Urinate on a colleague to stay in charge

 

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During a recent talk by Andy Buck about resuscitation room management the tricky question was raised of how to manage an aggressive medical intruder to the resuscitation room who immediately wants to take control of a critical resus – then do something really stupid to the patient.

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Sepsis tips

Fever and rigors = septicaemia. Cultures, antibiotics and admission are required. Don't attribute "aches and pains" to viral illness – sepsis causes the same symptoms. Thrombocytopenia in the febrile patient should always be considered to be due to sepsis. Lymphopenia is more commonly due to bacteraemia  in febrile ED patients than viral illness. Don't underestimate … Read more