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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A Series: COVID-19 and its Impact on the NHS - Obstetrics11 May 2021
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 an environment when mothers were less likely to attend these in any event.
The Difficulties Faced When Performing a Total Appendectomy27 April 2021
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.
The Importance of Post-Seizure Observations in Children13 April 2021
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 neurological symptoms which can further reduce the scope when diagnosing a child in these emergency situations.
A Series: COVID-19 and its Impact on the NHS - Plastic Surgery30 March 2021
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.