How to Do It
The Acute Physicians Unit in Scarborough Hospital
Abstract Aim: The aim of Acute Physicians Unit (APU) in Scarborough Hospital is consultant led delivery of acute medical care. It operates weekdays from 9am to 5pm, staffed by a consultant physician,
Providing Better Care for Patients with Complex Needs in Acute Medicine
Abstract Patients with complex needs are commonly admitted on the acute medical take and comprise a significant proportion of the workload for an acute physician. An innovative multi-professional approach
The Evolving Role of the Acute Assessment Unit – from inpatient to outpatient care
Abstract Acute Assessment Units (AAUs) have been developed to meet the demand for emergency care. Traditionally, AAUs have been an admission route to secondary care but the role is now evolving to assessment….
The Dix-Hallpike and Modified Epley Manoeuvres in the diagnosis and management of Benign Paroxysmal Positional Vertigo (BPPV)
Benign Paroxysmal Positional Vertigo (BPPV) is one of the most common balance disorders and one of the easiest to diagnose and treat. It is characterised by short lived episodes of vertigo and geotropic…
A practical guide to the examination and interpretation of pupillary responses
Abstract Examination of the pupillary responses, being simple, reliable and highly reproducible can elicit one of the “hard” neurological signs. In this article we provide an overview of
Chest Drain Insertion Indications and Techniques
The ability to insert a chest drain safely and painlessly is an important core skill for physicians. This article describes techniques for insertion of larger bore trochar and cannula type chest drains
Direct ophthalmoscopy for the acute physicia – papilloedema and other abnormalities of the optic nerve head
Abstract Direct ophthalmoscopy is an essential part of the full systemic examination. However, the technique is challenging and time-consuming. In the acute medical setting therefore, it is advisable