Ahmed

I am going to start off with a case which we all seen on a regular basis and explain how we should handover in different situations: CASE 1 A 80 year old gentleman has been admitted to ED with shortness of breath, cough productive of yellow sputum. He has low oxygen saturations, ABG shows Type 2 respiratory failure with normal pH and lactate.His WCC, CRP are raised and his chest x ray is hyper-inflated.  Background: COPD ( known type 2 respiratory failure) , osteoarthritis ( mainly affecting his knees), Type 2 diabetes, ischemic heart disease. Social : Lives with wife, struggling with activities of daily living.  On examination: Bilateral wheeze , heart sounds normal, abdomen soft non tender, legs and calves: soft, non tender, no clinical evidence of DVT, no oedema. Neurology: Grossly normal, AMTS: 8/10 ECG: normal Management in ED: Salbutamol nebs Ipratropium nebs Prednisolone Doxycycline EWS in ED: 0 BP: 120/10 SO2: 90% on A - target saturation: 88 to 92% HR: 84/min Te...

Scarborough is a small coastal town located in North Yorkshire. I am going to discuss a few things here: THE WEATHER  This is the UK. The weather is wet and windy! However you will be surprised what a pleasant ( and quite warm) summer we had in 2019 in Scarborough. There are 2 words which scare people when they thing of this region: Yorkshire ( they picture floods) and North ( They picture blizzards). This is certainly not the case. With global warming , which is quite unfortunate, the weather is quite pleasant in summer.  Winter is harsh, like everywhere else. However being a coastal town, it is more windy but not intolerable. As long as you wear warm clothes, you will be fine.  THE TOWN  Scarborough town has everything you would expect in a city. SHOPPING Marks and Spencer Debenhams Boots Sainsbury's extra ( 5 minutes walk from town center) Tesco Extra ( 10 min walk from town center) Next Superdrug  RESTAURANTS McDonalds KFC Pizza Hut Subway Loads of...