The Significance of Initiating Further Tests for Children Presenting with Lethargy
When a child presents with signs of continued lethargy with periods of vomiting and fever, even if the latter two cease, the patient should be referred for further testing and observations in line with the above, to rule out serious diagnoses such as myocarditis and Kawasaki Disease (also known as…
22 Jun 2021
The Importance of Flagging Abnormal X-ray Findings that are Not Detected in the Emergency Department
TMLEP would like to highlight the importance of flagging abnormal X-ray findings and promptly informing the patient of any change in their diagnosis so that prompt referral can be made, and the patient can adjust their behaviour accordingly to minimise any further damage.
15 Jun 2021
A Reminder of The Significance of Removing Wound Packing
Packing wounds is integral to the patient’s healing and should be thoroughly monitored throughout the aftercare period, adhering to the guidelines. The failure to remove packing on a regular basis, as and when needed, can be detrimental to the patient, as the packing obstructs the pus from leaving the cavity.
08 Jun 2021
The Management of Diabetic Foot Ulcers
Trusts should ensure that they have an appropriate care pathway to ensure that healthcare professionals understand what to do when a diabetic foot ulcer is identified and that they provide timely care.
18 May 2021
A Series: COVID-19 and its Impact on the NHS - Obstetrics
Reductions in staff due to positive COVID-19 cases or isolation as well as other COVID measures (such as redeployment) meant that throughout the pandemic there has been a knock-on effect leading to remaining practitioners to cover even more patients than usual. This led to a reduction in available appointments in…
11 May 2021
The Difficulties Faced When Performing a Total Appendectomy
This article discusses the risk factors associated with performing an appendectomy, including not fully visualising the organ and the risk of leaving part of the appendix in situ.
27 Apr 2021
The Importance of Post-Seizure Observations in Children
A study by TMLEP shows that in these instances when a child is presenting with prolonged headaches, vomiting, and dizziness, a CT scan should be considered. It is important to consider that a CT scan can not only diagnose, but also rule out differential diagnoses such as tumours or other…
13 Apr 2021
A Series: COVID-19 and its Impact on the NHS - Plastic Surgery
Before COVID-19, long waiting lists for plastic surgery for non-urgent cases were not unheard of, with clinic appointments taking place anywhere between 1-12 weeks from referral and from thereon, up to 6 months waiting for the operation itself.
30 Mar 2021
A Series: COVID-19 and its Impact on the NHS – Acute Medicine
The field of acute medicine has historically been extremely busy, even before COVID-19, with clinicians accustomed to patients presenting with an array of medical issues and complications, all requiring a quick diagnosis so that they can be cared for by the right clinicians.
15 Mar 2021