Any questions for Steve?

Did you know that Steve Collman, our Outreach Librarian for the Community is happy to take your questions on any aspect of literature searching. For instance:

  1. Do you know how to register for an Athens account?
  2. Would you like some help locating journal articles?
  3. Do you know where to find systematic reviews?
  4. Would you like some one to one support to find quality healthcare information?

So if you are based in the community please contact Steve in confidence by completing this form.

Divided in dying

This report highlights the need for better advance care planning at the end of life and the urgent need to put in place workable guidance to replace the Liverpool Care Pathway as soon as possible. The report found that almost half of those who have lost someone close to them through a short or long illness, feel their loved one died badly (45%). In cases where the dying person had recorded their end of life wishes, relatives and friends are more likely to report that they had a good death (58%).
Compassion in Dying 

Bleeding associated with acquired factor V inhibitor in a patient on warfarin treated successfully with prednisolone

An 85-year-old man on warfarin for atrial fibrillation presented with skin bleeding. International normalised ratio (INR) and activated partial thromboplastin time (APTT) were elevated and did not correct even after warfarin reversal with vitamin K, prothrombin complex concentrate (PCC) and fresh frozen plasma. Mixing coagulation studies with normal plasma suggested the presence of an inhibitor rather than the multiple coagulation factor deficiencies expected with warfarin. Assays of the common-pathway coagulation factors revealed factor V concentration <2% with inhibitor level elevated to 11 Bethesda units. The bleeding resolved following a course of corticosteroids. Coagulation studies and factor V level returned to normal along with resolution of the inhibitor. We report the case of the diagnostic dilemma posed and successful therapy implemented despite the limited evidence-based data being available for the treatment of this rare condition.

Is your PC ready for elearning?

pc_check

If you’re about to start your Statutory and Mandatory elearning make sure you check your computer has all the necessary software installed before you attempt the course.  

By going to PC Checker at http://www.esrsupport.co.uk/nlms/pccheck.html you will be able to verify your computer’s fitness to support the ESR elearning packages. If there are programmes missing or software that needs updating you will be able to contact the IT Service desk and have them installed. 

Don’t forget you can always complete your elearning in the comfort of the Staff Library where there are staff on hand to help you get started.