Tallaght University Hospital
http://hdl.handle.net/10147/128269
2024-03-27T07:57:36ZAcute Carbon Monoxide Poisoning [V1.0]
http://hdl.handle.net/10147/640774
Acute Carbon Monoxide Poisoning [V1.0]
Moore, Tom; Irish Association for Emergency Medicine (IAEM)
The aim of this document is to provide guidance to clinical staff involved in the first line assessment and management of adults presenting to the ED with suspected or diagnosed acute CO poisoning.
2023-06-01T00:00:00ZPeriorbital and Orbital Cellulitis (Adults and Paediatrics) [v2.0]
http://hdl.handle.net/10147/640770
Periorbital and Orbital Cellulitis (Adults and Paediatrics) [v2.0]
Yong, Ken Au; Harris, Karen
The aim of this document is to provide guidance to clinical staff involved in the first line assessment and management of adults and children presenting with features suggestive of periorbital or orbital cellulitis.
2022-04-01T00:00:00ZManagement of Patients with Severe Pre-eclampsia and Eclampsia [v1.0]
http://hdl.handle.net/10147/640422
Management of Patients with Severe Pre-eclampsia and Eclampsia [v1.0]
Ngaditono, Andrew; Smyth, Suzanne; O'Neill, Aoife; McCabe, Aileen
Target audience This guideline has been developed for clinicians managing patients
with severe pre-eclampsia and eclampsia in the ED.
Patient population The target patient population is patients with severe pre-eclampsia
and eclampsia in the ED.
2023-11-01T00:00:00ZEmergency Department Management of Suspected or Confirmed SARS-CoV-2 (COVID- 19) [v1.0]
http://hdl.handle.net/10147/638295
Emergency Department Management of Suspected or Confirmed SARS-CoV-2 (COVID- 19) [v1.0]
McCabe, Aileen; Hassan, Termizi; Harris, Karen
Coronavirus disease 2019 (COVID-19) is a respiratory tract infection caused by a newly
emergent coronavirus, SARS-CoV-2, that was first recognized in Wuhan, China, in December
2019.
Technically, the virus is supposed to be called “SARS-CoV-2” and the clinical illness is called
“COVID-19.” Both terms will be used in this summary.
PARAMETERS
Target audience: This clinical summary is intended for all ED staff managing patients
with a possible/ confirmed SARS-CoV-2 (COVID-19).
Patient population: The target patient population is patients presenting to the ED with
possible/ confirmed SARS-CoV-2 (COVID-19).
AIM
To provide guidance based on currently available evidence for the assessment and
management of patient presenting to the Emergency Department with a possible or confirmed
SARS-CoV-2 (COVID-19).
2020-03-01T00:00:00ZManagement of Thermal, Chemical and Electrical Burns in the Emergency Department [V1.0]
http://hdl.handle.net/10147/638292
Management of Thermal, Chemical and Electrical Burns in the Emergency Department [V1.0]
Davis, Jamie; Pierce, Denise; Doolan, Aoife; Shelley, Odhran; O'Donoghue, Patricia; McCabe, Aileen
Burn injuries are common and can result in both local effects on the microvasculature, as well
as a systemic response due to chemical inflammatory mediators. It is imperative that serious
complications, including airway compromise, impaired ventilation and significant fluid losses,
are quickly recognised and managed. Thus, clinicians should follow an ABCD approach to
resuscitation. It is also worth noting that fluid replacement and burn surface area are often
over-estimated by clinicians.
There are three major types of burns: thermal, electrical and chemical.
PARAMETERS
Target audience This guideline is intended for clinical staff working in the ED involved
in the management of patients presenting with burns.
Patient population Adult patients (≥16 years old) presenting with a burn.
Exclusion criteria Patients <16 years of age.
AIM
The aim of this document is to provide an evidence-based guideline to clinical staff for the
management of patients presenting to the ED with burns.
2023-08-01T00:00:00ZAcute Thoracic Aortic Dissection Emergency Medicine Guideline [v1.0]
http://hdl.handle.net/10147/638291
Acute Thoracic Aortic Dissection Emergency Medicine Guideline [v1.0]
McCabe, Aileen; Gray, James; Moore, David
Thoracic aortic dissection (AD) is a rare but potentially fatal event resulting in separation of
the layers of the tunica media by ingress of blood, producing a false lumen with variable
proximal and distal extension.
AD can be challenging to diagnose. A high index of suspicion is required due to the high
mortality rate. It is essential to get early senior help and radiology assistance.
PARAMETERS
Target audience: This guideline is intended for all Emergency Department (ED) staff-
managing adult patients with a possible/ confirmed acute thoracic aortic dissection.
Patient population: The target patient population is adult patients presenting to the ED with
possible/ confirmed acute thoracic aortic dissection.
AIMS
To provide an evidence-based guideline for the assessment and management of adult patients
presenting to the ED with a possible/ confirmed acute thoracic aortic dissection.
