Clinical Case Database / Category: Practical Procedure
Dr Jane Archer, Dr Richard Brown
Foundation Years Journal, volume 8, issue 8, p.33 (123Doc Education, London, September 2014)
A 23 week old girl with a one day history of high pyrexia was presented to the emergency department by her parents who had awoken to find her with an extensive non-blanching purpuric rash.
On admission, the infant appeared acutely unwell and was clinically shocked. Urgent circulatory access was required. Peripherally shut-down, gaining peripheral venous access would have been difficult and time-consuming. Intra-osseous (IO) access was secured enabling bloods to be taken and fluids to be administered.
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Dr Jane Archer (Corresponding author)
Frimley Park Hospital NHS Foundation Trust
Portsmouth Road, Frimley, Surrey, GU16 7UJ
Dr Richard Brown
Peterborough and Stamford Hospitals NHS Foundation Trust
Peterborough City Hospital, Edith Cavell Campus, Bretton Gate, Peterborough, PE3 9GZ
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When reporting experiments on human subjects, the Journal requires authors to indicate whether the procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the HelsinkiDeclaration of 1975, as revised in 2008.
About the Clinical Cases Database
The Foundation Years Clinical Cases Database is a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.
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