Push history

Case of the Week 6 - Back pain and Cauda Equina Syndrome

CHFT Case of the Week 6 – Download for links This weeks case of the week discusses a patient who presented to ED 3 times before receiving a rare and unfortunate diagnosis. It highlights the need to be vigilant in re attenders – p
11 months ago

Case of the Week 5 - Emergency Cardioversion

CHFT Case of the Week 5 – download for links This week’s case looks at the ALS tachycardia algorithm and discusses emergency cardioversion when adverse / life threatening features are present.
12 months ago

Insect bites and stings

Advise people with an insect bite or sting that: a community pharmacist can advise about self-care treatments skin redness and itching are common and may last for up to 10 days it is unlikely that the skin will become infected avoiding scratching may redu
12 months ago

Case of the Week 4 - PE and thrombolysis

CHFT Case of the Week 4 – download for links Case of the week this week explores diagnosis and initial management of PE in the ED – specifically focusing on the tricky group of ‘intermediate risk’ patients with significant P
12 months ago

Case of the Week 3

Case of the Week 3 relating to status epilepticus in children and initial management of cerebral oedema. CHFT Case of the Week 3 – download for access to links
1 year ago

Case of the Week 2

Case of the Week 2 relating to resuscitation of collapsed neonates / young children and the role of IO access
1 year ago

Case of the Week 1

Case of the Week relating to identifying and managing SAH in the ED.
1 year ago

Neonatal Seizures

Seizures are a common neurological emergency in the neonatal period, occurring in 1–5 per 1000 live births.1 The majority of neonatal seizures are provoked by an acute illness or brain insult with an underlying aetiology either documented or suspected, th
1 year ago

Get-There-Itis (Plan Continuation Bias)

The Federal Aviation Authority (FAA) are well-aware of the dangers of Plan Continuation Bias: “The continuation of an original plan even with the availability of new information that suggests that the plan should be abandoned or at least updated.” AKA Get
1 year ago

Kirklees Community Plus Pathway

Links Referral Form
1 year ago

Thoracotomy Box Checklist

Thoracotomy Box
1 year ago

Civility Saves Lives

Emergency Medicine is a challenging environment, balancing patient needs, time constraints and systems pressures. When this intensifies as responsible clinicians we can ALL feel frustrated, and this can lead to Rudeness. Which, far from rectifying the iss
1 year ago

FERNO Traction Splint

How to apply the FERNO traction splint for our in-hospital patients
1 year ago

Kris Skapski

ED Consultant
1 year ago

Giulia Giovannetti

ED Consultant
1 year ago

Amanda Pine

ED Consultant and Speciality Tutor
1 year ago

Zia Muhammad

Emergency Medicine Consultant “the more you study, the more you know; how less you know”
2 years ago

Paramjit Singh

Emergency Medicine Consultant with a special interest in learning, teaching and passing the knowledge and skills on “Be yourself, everyone else is already taken” – Oscar Wilde
2 years ago

Adris Razaq

Emergency Medicine Consultant and Deputy Director of Medical Education with an interest in Simulation and Ultrasound. “Education is the most powerful weapon you can use to change the world” – Nelson Mandela
2 years ago

Alistair Morris

Paediatric Consultant, Pre-Hospital Care, Adventurer and Outdoor Enthusiast “Better to live one day as a tiger than a thousand years as a sheep” -Tibetan Proverb
2 years ago

Alcohol Self Care Links

Thank you for completing the Alcohol screening Question and following the links for Self Help. If you are concerned about your score please speak to your clinician in the Emergency Department. Calderdale In Recovery Self-Referral: – CLICK HER
2 years ago

Amjid Mohammed

Emergency Medicine Consultant with an interest in patient safety in the ED, improving productivity in the ED and engaging patients in the ED “ There is less to you than meets the eye”- anonymous Huddersfield
2 years ago

Andy Lockey

ED consultant, Visiting Professor, Associate Dean at NHS England, and also President of Resuscitation Council UK. “We are all stories in the end – just make it a good one”, Matt Smith (Dr Who)
2 years ago

Moussa Issa

A&E Consultant, an accomplished author, a dedicated researcher, and a seasoned entrepreneur, he derives great satisfaction from his academic pursuits and aspires to disseminate medical expertise to underserved nations. Foolish the doctor
2 years ago

Status Epilepticus - APLS 2021

APLS 2021 Status Epilepticus Guide
2 years ago

Non-Blanching Rash

Joint Paed-ED pathway for the management of Non-Blanching Rash in Children.
2 years ago

