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        <title>Anaesthesia</title>
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        <description>Anaesthesia

Local anaesthetic agents:
  doses are for regional anaesthetic only    amide LA&#039;s - metabolised in liver
  Ester LA&#039;s - metab by hydrolysis (plasma esterases)Lignocaineamide LA
 duration:30-120mins
 3-5mg/kg, max.200 mg  Bupivacaineamide LA</description>
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        <title>Analgesia</title>
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        <description>Analgesia

NSAIDs

	* widely used for anti-inflammatory and analgesic properties with traditional non-selective and latterly selective cyclooxygenase (COX)-2 inhibitors
	* COX inhibitors implicated in poor bone healing but NOT proven
	* COX-1 said to be gastro-protective so selective</description>
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        <title>Governance</title>
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        <description>Governance

Caldicott

In 2016, Dame Fiona Caldicott, published her report: &#039;Review of Data Security, Consent and Opt-outs&#039; in which she proposed ten standards for health and social care. she also recommended the introduction of a national data opt-out which allows the public to opt-out of their confidential information being used for purposes other than their individual care and treatment; for example, for research and planning purposes.</description>
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        <title>Interpreting Images</title>
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        <description>Interpreting Images



References include:

&lt;https://radiopaedia.org/articles/chest-radiograph-assessment-using-abcdefghi?lang=gb&gt;

&lt;https://radiopaedia.org/articles/abdominal-x-ray-an-approach-summary?lang=gb&gt;

&lt;https://www.radiologymasterclass.co.uk/&gt;

&lt;http://rad.desk.nl&gt;

&lt;http://www.revise4finals.co.uk/medicine/multimedia/chestxrayabnorm.php&gt;

Chest J. Imaging pulm HT 2019</description>
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        <dc:date>2024-04-22T04:40:16+00:00</dc:date>
        <dc:creator>Anonymous (anonymous@undisclosed.example.com)</dc:creator>
        <title>Interpreting Lab results</title>
        <link>https://www.myemnotes.com/doku.php?id=wiki:labs&amp;rev=1713760816&amp;do=diff</link>
        <description>Interpreting Lab results



References include:

BMJ role of fibrin dDimer in Emerg Med 2003

&lt;https://rebelem.com/age-adjusted-d-dimer-testing/&gt;

&lt;https://litfl.com/dealing-with-d-dimer-debacles/&gt;

dDimer variables, uses, production

&lt;https://litfl.com/liver-function-tests/&gt;

Function of Liver function tests 2012

assessment of hypokalaemia 2020

emed review of CRP

CRP interpretation in critically ill 2013

Lactate in ED 2019

Suffolk ALT pathway

RCP hypercalcaemia - presentation and Mx 2017
…</description>
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        <title>Medical Causes of Abdominal Pain</title>
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        <description>Medical Causes of Abdominal Pain
Metabolic Toxicology Neurological Infection Other DKA
Addison disease
Hypercalcaemia
uremia
Porphyria
Phaeochromocytoma lead poisoning
metal ingestion
corrosive ingestion
Cannabinoid hyperemesis syndrome
Narcotic bowel syndrome
Withdrawal syndromes
Body packing
Envenomation</description>
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        <title>Emergency Medicine notes</title>
        <link>https://www.myemnotes.com/doku.php?id=wiki:myemwiki&amp;rev=1682424970&amp;do=diff</link>
        <description>Emergency Medicine notes

These are my Emergency Medicine review notes.

A place to revise, update and keep track of reference material, guidelines and reviews.

Something I can refer to, add to and keep notes safely.

A place I can keep important pictures and guides to help teach as well!</description>
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        <description>Resuscitation

Fluid and Electrolyte Management

Intravenous fluids (IV fluids) are routinely used to restore effective blood volume and maintain organ perfusion during resuscitation.
Optimal dose and type of IV fluids to be used during resuscitation is still an area of debate and may therefore be responsible for significant variability in global resuscitation practices.</description>
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        <title>Skin &amp; Wounds</title>
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        <description>Skin &amp; Wounds

Generalised itchy skin with rash

	* Chronic renal insufficiency
	* Cholestasis
	* Iron deficiency
	* Polycythaemia vera
	* Hyperthyroidism
	* Lymphoma
	* Diabetic neuropathy
	* Drug-induced (eg, opioid, chloroquine, vancomycin flushing)</description>
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        <dc:creator>Anonymous (anonymous@undisclosed.example.com)</dc:creator>
        <title></title>
        <link>https://www.myemnotes.com/doku.php?id=wiki:start&amp;rev=1682424970&amp;do=diff</link>
        <description>this is my Wiki for all my notes in Emergency Medicine
settings</description>
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        <dc:date>2023-04-25T12:16:10+00:00</dc:date>
        <dc:creator>Anonymous (anonymous@undisclosed.example.com)</dc:creator>
        <title>Symptoms checker</title>
        <link>https://www.myemnotes.com/doku.php?id=wiki:symptomscheck&amp;rev=1682424970&amp;do=diff</link>
        <description>Symptoms checker
Headache Chest Pain *1st point
*2nd point Breathlessness *think PE, pneumothorax
*wheeze - not always asthma - may be PE, pneumothorax, malignant obstructionAbdo Pain</description>
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        <dc:date>2023-11-08T11:08:22+00:00</dc:date>
        <dc:creator>Anonymous (anonymous@undisclosed.example.com)</dc:creator>
        <title>Toxicology</title>
        <link>https://www.myemnotes.com/doku.php?id=wiki:toxicology&amp;rev=1699441702&amp;do=diff</link>
        <description>Toxicology

Paracetamol overdose

	* For adults and children aged 6 years and over, serious toxicity is unlikely to occur from a single ingestion of less than 75mg/kg of paracetamol taken in &lt;1/24
	* For children aged under 6 years, serious toxicity is unlikely to occur from a single ingestion of less than 150mg/kg of paracetamol taken in &lt;1/24</description>
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        <dc:date>2025-12-02T10:39:14+00:00</dc:date>
        <dc:creator>Anonymous (anonymous@undisclosed.example.com)</dc:creator>
        <title>Welcome to your new DokuWiki</title>
        <link>https://www.myemnotes.com/doku.php?id=wiki:welcome&amp;rev=1764671954&amp;do=diff</link>
        <description>Welcome to your new DokuWiki

Congratulations, your wiki is now up and running. Here are a few more tips to get you started.

Enjoy your work with DokuWiki,

-- the developers

Create your first pages

Your wiki needs to have a start page. As long as it doesn&#039;t exist, this link will be red:</description>
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