Emergency treatment of anaphylaxis Guidelines for ...

Key recommendations for clinical practice

appropriate adrenaline injector as an interim measure before the specialist allergy assessment (unless the reaction was drug-induced). o Patients prescribed adrenaline auto-injectors (and/or their parents/carers) must receive training in their use, …

  Auto, Jetronic, Adrenaline, Adrenaline auto

Cardiopulmonary resuscitation, automated defibrillators ...

be as clear-cut if the rescuer isn’t medically qualified, the defence of necessity may be available, provided the rescuer acts reasonably in the circumstances. For instance, it would be reasonable to carry out CPR and use an AED if no healthcare professionals were available. Section 5 of the Mental Capacity Act (England

  Rescuer

Anaphylaxis - resus.org.uk

• Follow REFRACTORY ANAPHYLAXIS ALGORITHM • Remove trigger if possible (e.g. stop any infusion) • Lie patient flat (with or without legs elevated) – A sitting position may make breathing easier – If pregnant, lie on left side Give intramuscular (IM) adrenaline2 Call for HELP Call resuscitation team or ambulance Inject at

  Algorithm, Anaphylaxis, Anaphylaxis algorithm

Refractory anaphylaxis A

Refractory anaphylaxis No improvement in respiratory or cardiovascular symptoms despite 2 appropriate doses of intramuscular adrenaline Cardiac arrest – follow ALS ALGORITHM • Start chest compressions early • Use IV or IO adrenaline bolus (cardiac arrest protocol) • Aggressive fluid resuscitation

  Algorithm, Anaphylaxis

Resuscitation Council (UK)

Resuscitation Council (UK) EMERGENCY TREATMENT OF ANAPHYLACTIC REACTIONS6 1. Introduction 1.1 Purpose of this guideline The UK incidence of anaphylactic reactions is rising.2 Despite previous guidelines, there is confusion about …

  Treatment

Adult tachycardia - Resus

Probable atrial fibrillation: • Control rate with beta-blocker • Consider digoxin or amiodarone if evidence of heart failure •– Anticoagulate if duration > 48 h Vagal manoeuvres If ineffective: • Give Adenosine (if no pre-excitation) 6 mg rapid IV bolus – If unsuccessful, give 12 mg – If unsuccessful, give 18 mg • Monitor ECG

  Atrial, Atrial fibrillation, Fibrillation, Digoxin

Decisions relating to cardiopulmonary resuscitation

may include family, other carers, close friends or others able to support or speak for the patient). This must not prevent discussion, to involve patients in shared decision-making whenever appropriate, or in some circumstances . Decisions relating to cardiopulmonary resuscitation 3 to inform patients of a decision and explain the reasons for ...

  Other, Relating

Adult Tachycardia (with pulse) Algorithm

AF with bundle branch block treat as for narrow complex Pre-excited AF consider amiodarone If VT (or uncertain rhythm): Amiodarone 300 mg IV over 20-60 min then 900 mg over 24 h If known to be SVT with bundle branch block: Treat as for regular narrow-complex tachycardia Synchronised DC Shock* Up to 3 attempts

  With, Pulse, Adults, Block, Bundle, Branch, Algorithm, Tachycardia, Bundle branch block, Adult tachycardia, With pulse

Adult advanced life support - Home | Resuscitation Council UK

• Thrombosis – coronary or pulmonary • Tension pneumothorax • Tamponade – cardiac • Toxins Consider ultrasound imaging to identify reversible causes Consider • Coronary angiography/ percutaneous coronary intervention • Mechanical chest compressions to facilitate transfer/treatment • Extracorporeal CPR After ROSC

  Home, After, Coronary, Percutaneous, Percutaneous coronary

Paediatric out-of-hospital basic life support

basic life support Unresponsive Shout for help Open airway 5 rescue breaths Infant: mouth to nose/mouth Child: mouth to mouth If unable/unsafe to ventilate, perform continuous chest compressions Add rescue breaths as soon as possible 30 chest compressions 2 rescue breaths NO or any doubt NO YES YES Breathing normally? If no signs of life observed

  Life, Support, Life support

Quick Reference Guide - MRSA Topical Eradication

Written/reviewed by: Dr Lisa Lowry (Consultant Haematologist, UH Bristol NHS Trust) Checked by: Sarah Murdoch (Senior Oncology Pharmacist, SW Strategic Clinical Network) Authorised by: Dr J Braybrooke (Consultant Oncologist, UHBristol NHS Trust, SW Strategic Clinical Network) Date: September 2015

  Trust, Bristol, Nhs trust, Bristol nhs trust

Trust Code Trust Name Result HSMR RCF Airedale NHS Trust ...

RVJ North Bristol NHS Trust Lower than expected 92.3 RNL North Cumbria University Hospitals NHS Trust As expected 102.5 RAP North Middlesex University Hospital NHS Trust As expected 107.5 RVW North Tees and Hartlepool NHS Foundation Trust As expected 106.8 RV8 North West London Hospitals NHS Trust Lower than expected 71.9

  Trust, Bristol, Nhs trust, Bristol nhs trust

Rising to the Challenge - University Hospitals Bristol NHS ...

1.1 University Hospitals Bristol NHS Foundation Trust is a leading teaching hospital providing specialist and general services to the people of Bristol and the wider South West. We are already recognised for the strength of our clinical services, teaching and research portfolio in cancer, cardiac and children services amongst others.

  Trust, Bristol, Bristol nhs

What is Clinical Audit? - University Hospitals Bristol NHS ...

By approving and registering a project as a clinical audit, the Trust is 2009 UHBristol Clinical Audit Team – Version 3 Page 4 of 6 stating that the project fulfils the methodological criteria that allows for patient data to be accessed and

  Trust, Bristol, Bristol nhs

UKCPA Minimum Volumes Guide 2012

Ruth Forrest of NHS Greater Glasgow and Clyde Pam Garnett of Scarborough & North East Yorkshire NHS Trust Carolyn Gates of Chelsea & Westminster Hospital, London Kate Gee of Southmead Hospital, Bristol Patricia Ging of Mater Misericordiae University Hospital, Dublin Emma Graham-Clarke of City Hospital, Birmingham

  Trust, Minimum, Bristol, Nhs trust, Ackup, Ukcpa minimum

Quality Governance in the NHS

Bristol Royal Infirmary, the concept of clinical governance emerged as a support to clinicians 6 ... Mid Staffordshire NHS Foundation Trust: A review of lessons learnt for commissioners and performance managers following the Healthcare Commission investigation.2010. ...

  Trust, Quality, Bristol

INQUIRIES: LEARNING FROM FAILURE IN THE NHS?

matters for some years, and was an expert witness to the Bristol Royal Infirmary Inquiry. In 2000 he was a Commonwealth Fund Harkness Fellow, and spent a year at the University of ... - An internal NHS management inquiry, usually commissioned by an NHS trust, health authority or the NHS Executive and carried out by an NHS panel with a

  Trust, Bristol, Nhs trust

Principles for Trauma Informed ... - Bristol. Safeguarding

steady rate within the UK, with NHS Scotland and Youth Justice services in Wales at the forefront. In addition, high profile situations, the work of campaigners, and the current Covid-19 pandemic, has also meant that trauma-related topics are beginning to …

  Bristol

Instructions for 24 hour Urine Collection

including your name, date of birth and hospital/NHS number Please note: Any container received unlabelled cannot be accepted and you would have to repeat the collection. If you don’t have your NHS/Hospital number or the barcode label please contact your GP surgery, ward or clinic. What to do with the collected sample