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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

Aortic 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

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

Oesophageal Button Battery = Emergency Refer Immediately If anybody is symptomatic after button battery ingestion they need referral to the Surgical team for urgent endoscopic… Read more

Chest injury as part of major trauma, can range from painful to life threatening so prompt treatment and recognition is vital. Esp. in ‘Silver Trauma’… 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

Bleeding 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

The prevalence of diverticula Is unknown as most are asymptomatic. However, it is rare before the age of 40 and increases with age. Diverticulosis occurs… 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

How to apply the FERNO traction splint for our in-hospital patients Read more

Ingestion of Strong Magnets is a TIME CRITICAL EMERGENCY (Multiple Magnets OR a single Magnet and Metallic Objects) Strong magnets  (such as Neodymium) Now common… 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

Necrotising fasciitis (NF) is a rare but serious bacterial infection that affects the soft tissue and fascia (Fournier gangrene, is NF affecting the perineum). In… Read more

As there are now no longer a paediatric clinical team at HRI, the paediatric surgical pathway is up-dating, this is the current provisional pathway, to… Read more

Primary Eyecare Acute Referral Scheme Read more

The following conditions can be referred through the ENT CAS clinic. If same day referral required talk directly with ENT on-call If suitable for CAS… 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

Introduction The Surgical and ED teams have worked closely to provide an agreed process, to aid patient flow through the ED and help to maintain… 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

Referral The first point of contact for urology advice and referral is the general surgical SHO. This is the on-call surgical SHO carrying the on-call… 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