Ahmed

I am going to share my experience of management of common emergencies I see on the acute take. This is no way an official guideline and is just my experience. Please refer to your local guidelines and always escalate if you are not sure. Read the national NICE guidance here: https://www.nice.org.uk/ Here is a list of communicable diseases you need to inform Public Health, England about: https://www.gov.uk/health-and-social-care/health-protection This is a very helpful link: https://www.brit-thoracic.org.uk/quality-improvement/guidelines/ PS: I am not going to mention the COVID-19 guidelines as these are changing on a daily basis. Please read this blog: https://omarsguidelines.blogspot.com/2020/04/my-experience-of-working-as-medical.html INFECTIONS  CAP- community acquired pnuemonia  Remember to do blood cultures ASAP, give antibiotics and if the patient has a productive cough, send a sputum C+S.Do a CXR ASAP. Also read this: https://www.nice.org.uk/guidance/cg191/ch...

I am going to share my experience of management of common emergencies I see on the acute take. This is not an official guideline and is just my experience. Please refer to your local guidelines and always escalate if you are not sure. Read the national NICE guidance here: https://www.nice.org.uk/ Here is a list of communicable diseases you need to inform Public Health, England about: https://www.gov.uk/health-and-social-care/health-protection   BRAIN Headache? SAH This is a common reason for admission. There are some excellent guidelines here: https://www.bash.org.uk/guidelines/  .  Usually these patients come with sudden onset headache , worst headache in their life, thunderclap in nature. You have to rule out subarachanoid hemorrhage in such cases. The only way to do so is by performing a lumbar puncture.  I always ensure that their platelets, coagulation is normal and that they are not on any blood thinners. If they are, I always ask a consultant ( who usu...

Please note that this is not about sharing any medical information. This is based on my experience. It may be right, or it may be wrong.  This is a very useful group on Facebook: https://www.facebook.com/groups/326788934801330/ I am going to start topic wise: MY TRUST  We have been very lucky! We are a small seaside town in North Yorkshire and the hospital is a 300 bedded district hospital.  London, Manchester and other big cities were hit first and we have been lagging behind by a time duration of about a week to 2 weeks. Hence, we had time to prepare. OUR COVID WARDS We have been using a very modern looking 30 bedded unit which was initially built for surgical patients who needed monitoring but ended up under medicine where we have been managing our influenza patients. It has loads of side rooms, is negative pressure and is located at one end of the hospital building.  This ward is used as a COVID ward. It also has CPAP machines and most of the nurses ...