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BOAST Guidance #NoF patients (or other fragility fracture) who requiring CT Head (for head injury) also be performed a CT Neck Fragility fractures indicate the patient is at high… Read more

Very few of us come to work intent on doing harm. However, despite that we all keep making mistakes. Most of them pass unnoticed and… Read more

Bell’s Plays is a lower motor neurone (LMN) lesion of the facial nerve (CN VII), which causes one side of the face to “droop” [1%… Read more

Gallstones are common, with a prevalence of approximately 10–15% of adults in Europe and the U.S. Most of the time patients are asymptomatic. but there are several ways… Read more

Chronic pancreatitis is a low grade inflammatory disease of the pancreas. It can occur after an attack of acute pancreatitis or can present on its… Read more

We frequently consent for Blood Transfusion, but what risks do we tell the patients about and how common are those risks? Read more

Dental Abscess requires a Dentist for Definitive Treatment Symptoms: Dental Pain Unpleasant taste Fever and Malaise Trismus Dysphagia Facial Swelling Regional Lymphadenopathy Tooth Decay Gum… Read more

Bleeding in early pregnancy is a relatively common problem and in the many cases (esp. with spotting) the pregnancy remains viable. However, bleeding in early… Read more

What should you send to Eye Clinic and how soon? Read more

Nausea and vomiting in pregnancy is common and at best an unpleasant experience for the patient, and at worst can be life threatening. It normal… Read more

Like tension pneumothorax the biggest step is deciding to do it – Remember it it sight saving and they heal well Retrobulbar Haematoma secondary to… Read more

In 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

Activate EARLY in head injury patients on warfarin. Order on EPR & Paper [see below] Infuse over no more than 30 min Recheck INR at 30… Read more

Primary Eyecare Acute Referral Scheme Read more

 HEAD AND NECK Tracheostomy Emergency Care – Dr Brendan McGarth www.Tracheostomy.org.uk Needs to distinguish Tracheostomy from laryngectomy as a laryngectomy has no connection to the… Read more

What is retrobulbar haemorrhage? Rapidly progressing haemorrhage into the retrobulbar space which is rare but potentially sight threatening. Retrobulbar haemorrhage causes a rapid rise in… Read more

In the UK approximately 100 people are envenomated by a snake each year. So what do you need to do if your patient has received… Read more

Background Acute sore throats are often caused by a virus, last about a week and get better without antibiotics. withholding antibiotics rarely causes complications. Antibiotic… Read more

PDF: Transfusion Care Pathway When giving blood products you need to use the transfusion care pathway. Octaplex Blood/Plt’s/FFP It can be found on intranet >… Read more

Not normally difficult to spot, but look for it in unexplained anaemia, or collapse. Questions Is it VARICEAL? Mortality 35%, so is an emergency whatever… Read more

Intro Vascular surgery has been reconfigured across etc region. The vascular oncall will be based at BRI 24/7. Multiple pathways have been developed below to… Read more