2019-02-01T00:00:00ZManagement of Patients with Acute Epididymo- orchitis in the Emergency Department [v1.0]
http://hdl.handle.net/10147/638290
Management of Patients with Acute Epididymo- orchitis in the Emergency Department [v1.0]
Cooper, Paul; Flynn, Robert; Prior, Anna-Rose; McCabe, Aileen
Acute epididymo-orchitis is a clinical syndrome, characterised by pain, swelling and
inflammation of the epididymis, testes and scrotal skin. This may result from infectious and
non-infectious pathologies. The most common route of infection is local extension and is
mainly due to infections spreading from the urethra (sexually transmitted pathogens) or the
bladder (urinary pathogens).
AIM: To provide an updated and evidence-based guideline in the management of acute
epididymo-orchitis, ensuring that appropriate testing is performed, and that antimicrobial
prescribing is rationalised.
2021-04-01T00:00:00ZGuideline for the Assessment and Management of Patients with Suspected or Confirmed Eating Disorders in the Emergency Department [v1.0]
http://hdl.handle.net/10147/638289
Guideline for the Assessment and Management of Patients with Suspected or Confirmed Eating Disorders in the Emergency Department [v1.0]
McCabe, Aileen; Raji, Omotayo; Boyle, Pauline; Feehan, Sinead; Deery, Sarah; McGarvey, Aine; Naddy, Breda; McKay, Paula; Clifford, Michelle
Eating disorders are a group of mental disorders that are characterised by serious
disturbance in eating behaviour and weight regulation as a result of core psychopathology
around eating and body image.
They are associated with cardiac arrhythmias, refeeding syndrome and suicidal ideation, and
affect a wide demographic irrespective of gender, age, social class and ethnicity. It is not
uncommon for eating disorders to remain undetected, and patients may engage in masking
behaviour to avoid detection.
Emergency care clinicians have an important role in the recognition, assessment, and
management of patients with eating disorders. Data from the UK has shown that people with
eating disorders are 1.6 times more likely to attend ED. Furthermore, up to 16% of 14-20
year old patients attending the ED have an eating disorder and 43% of frequent attenders
had an eating disorder on screening.
Given the challenges in recognition and complexity of management, this guideline collates
expert opinion to offer a standardized evidence-based approach to patients who present to
the ED with suspected eating disorders.
The guideline builds on work done by the HSE National Clinical Programme for Eating
Disorders and references the Royal College of Psychiatrists standard document “Medical
Emergencies in Eating Disorders: Guidance on Recognition and Management”.
2023-10-01T00:00:00ZHip Fracture and the Weekend Effect in an Irish Trauma Hospital.
http://hdl.handle.net/10147/635911
Hip Fracture and the Weekend Effect in an Irish Trauma Hospital.
Downey, C; Flannery, S; Izydorczyk, A; Quinlan, J F
Aims We examined the relationship between the 1-year mortality (OYM) rate and (i) those admitted at the weekend, (ii) those who underwent surgery at the weekend and (iii) those admitted during the NCHD changeover months (January & July) for the management of hip fracture in Tallaght University Hospital (TUH). Methods Admissions to TUH (2013 - 2016) with hip fracture (> 60 years old) were retrospectively examined. Data from the Irish Deaths and Events Registry was analysed to identify death events at 1 year. Logistic regression analysis was performed with respect to OYM with the three variables above. Results 646 hip fracture patients were admitted (2013 – 2016). 178 (27.5%) were weekend admissions, 183 (28.4%) underwent weekend surgery and 93 patients (14.4%) were admitted during NCHD changeover months. There was no significant relationship between OYM and (i) weekend admission, (ii) weekend surgery or (iii) changeover admission in TUH. Conclusion This study offers the first examination of the weekend effect on fragility hip fractures and mortality in Irish patients and reports no significant weekend effect regarding 1-year mortality in this hip fracture cohort.
2019-06-17T00:00:00ZGender specific considerations in septorhinoplasty, a retrospective observational study and review of the literature.
http://hdl.handle.net/10147/635069
Gender specific considerations in septorhinoplasty, a retrospective observational study and review of the literature.
Gillanders, S L; Walsh, M; Anderson, S; Abdulrahman, S
Introduction: In our service experience, we found we had a high proportion of male patients undergoing septorhinoplasty. This encouraged us to research gender specific differences in anatomy, surgical techniques, expectations and outcomes.
Methods: We performed a retrospective chart review of patients who have had rhinoplasty surgery under a single otolaryngology consultant with a special interest in rhinoplasty. Patient information and results of the 10-Item Standardized Cosmesis and Health Nasal Outcomes Survey for Functional and Cosmetic Rhinoplasty pre and post-surgery were collected.
Results: There was no statistically significant difference in the mean pre-operative symptom (29.31 vs 32.29 p = 0.559), change in symptom (23.25 vs 24.14 p = 0.827) or satisfaction scores (8.69 vs 7.29 p = 0.089) between male and female patients. A discussion on gender specific anatomical features and deformities is presented.
Conclusion: All patients reported improved symptoms and high levels of satisfaction. Careful patient counselling and patient-specific surgical planning help to achieve optimal outcomes.
2022-05-18T00:00:00Z