Category: Clinical Guidelines

NICE guidance
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Glasgow Scores… Not just for coma any more!

Quick post… NICE have recently published new guidance on Upper GI bleeding. It is surprisingly sensible. I was pleased with their position on PPI’s for upper GI bleeding (not before endoscopy…). The other point that I was happy to

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NICE faces the sickle

New guidance out on sickle disease from NICE in the BMJ I must admit to having a bit of an interest in sickle cell disease and the ED. There are two reasons for this. Firstly,

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Bumps, Brains and Barf: Paediatric brain injury

The assessment and management of paediatric head injury in the emergency department. Clinical Guidlines. Use of CT in pediatric brain injury.

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Should POPs be mixed with Heparin?

We published an interesting BET in the EMJ earlier (open access version here) this year about the use of low molecular weight heparin for patients placed in below knee POPs in the ED. This is

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New NICE guidance on Investigation of DVT in the ED

Is Venous Thrombo Embolism the most controversial area of EM practice at the moment? I think it might be as there is rarely a meeting or conference where the subject is not discussed and debated.

The Ondansetron question

In your standard ED practice – do you give anti-emetics (specifically ondansetron) to children with gastroenteritis, hoping to improve the tolerance of oral rehydration? This has always been a debated topic, but has recently been given

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ON POST-EXPOSURE PROPHYLAXIS: a diet PEPSE served on ice

You are on a busy shift in ED when a young man in his twenties presents after having being triaged with a “personal problem” he would not disclose in triage. He has asked to see


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