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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

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

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

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

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

Nose 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

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

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

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

Primary Eyecare Acute Referral Scheme Read more

On 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

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

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

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