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 Significance of Initiating Further Tests for Children Presenting with Lethargy22 June 2021
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 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.
The Importance of Flagging Abnormal X-ray Findings that are Not Detected in the Emergency Department15 June 2021
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.
A Reminder of The Significance of Removing Wound Packing08 June 2021
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.
The Management of Diabetic Foot Ulcers18 May 2021
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.