Adult fractures TTS referral forms

Please make sure you use the correct referral forms for referring adult fractures to TTS (Trauma Triage Service formerly known as VFC)

There are currently some issues with Symphony documents containg the BHSCT VTE assessment which is different to NHSCT VTE assessment. We *MUST* use the NHSCT VTE assessment form!




For *ALL* paediatric referrals (including knees) use the referral form from within Symphony print menu.

Raised anion gap mnemonic

Causes of a raised anion gap – CAT MUDPILES

  • Cyanide, Carbon monoxide
  • Alcoholic ketoacidosis
  • Toluene
  • Methanol, Metformin
  • Uraemia
  • Diabetic ketoacidosis
  • Phenformin,Paracetamol, Pyroglutamic acid, Paraldehyde, Propylene glycol
  • Iron, Isoniazid
  • Lactate (numerous causes)
  • Ethanol, Ethylene glycol
  • Salicylates

Quality checklist for a RCT


Quality Checklist for Randomized Clinical Trials:

1] The study population included or focused on those in the emergency department.
2] The patients were adequately randomized.
3] The randomization process was concealed.
4] The patients were analyzed in the groups to which they were randomized.
5] The study patients were recruited consecutively (i.e. no selection bias).
6] The patients in both groups were similar with respect to prognostic factors.
7] All participants (patients, clinicians, outcome assessors) were unaware of group allocation.
8] All groups were treated equally except for the intervention.
9] Follow-up was complete (i.e. at least 80% for both groups).
10] All patient-important outcomes were considered.
11] The treatment effect was large enough and precise enough to be clinically significant.
12] Financial conflicts of interest.