#NoF – Fractured Neck of Femur
December 20, 2017Update: BOAST Guidance If a patient with a #NoF (or other fragility fracture requiring admission) has received a head injury requiring CT a CT Neck… Read more
1. Why we get things wrong – “A tale of two systems”
November 3, 2018Very 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
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
Button Battery Ingestion
July 9, 2018A button battery lodged in the Oesophagus is a medical emergency as it can cause necrosis and significant GI bleed – Refer immediately If anybody… Read more
Chronic Pancreatitis
November 7, 2020Chronic 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
Consenting for Blood Transfusion
December 2, 2020We frequently consent for Blood Transfusion, but what risks do we tell the patients about and how common are those risks? 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
Dental Abscess
July 9, 2018Dental 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
Early Pregnancy Bleed <16/40
March 21, 2018Bleeding 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
Epistaxis – Management
June 9, 2018Nose bleeds are a bloody common problem (bad pun intended) – most originating at the front to the nose where there is a cluster of… Read more
Eye Clinic Referral Criteria
January 8, 2019What should you send to Eye Clinic and how soon? Read more
Hyperemesis Gravidarum
July 26, 2019Nausea 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
Lateral Canthotomy
May 7, 2019Like 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
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
Necrotising Fasciitis
November 28, 2020Necrotising 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
Octaplex – work fast its an EMERGENCY!
December 16, 2017In recent incidents we have had significant delays in giving OCTAPLEX, So ….. Activate EARLY in head injury patients on warfarin. Order on EPR &… Read more
PEARS
December 8, 2018Primary Eyecare Acute Referral Scheme 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
RCEM CPD 2019 Day 1
April 2, 2019HEAD 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
Retrobulbar haemorrhage
February 2, 2020What 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
Sepsis
March 13, 2018Background Sepsis is a life-threatening condition that arises when the body’s response to an infection injures its own tissues and organs. Sepsis can lead to… Read more
SEPSIS
November 23, 2018Our video maybe light hearted but… SEPSIS is a Killer (1:4 Die) and time matters Recognise, Resuscitate, Review Read more
Sore Throat
March 17, 2018Background 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
Thomas Spint – how to apply
February 3, 2019Invented by a Welshman ‘Hugh Owen Thomas’, the introduction of this simple device in World War 1 went on to reduce the mortality of #femurs… Read more
Transfusion Care Pathway
July 13, 2018PDF: 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
Upper GI Bleed (UGIB)
December 22, 2017Not 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
Urinary Retention
February 24, 2018A common problem which affects 1 in 10 men between 70-79yrs and 1 in 3 men 80-89yrs (10M:F) Signs/Symptoms Unable to pass urine (may be… Read more
Vascular Emergencies (Regional Pathways)
December 27, 2020Intro 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