Medical SDEC

Note: If the referrer feels the presentation of a patient is not within the inclusion/exclusion criteria they can still contact the SDEC co-ordinator and check for acceptance into SDEC. ED referrals ONLY 08-18:00 Check Capacity prior to sending Investigat
2 years ago

LVAD - Resus & Troubleshooting

LVADs (Left Ventricular Assist Device) are becoming more common and there are patients in our region with them as a bridge to transplant or recovery and in some cases a destination therapy. The patient and their family will likely know more about this dev
2 years ago

Rashes on Black & Brown Skin

Mind the Gap is a handbook of clinical signs in black and brown skins
2 years ago

Tetanus - Wounds

Tetanus prone and High Risk definitions Immunisation schedule Primary: 2, 3 & 4 months old Boosters: 3½ – 5yrs and 13-15yrs Warning: Immunisation only started nationwide in the UK in 1961 (people born before 1961 are unlikely to have completed a
2 years ago

2 Week Wait - from ED

Non-Site-Specific Service The non-site-specific service is an excellent service for the investigation of suspected cancer within 2 weeks. Primarily NSS accept referrals for Cancer of Unknown Primary – if imaging suggests a cancer and the primary sit
2 years ago

Minimal and Moderate Paediatric Sedation

The depth and type of sedation required in children depends on the procedure to be carried out. Sedation is described as: Minimal – Drug induced calm, the patient is awake and responds to verbal commands but may have impairment of cognition and coor
2 years ago

Invictus Wellbeing - Transition Support Service (age 15-25)

Links: No. 1 Referral
2 years ago

Invictus Wellbeing - BREW Project (age 15-25)

Links: No 1 – Referral
2 years ago

Neonatal Resus

NEONATAL CRASH CALL – IF NEEDED CALL NEONATAL CONSULTANT (MAY ONLY GIVE ADVICE AS AT CRH) CONSIDER CALLING THE ED CONSULTANT
2 years ago

Paediatric Infections – School Exclusion/Isolation

Prevent the spread of infections by ensuring: routine immunisation, high standards of personal hygiene and practice, particularly hand-washing, and maintaining a clean environment. However, Public Health England recommend exclusion in some conditions.
2 years ago

Upper Limb DVT

Upper Extremity DVT (UEDVT) is far less common than Lower Extremity DVT, and posses a diagnostic challenge. We can use the Constant score in combination with D-Dimer.
2 years ago

Button Battery Ingestion

A button battery lodged in the Oesophagus is a medical emergency as it can cause necrosis and significant GI bleed – Refer immediately If anybody is symptomatic after button battery ingestion they need referral to the Surgical team for urgent endosc
2 years ago

Non-Site Specific Referrals

This is the pathway for patients in whom there is a significant concern about malignancy or other serious pathology but who do not meet the pathway for a site specific referral e.g lung cancer pathway etc. Patients must be haemodynamically stable and suit
2 years ago

OPAT - Cellulitis 2023

Our OPAT service can provide IV antibiotics for cellulitis for those patients that can be managed as out patients but either require IV antibiotics or have failed oral therapy.
2 years ago

Thriving Kirklees

***ANY Immediate Safeguarding Concerns CLICK HERE*** Links 1:Patient Referral form 2: Free Work Shop Bookings 3: Thriving Kirklees Services “Kooth” – Your online mental wellbeing community Free, safe and anonymous support
2 years ago

Sexual Assualt < 16

Links 1: Patient Leaflet 2: Paediatric Liaison Form SOP 3: Whats Happens?
2 years ago

Sexual Assualt ≥16

Links 1: Patient Leaflet
2 years ago

Miscarriage Support

***ANY Immediate Safeguarding Concerns CLICK HERE*** Links 1: Why Me? 2: Management of Miscarriage 3: Partners
2 years ago

