Archive for the 'Critical Care' Category

All emergency departments must have GP led triage by October

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Every hospital in England must have a “comprehensive” GP led triage system in emergency departments by October 2017 in a bid to avoid a repeat of the winter crisis that gripped the service this year, NHS leaders have said.

The requirement is one of several “concrete changes” demanded by NHS England’s chief executive, Simon Stevens, and the chief executive of NHS Improvement, Jim Mackey, in a letter sent after the chancellor Philip Hammond’s budget pledge to give the NHS an extra £100m (€115m; $120m) in 2017‑18 to spend on easing pressures in accident and emergency departments.


End of life care for infants, children and young people with life limiting conditions: summary of NICE guidance

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Children and young people can have a wide range of life limiting conditions and may sometimes live with such conditions for many years. This guideline recommends that end of life care be managed as a long term process that begins at the time of diagnosis of a life limiting condition and entails planning for the future. Sometimes it may begin before the child’s birth. It is part of the overall care of the child or young person and runs in parallel with other active treatments for the underlying condition itself. Finally, it includes those aspects related to the care of the dying.

Here’s why we need evidence

evidently-cochrane-logoEveryday nursing requires the appropriate use of evidence and this website  from Evidently Cochrane provides useful insights. The article about pressure ulcers illustrates why evidence is needed for everyday practice.

Evidence can be found from a variety of sources and with busy workloads and winter pressures coming, you may find it is hard to find time to search for reliable evidence.

Don’t worry – we can help you!

Your Library and Knowledge Service has skilled  outreach specialists who can help you, either by running an evidence  search or training you to do it effectively. So get ahead and get in touch with us if you are based at East Cheshire NHS Trust.

New! Critical Care Bulletin

Catch up on the latest articles from selected journals. Our latest Critical Care Bulletin has just been published here

Overwhelmed by information?


BMJ Infographics

Highlighted resource:


These are great visual summaries of a variety of conditions, their management and treatments, and visual overviews of article recommendations. They are found attached to a variety of articles and editorials, and some of the key infographics are found on the infographics page. For example, the infographic of the NICE sepsis guidance or a visual guide to recognising past congenital heart surgery in adults.

New eBooks

The Library has recently purchased 13 new eBooks from the ‘Crash Course‘ series:

Visit to access all the eBooks from the DawsonEra collection or search our complete eBooks collection.

All the eBooks can be accessed with an NHS Athens username and password.

For more information please get in touch!

01625 661362


Out now! Critical Care Bulletin

The latest critical care bulletin has been published here

New books

NewBooksThe Library & Knowledge Service purchased a large number of new books last month ~ view a selection of the new titles here.

All members of East Cheshire NHS Trust staff, students on placement and volunteers are able to borrow books from the Library.

Contact the Library for more information: / 01625 66 1362.


Just published! Critical Care Bulletin for September

The latest edition of the Critical Care Bulletin can be found here

New books


The Library & Knowledge Service purchased a large number of new books last month ~ view a selection of the new titles here.

All members of East Cheshire NHS Trust staff, students on placement and volunteers are able to borrow books from the Library.

Contact the Library for more information: / 01625 66 1362.


NICE recommends dropping two drugs from Cancer Drugs Fund

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Two drugs currently provided under the Cancer Drugs Fund (CDF) should cease to be available because they are not cost effective, the National Institute for Health and Care Excellence (NICE) has concluded.

Everolimus for breast cancer (Afinitor, Novartis) and ibrutinib for mantle cell lymphoma (Imbruvica, Janssen) do not meet the grade, says NICE in draft guidance now open for consultation.Nice_logo

The Critical Care Bulletin – August

The latest edition of our bulletin for Critical Care has been published here


internurse logo

The library currently has a free trial to the internurse and MAHcomplete e-journal collections.

Internurse is the UK’s largest collection of peer-reviewed nursing content, and home of the British Journal of Nursing. Internurse covers primary and secondary care settings as well as the whole spectrum of specialist nursing practice including cardiology, neuroscience, mental health, palliative care and wound care.

Access the collection with your East Cheshire NHS Athens account: Login to Athens. Select ‘MAG Online Library’ from the list of resources.

Internurse guide

If you would like to find out more or have any questions please phone us on 01625 661362 or send us an email.

Suspected sepsis: summary of NICE guidance

nice_logoGuidelines include:

  • “Think sepsis” in any person with suspected infection

  • Sepsis may present with non-specific symptoms and signs and without fever

  • Have a high index of suspicion of sepsis in those who are aged <1 year or >75 years, pregnant, or immunocompromised, and those who have a device or line in situ or have had recent surgery

  • Use risk factors and any indicators of clinical concern to decide if full assessment is required

  • Offer people at high risk of sepsis broad spectrum antibiotics and intravenous fluids in hospital

Latest Bulletins Published!

The Library & Knowledge Service has published the latest bulletins to keep you up to date.

The bulletins for Critical Care  can be accessed here

The bulletin for Breast surgery can be found here

There are many ways we can help you keep up to date when you are working in East Cheshire NHS Trust. Other updates and news can be found on the library website here or if you can’t find what you need contact us and we will see how we can help.

Critical Care Bulletin – May

The latest version of the Critical Care Bulletin has just been published on the library website. You can access it here.

Critical Care Bulletin- Just Published!

The latest edition of the Critical Care Bulletin has just been published. You can access the blog here

Critical Care Bulletin published!

The latest edition of our Critical Care Bulletin has just been published. You can read it here

Eating peanuts in early years reduces allergy risk even with later abstinence

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Children at high risk for peanut allergy who are treated with early peanut exposure from infancy to age 5 remain at low risk even after avoiding eating peanuts for a year, shows a UK study that indicates long lasting benefit from early exposure.

Peanut allergy is a common and potentially life threatening food allergy. A study published last year found that sustained peanut consumption beginning in the first 11 months of life reduced the rate of peanut allergy at age 5

Higher nurse to patient ratio is linked to reduced risk of inpatient death

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Death rates in English hospitals where registered nurses cared for six or fewer patients were 20% lower than in those where they cared for more than 10, research published in the online journal BMJ Open has found.

Researchers looked at the number of beds per registered nurse, doctor, and healthcare support worker in 137 acute care trusts from 2009 to 2011. They also analysed the number of patients per ward nurse in a survey of 2917 registered nurses from a nationally representative subsample of 31 of these trusts.

Critical Care Bulletin – published today

View the latest Critical Care Bulletin – just published here

Critical Care Bulletin Published

The December edition of Critical Care Bulletin has just been published here

Identify sepsis in patients by using early warning scores, doctors are urged

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General practitioners and hospital doctors should all use an early warning score system when they suspect that a patient may have sepsis to help improve the recognition of cases, a report recommends.

Nearly half (45%) of patients with sepsis admitted to hospital with no other obvious problem either died or were left with a disability, an audit of cases in England, Wales, and Northern Ireland has found.

Spotlight on……..Wiley Nursing and Medical Journals

Wiley journalsAll trust staff have access to a collection of over 200 online journals covering key medical and nursing titles. Our subscription provides full text access to articles published in these journals, giving access to published research and evidence which can support your workplace practice, CPD, research and educational activities.

The journal titles are linked into our healthcare databases, electronic journal lists and can be accessed from the library web pages when both on and offsite by using your Athens log in.

Please contact the library on 01625 661362 if you have any questions

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