It is imperative that if hyponatraemia is suspected or diagnosed that clinicians provide appropriate care by arranging appropriate investigations, arranging a referral to an appropriate specialist such as an endocrinologist and/or admitting the patient to hospital for treatment.
24 Aug 2021
Undertaking Caudal Epidural in Patients on Rivaroxaban
Caudal epidural injections run the risks of infection, bleeding, nerve injury and intraspinal injection. These risks are higher when patients are on antiplatelet agents and Rivaroxaban, and such should be considered with the patient during the consenting process.
04 Aug 2021
Total Knee Replacement and its Alternatives
Total Knee Replacements (TKR) are a surgical procedure whereby an artificial joint/prosthesis replaces a damaged knee joint. It is important for all conservative measures to be exhausted before proceeding to this due to the likelihood of postoperative pain.
28 Jul 2021
The Importance of Pre-Labour Counselling for Caesarean Section
It 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.
20 Jul 2021
The Significance of Placing a B-Lynch Suture Correctly
A 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…
06 Jul 2021
Side Effects of Mirtazapine
Mirtazapine 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…
29 Jun 2021
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