Alcohol and Substance Misuse

Links 1: Refferal Form 2: Patient Information Leaflet
2 years ago

Complex Lives Calderdale

2 years ago

Wound Clinic Calderdale

Links 1:
2 years ago

BLOSM

guides available for BLOSM
2 years ago

Dog Bite ≥ 18

Links 1:
2 years ago

Dog Bite

Link 1:
2 years ago

Alcohol/Substance Misuse

2 years ago

Alcohol/Substance Misuse ≥18 Kirklees

Links 1: Referral Form 2: Patient Information Leaflet
2 years ago

Alcohol/Substance Misuse >21 Calderdale

Links 1: Referral Form 2: Patient Information
2 years ago

Alcohol/Substance Misuse

Links 1: Patient Information Leaflet 2: Email Branching Out
2 years ago

Domestic Abuse

2 years ago

Rough Sleeping Kirklees Pathway

2 years ago

Rough Sleeping Calderdale Pathway

2 years ago

Calderdale Prevent Pathway

LINKS 1: Prevent Referral Form
2 years ago

Prevent Kirklees Pathway

LINKS 1: Online referral form 2: Act Early Website
2 years ago

BLOSM Navigator Referral Pathway

2 years ago

Victim of Assault >18 Pathway

***ANY Immediate Safeguarding Concerns CLICK HERE*** LINKS 1: Risk Assessment Checklist 2: Violent Crime Leaflet 3: Victim Support Live Chat 4: Victim Support Self Help
2 years ago

Sore Throat and Group A Strep 2022

Due to the increased prevalence of Group A Strep (GAS) currently national guidance on how we treat sore throats has been updated
2 years ago

SAH - NICE 2022

Headache is a common presentation to ED and Subarachnoid Haemorrhage (SAH) is the diagnosis we never want to miss. However, working out who needs a scan can be difficult as 50% of patients presenting with a subarachnoid have no neurological deficit. ̵
2 years ago

Avian Flu - 2022

Avian flu is droplet spread and can sometimes effect humans as well as birds. Severity varies in human cases varies widely from mild to severe and deaths have been reported. Case Definition = Clinical Criteria + Exposure Criteria
3 years ago

Rough Sleeping

TEST BLOSM TEST
3 years ago

Rough Sleeping

TEST
3 years ago

Rough Sleeping

TEST
3 years ago

Rough Sleeping

TEST
3 years ago

Ophthalmology Referral Pathway

The following pathway will continue post-pandemic InHours: Direct dial from HRI 152539, From CRH 2539. Out of Hours: On Call Ophthalmology We should no-longer be completing Email referrals to ophthalmology – if ophthalmology are insisting please con
3 years ago

iNFANT - user guide

the iNFANT is truly a design enigma, it is simple yet complicated, amazing yet frustrating, beautiful yet disgusting. And due to a unique production method, each iNFANT has its own variations and special features.
3 years ago

Brief Resolved Unexplained Event (BRUE)

Brief Resolved Unexplained Event (BRUE) is now the recommended term for ALTE (Apparent Life Threatening Event). Definition: BRUE is defined as an episode in an infant less than 12 months old characterized by: < 1 minute duration (typically 20-30s) Fol
3 years ago

Nitrous Oxide Induced Neurotoxicity

Nitrous Oxide has been used clinically and recreationally since its discovery in 1772. Since then Nitrous Oxide induced neurotoxicity have been reported, and has been shown to be dose depaendant. With infrequent users unlikely to be at risk of neurotoxic
3 years ago

Early Pregnancy: Pain and Bleeding

This pathway for patients in early pregnancy with pain and/or bleeding, extends from Triage to Admission, enabling the triage nurse to: Decide which patients require ED assessment and treatment Discharge or admit suitable patients without the need formal
3 years ago

QIP@CHT

Quality improvement (QI) is important in the Emergency Department. For our trainees it is an essential part of training, but we can and should all be involved. Below you can see what QI-projects( QIP)are either ongoing (active) or proposed. – if you
3 years ago

Acute Flaccid Paralysis (AFP)/ Acute flaccid myelitis (AFM)

AFP/AFM is rare rare but serious neurological condition, which is associated with POLIO infection but has also been linked with other infections (and in the USA they have spikes every 2 yrs last 2020). AFP leads to weakness and paralysis affecting face an
3 years ago

VTE prophylaxis in lower limb Immobilisation (ED - 2022)

In the Emergency Department (ED) lower leg immobilisation after injury is a necessary treatment but is also a known risk factor for the development of venous thromboembolism (VTE). This accounts for approximately 2% of all VTE cases which are potentially
3 years ago

Paediatric Blast Injury

Save the Children, have published a used full guide on management on blast injuries in children. Taking you through pre-hospital, ED and inpatient care. Although blast injury is rare in the UK it’s worth a read as an adjunct to APLS/ATLS training. R
3 years ago

