EMERGENCY DEPARTMENT

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STEMI pathway

Please take in to account that the STEMI pathway is in need of an update. Ultimately, all STEMI patients need immediate discussion with JCUH CCU (CCU coordinator if uncomplicated, cardiology SPR if complicated) once the ECG has been e-mailed to the JCUH CCU department.

STEMI pathway (2014)

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Upper GI bleed - Blatchford Score Calculator

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Diabetic foot clinic referral

If a patient needs follow up in diabetic foot clinic after discussion with ED SDM/speciality, please email:

• cddft.diabetesadmin@nhs.net

Please send the symphony notes and reason for referral. Please document the same in the medical notes that a referral has been sent. The Diabetic team will follow up the patient.

NOTE: Please don’t ask primary care physician to do the referral in the discharge letter.

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Suspected cancer 2 week wait referrals

1. Suspected diagnosis of malignancy: fill in the 2 week wait referral form
2. Inform the patient and the leaflet in the same form/ link to be handed out.
3. Request CT TAP as outpatient under 2 WW if not already done and inform the same to patient.
4. Also record this in the symphony notes and copy of which can be posted to GP so that the primary care team are aware.
5. The completed form and symphony notes should be sent to
   • cdda-tr.cancer2WWBookingteam@nhs.net AND
   • cddft.aos@nhs.net AND
   • also CC to UHND ED secretaries cddft.eduhndsecretaries@nhs.net
   This can be uploaded onto symphony as a proof.