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Royal College of Emergency Medicine
Royal College of Emergency Medicine
@rcem.ac.uk
1 year ago
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This #WorldParkinsonDay share the message that a MISSED dose can harm your Parkinson's patients! Our #SafetyFlash is crucial to know if you're providing urgent care for patients with Time Critical Medications (TCM) in the Emergency Department. 🔗 Read more: rcem.ac.uk/patients-...

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Royal College of Emergency Medicine
Royal College of Emergency Medicine
@rcem.ac.uk
1 year ago
There is an upsurge of mpox cases in the DRC and a growing number of African countries. The current variant is a ‘High Consequence Infectious Disease’ (HCID). We need to be vigilant, as cases may occur in the UK. Mpox clade 1: what you need to know – UK Health Security Agency (blog.gov.uk) Clinical features • Fever >38.5°C • Headache, Arthralgia, Myalgia, Back pain, Lethargy, often painful Lymphadenopathy. • A rash appears within 1-5 days of initial fever, often starting with facial, ano-genital or oral lesions, it may spread including to palms and soles of feet. • Mpox is usually self limiting but can be severe, especially in children, pregnancy and immune suppressed. Ask Mpox (monkeypox): case definitions - GOV.UK (www.gov.uk) Operational mpox (monkeypox) HCID case definition - GOV.UK (www.gov.uk) • Any link to confirmed or probable case in the 21 days prior to symptom onset (incubation 5-21 days). • Travel to east, west or central Africa in 21 days before symptom onset . • Has had one or more new sexual partners in the 21 days before symptom onset. Diagnosis is by PCR test for the monkeypox virus (MPXV). Liaise with your local team re testing processes. All patients that require testing need discussion with the Imported Fever Service—08447788990 Treatment is supportive. Refer eligible people for vaccination. Mpox - NHS (www.nhs.uk) What do I need to do in ED? • Screen—Establish a process to screen for travel history, contact history and symptoms when booking in/ triage • Isolate suspected cases in negative or neutral pressure ventilation room, • Wear full PPE—FFP3, eye protection, full length gown,gloves NHS England » Addendum on high consequence infectious disease (HCID) personal protective equipment (PPE) Offer patient surgical face mask • Exclude pregnant staff/ clinically vulnerable staff from contact with patient • Clean—follow local IPC cleaning and waste disposal processes

There is an upsurge of mpox cases in the DRC and a growing number of African countries. The current variant is a ‘High Consequence Infectious Disease’ (HCID). We need to be vigilant, as cases may occur in the UK. Mpox clade 1: what you need to know – UK Health Security Agency (blog.gov.uk) Clinical features • Fever >38.5°C • Headache, Arthralgia, Myalgia, Back pain, Lethargy, often painful Lymphadenopathy. • A rash appears within 1-5 days of initial fever, often starting with facial, ano-genital or oral lesions, it may spread including to palms and soles of feet. • Mpox is usually self limiting but can be severe, especially in children, pregnancy and immune suppressed. Ask Mpox (monkeypox): case definitions - GOV.UK (www.gov.uk) Operational mpox (monkeypox) HCID case definition - GOV.UK (www.gov.uk) • Any link to confirmed or probable case in the 21 days prior to symptom onset (incubation 5-21 days). • Travel to east, west or central Africa in 21 days before symptom onset . • Has had one or more new sexual partners in the 21 days before symptom onset. Diagnosis is by PCR test for the monkeypox virus (MPXV). Liaise with your local team re testing processes. All patients that require testing need discussion with the Imported Fever Service—08447788990 Treatment is supportive. Refer eligible people for vaccination. Mpox - NHS (www.nhs.uk) What do I need to do in ED? • Screen—Establish a process to screen for travel history, contact history and symptoms when booking in/ triage • Isolate suspected cases in negative or neutral pressure ventilation room, • Wear full PPE—FFP3, eye protection, full length gown,gloves NHS England » Addendum on high consequence infectious disease (HCID) personal protective equipment (PPE) Offer patient surgical face mask • Exclude pregnant staff/ clinically vulnerable staff from contact with patient • Clean—follow local IPC cleaning and waste disposal processes

X Post 29 Nov: UK Health Security Agency @UKHSA 📢 We have detected 1 new travel-related human case of Clade Ib mpox in the UK. Make sure you're familiar with the symptoms, particularly if you're travelling to an affected country 🦠 #Mpox - skin rash with blisters, spots or ulcers - fever - headaches - muscle aches - back pain - exhaustion - swollen glands Call NHS 111 or visit nhs.uk/conditions/mpox

X Post 29 Nov: UK Health Security Agency @UKHSA 📢 We have detected 1 new travel-related human case of Clade Ib mpox in the UK. Make sure you're familiar with the symptoms, particularly if you're travelling to an affected country 🦠 #Mpox - skin rash with blisters, spots or ulcers - fever - headaches - muscle aches - back pain - exhaustion - swollen glands Call NHS 111 or visit nhs.uk/conditions/mpox

#Mpox #SafetyFlash Resharing our guidance and the #UKHSA X post (29 Nov) for #Medsky awareness.

Save, download and share this guidance: tinyurl.com/rcemMpox

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