Monkeypox

Wear Gloves & Wash Your Hands!!! There have been >100 patients identified as having Monkeypox in the UK during the current outbreak. Most of these cases have been amongst men who have sex with men. Reports have suggested that although lesions occur
3 years ago

Penthrox (Methoxyflurane)

Penthrox is an inhaled, patient controlled analgesic for use with moderate to severe acute pain associated with trauma. Not to be used in atraumatic pain, chronic pain, children or pregnancy. Rapid onset of analgesia lasting 25-60 minutes depending on ra
3 years ago

Emergency PEG/PEJ/RIG replacement

When a patients with a PEG/PEJ/RIG that has come out attends the ED its important that we can either replace it or insert an EN-Plug OR NG tube into the tract to maintain patentcy while being admitted (how to guide is below) NG/Foley catheters must not be
3 years ago

Covid-19: Oximetry @home pathway

In 2022 we can now refer Covid-19 patients who are being discharged into the “Oximetry @home” pathway. CHFT staff need to complete the attached referral form and email it to the LCD email address on the form. LCD will then make contact with t
3 years ago

Chest Trauma - WYMTN

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’ when ‘minor’ injuries may have devastating consequences – the full guidanc
3 years ago

Diverticulosis, diverticular disease and diverticulitis

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 in 5–10% of people aged 45 years and older. Diverticulosis occurs in about 80% of people aged 85 year
3 years ago

Covid-19 TrustIsolation (Dec 2021)

The trust isolation policies have been updated inline with national guidance. Scenario 1 – Staff member Symptomatic Scenario 2 – Staff member asymptomatic, with a positive contact (inc. within household)
3 years ago

Referral criteria for ENT clinics (CAS)

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 but no availability email ENTSecs@cht.nhs.uk
3 years ago

Directory of External Services

Select the area required for further details: Councils [table id=30 /] Trauma/Abuse [table id=31 /] Mental Health [table id=32 /] Sexual Health [table id=33 /] Housing [table id=34 /] Money [table id=35 /] Drugs/Alcohol [table id=36 /]
4 years ago

Need For Recovery

The Need for Recovery (NfR) score is a well validated tool to measure your need for recovery after the physical/mental strains of work. Originally designed for bus drivers, it has since been successfully used across may careers including recent studies in
4 years ago

#RCEMasc 2021

Lots of good stuff again from the virtual #RCEMasc21 – here are a few of the topics that got me thinking
4 years ago

Tachycardia

Background Cardiac arrhythmias are relatively common presentations to ED. There are many causes, some more sinister than others. If your patient is not acutely unwell then expert advice may be required.
4 years ago

Limb Injury - Treatment and Follow-Up

Select the appropriate body area for guidance table No Spinal injuries, back pain, Cauda Equina, foot drop etc to be referred to VFC Shoulder [table id=24 /] Elbow [table id=25 /] Hand/Wrist [table id=26 /] Knee [table id=27 /] Foot/Ankle [table id=28 /]
4 years ago

Infant Feed Volumes - what is expected

As you know part of assesses sing an infant is asking about how well it is feeding, especially in Bronchiolitis. However, our paediatric colleagues have noticed that many infants are over fed, and although their intake may have reduced it would still be c
4 years ago

Paeds Post-ROSC guide

The Yorkshire & Humber Paediatric Critical Care ODN, has released some useful guidance about the Post-ROSC phase of care Download PDF – HERE
4 years ago

Sexual Health Referrals

Appropriate Conditions for GUM Genital ulcers Urethral discharge Pelvic Inflammatory Disease (PID) Testicular pain Genital warts Vaginal discharge Emergency/ongoing Contraception HIV risk concerns Possible syphilis PEP follow up Pre-menopausal irregular v
4 years ago

Frailty SDEC Criteria

4 years ago

Acute Cystitis and Pyelonephritis Pathway

A joint Medical-Urology pathway has been agreed for Pyelonephritis Remember- Imaging in ED is only required if ED suspects: Ureteric Obstruction – Renal colic symptoms/Hx of stone Acute Surgical Abdomen Emphysematous pyelonephritis – Rare necr
4 years ago

#NoF - Beware Occult Hip Fractures

Studies suggest around 1% of hip fractures are missed on plain X-ray. So as usual you must combine clinical and radiological findings.
4 years ago

NightOWLS - Overnight Crisis

Night OWLS is a confidential support line for children, young people, their parents and carers who live in Bradford, Leeds, Calderdale, Kirklees and Wakefield. This is a pilot scheme funded till March 2022.
4 years ago