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City hospitals Sunderland AE Department Information Card Pack Produced by Dr Sarah Frewin Correspondence to s.e.frewin - PowerPoint PPT Presentation


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City hospitals Sunderland A&E Department Information Card Pack Produced by Dr Sarah Frewin Correspondence to [email protected] Review date: January 2012. Nexus C-spine rules NICE COPD guidance Glasgow pancreatitis score NICE head CT guidance (amendment)

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City hospitals Sunderland A&E Department

Information Card Pack

Produced by Dr Sarah Frewin

Correspondence to [email protected]

Review date: January 2012


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Nexus C-spine rules NICE COPD guidance

Glasgow pancreatitis score NICE head CT guidance (amendment)

Alvarado score NICE head CT guidance

Rectal bleeding differentials Chest pain differentials

Upper GI bleed differentials Breathlessness / hypoxia differentials

Abdominal pain differentials Bradyarrhythmia differentials

Jaundice differentials Tachyarrhythmia differentials

Rockall score (GI bleed) Reversible causes of cardiac arrest

ABCD2 (TIA) ECG interpretation

Severe sepsis criteria New York heart failure classification

Sepsis screening tool Grading of murmurs

Severe sepsis 1st hour pathway Headache differentials

Soft tissue antibiotic policy Dizziness differentials

Curb 65 (pneumonia) AMTS

LRTI antibiotic policy Timed get up and go test

Meningitis antibiotic policy Stroke mimics

UTI antibiotic policy falls /collapse differentials

Wells criteria (PE) Pain assessment

Wells criteria (DVT) Confusion differentials

MRC dyspnoea scale Hypotension differentials

ASA grading (anaesthetics) Stages of hypovolemic shock

BTS asthma exacerbation grades CO poisoning




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TIMED GET UP AND GO TEST

Patient wearing regular footwear, using usual walking aid, and sitting back in a chair with armrest.

Ask patient to do the following:

1. Stand up from the armchair

2. Walk 3 meters (in a line)

3. Turn

4. Walk back to chair

5. Sit down

Observe patient for postural stability, steppage, stride length and sway

Scoring:- Normal:- Completes task in < 10 seconds

Abnormal:- Completes task in >20 seconds

Low scores correlate with good functional independence

High scores correlate with poor functional independence and higher risk of falls


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PC:- Headache, N&V, drowsiness, dizziness, dyspnoea, chest pain

Questions

Do you feel better away from home or work?

Does anyone else in the house have the same symptoms?

Have you recently had a heating / cooking appliance installed?

Have all cookers / heaters been service in the last year?

Do you ever use your oven / stove for heating purposes?

Has there been any change to the ventilation in your home (eg double glazing)?

Have you noticed any soot / increase condensation around appliances lately?

Does your work involve exposure to smoke / petrol fumes?

What type of home do you live in (detached / semi / hostel etc.)?

Suspected CO poisoning

Management

Blood for COHb estimation

Oxygen

Do not allow patient to go home to where there are suspect appliances

Contact local HPA


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