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ED Ultrasound Machines
US machines are assigned to different areas. Please keep them in their assigned areas. Keep the machines clean, and plugged in. Make sure the cords are secure. Wanda & Dexter: Acute/Subacute (Not to be taken to ARIA or RESUS-4) Reggie => ARIA Amber Mindray => ARIA Red or Resus 4
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Face shields
Face shields have arrived, these are for ARIA staff, medical staff that come to review, and pts when being transferred. They can be step 1 and 2 wiped after swabbing and wiped down after breaks. 1 shield per shift and to be thrown out at the end of shift. I have given the navigator a…
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BIPAP/High Flow NP transfers
BIPAP/High Flow NP transfers If there is a Covid + patient on NIV or high flow NP they can be transferred to ICU on these modalities with a plastic face shield. We are attempting to source the disposable ones.
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Paeds COVID
From: Emma Newall Rapid swabs for ARIA Paeds + also rapid their parents Westmead Childrens still taking all COVID admissions BUT the paediatric team are arranging that transfer (pending ward work) to help out… the paediatricians are very pro this, hopefully the registrars don’t need too much encouragement – this will change as Westmead Childrens…
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More Changes for ARIA
Message from Dr Hastings Firstly, thank you to everyone for their continued input into the organisation and running of our ED. Your ideas and support are extremely helpful in adapting to the challenging situation that we are in. Defining the current problemsAvailable medical and nursing staff sat together upstairs today to work through our current…
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Secret to a Good Scar
Deep Dermal Stich for facial laceration repair. By Dr Hasan Sarwar
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Digoxin
A 27 F presents with an acute overdose of her father’s heart medication. On review you realise she has taken 50 Digoxin tablets. What do you do next? Remember the approach to toxicology patients: RESUS RSI DEAD ! RESUSCITATION Resuscitation measures precede any toxicological specific treatment. RISK ASSESSMENT … it appears she has taken a…
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NIV/HFNP in ED in COVID (Green)
Early contact with the on-call Respiratory or Cardiology Consultant is required and ideally prior to commencement of NIV/CPAP with an arterial blood gas result for those suspected of having hypercapnic respiratory failure. This allows discussion of risk assessment and decision on best place to manage the patient. Low clinical risk of COVID AGP may be…
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Patient file in ARIA
The folder gets moved from pigeon hole to pigeon hole if the patient moves.Note the green bags above room 7 pigeon hole. These are for us to transfer patients notes in to the ward etc. Virginia Linnegar
