TMLEP Clinical Updates
TMLEP’s Clinical Updates are provided in order to raise awareness of clinical risk issues and to reduce incidence recurrence and improve patient safety. Facts have been anonymised to maintain data confidentiality, however learning points remain applicable.
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The Importance of Pre-Labour Counselling for Caesarean Section
20 July 2021It is undeniable that giving birth is an extremely daunting act for many women. As such, it is important that women feel as comfortable, and as prepared as possible for this and an appropriate discussion is had regarding modes of delivery, including caesarean section.
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The Significance of Placing a B-Lynch Suture Correctly
06 July 2021A B-Lynch Suture is a form of ‘uterine compression’ suture used in Obstetrics. B-Lynch Sutures are not the most common form of care when faced with a haemorrhaging patient, and in fact, are often only used when a uterus is post-delivery and the uterine atony has not resolved following the use of uterotonics.
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Side Effects of Mirtazapine
29 June 2021Mirtazapine is an antidepressant medicine which is used to treat depression and sometimes Obsessive Compulsive Disorder and anxiety. It is used to improve a person’s mood and well-being. It works by restoring the balance of neurotransmitters in the brain. This is a prescription-only medication which can come in either tablet or liquid form.
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The Significance of Initiating Further Tests for Children Presenting with Lethargy
22 June 2021When 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 mucocutaneous lymph node syndrome – mainly affecting children under 5). Lethargy in children should be seen as an emergency and the patient should not be discharged without the cause of this being fully investigated.