acidosis & VBG’s
October 4, 2019We 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
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
Adult Sedation
June 4, 2020This guideline is a brief summary of the RCEM 2012 Safe sedation in the ED and RCEM – Pharmacological Agents for Procedural Sedation and Analgesia… 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, 2018Causes Cardiac: Heart Block, Myocardial infarction, Myocarditis Metabolic: Hypothermia, Hyperkalaemia, Hypokalaemia, Hypothyroid, Hypoxia Toxin: digoxin, B-blocker Treatment For ALL conditions leading to bradycardia treating the… Read more
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
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
COVID-19 (Awake Self-Proning)
April 8, 2020There is increasing evidence that Awake Self-Proning of our Covid-19 patients can improve oxygenation. Proning the patient can has several effects which can dramatically improve their SaO2… Read more
COVID-19 (CPR)
March 19, 2020Deteriorating Patients Early senior decision making around DNACPR, is vital for both staff, patients, and families. Document decsion making and communications clearly There will be… Read more
COVID-19 (Doning/Doffing Video)
March 10, 20202 video links to PHE how to Don and Doff your PPE Read more
COVID-19 (Donning/Doffing-LOCAL)
March 25, 2020Local instructional videos for donning/doffing Non-Aerosol Generating Procedures Aerosol Generating Procedures Disponible FFP3 (Leeds) Read more
COVID-19 (Escalation-Primary PCI)
April 10, 2020Eligibility Symptoms suggestive of Acute Myocardial Infarction Chest Pain within 12 hours ECG showing acute myocardial infarction ST elevation >1mm in limb leads ST elevation… Read more
COVID-19 (Paediatric multisystem inflammatory syndrome)
May 13, 2020AKA: Paediatric Inflammatory Multi-system Syndrome – Temporally associated with SARS-CoV 2 Although COVID-19 seems a benign disease in almost all children there are increasing evidence (however… Read more
COVID-19 (Respiratory Flow Chart)
March 27, 2020As 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
COVID-19 (X-Ray learning resource)
March 15, 2020British Society of Thoracic Imaging (BSTI) have released a free learning resource containing CXR and CT of confirmed Covid-19 cases, will short history including time… Read more
CT Abdo/Pelvis & Pregnancy Testing
December 11, 2019Radiology are now requesting blood pregnancy testing reproductive females from 10-35days from last period. But what is wrong with urine pregnancy testing? 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
Decontamination – First Contact
September 8, 2019REMOVE – REMOVE – REMOVE Remove Them.. At reception ask them to go outside to designated area and staff will be with them shortly. Inform… 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
ECG placement & mis-LEADing ECG’s
July 24, 2020V1: 4th intercostal space (ICS), RIGHT margin of the sternum V2: 4th ICS along the LEFT margin of the sternum V4: 5th ICS, mid-clavicular line… 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
