Find out about our recent news and a selection of clinical alerts below.

Acute kidney injury (AKI) is now the preferred term for what used to be called “acute renal failure”. It is defined by an acute change in kidney function determined either by changes in the serum creatinine or reduction in the urine output into the oliguria range.

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.

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.

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.

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.

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…

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…

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…

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.