Category: ITU

How to Assess a Chest Drain

Although as an FY1/2 you wouldn’t be expected to insert a chest drain yourself but you will often be called out of hours to review a drain for a variety of reasons: Not swinging/bubbling Not draining Painful “It needs flushed and I don’t do that” Indications for a chest drain: (BTS guidelines) Tension pneumothorax or

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Daily Reviews on the ICU

In the intensive care unit, junior medical staff conduct and present daily reviews of their patients to seniors to guide the planning of care on the ward round.This may well seem daunting given how unwell and complex the patients might be but a thorough, well-structured A-E will give you most of the information you need

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Referring to the Intensive Care Unit

As a foundation doctor, caring for patients who deteriorate rapidly and/or are critically unwell can be daunting.Intensive care units provide the highest-level care for patients within the hospital. Knowing which patients are appropriate to refer is important for all foundation doctors to understand. Critical care outreach teams (CCOT) provide a link between the wards and

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PICC Lines and Midlines

You may well be asked to take blood from a PICC line or be called to see a patient because their PICC line is not working. In this article we will take you through the basics of PICC lines, why they are needed, how to use them and some common pitfalls. Please note that procedures

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