Non-blanching rashes

One of my first experiences of clinical research was in my first PEM job (depressingly, in the last century). This was work in what became known locally as ‘The Spotty Rash’ trial. A child would present with a non-blanching rash, I would heave a deep sigh and go and assess them before measuring EVERY SINGLE…

LDH

Ian, I’ve done some ‘routine bloods’ and…” are the words most likely to induce an elevation in my blood pressure at work. I’m not alone in detesting the taking of ‘routine bloods’ – if the test you’re doing isn’t going to change your management then don’t do it.

ED attendance following MenB vaccination

In September  2015, the UK introduced the 4Conjugate Meningococcal B vaccine to the routine immunisation schedule, to be given at 2 and 4 months of age. Those of us who’ve witnessed the devastating effects of meningococcal sepsis welcomed this warmly. There was however a small catch. It was recognised that one of the effects of…

QTc

When I started my training, if you had asked me what the QTc was, I would probably have told you it was one of those funny shopping channels on cable TV. Then cisapride came along (Google it, kids) and changed all that. Nowadays every colleague who asks me to review an ECG tells me the…

Last updated by at .