№ lp_2_3_56806
File format: docx Character count: 4083 File size: 26 KB
Clinical audit guideline outlining standards, indicators, data collection requirements and references for the use of urgent CT brain imaging and subsequent lumbar puncture in suspected subarachnoid haemorrhage.
Descriptor: Urgent and out-of-hours CT brain undertaken to identify subarachnoid haemorrhage (SAH) or contraindications to subsequent lumbar puncture (LP)
Background: National guidance requires LP following a normal CT brain in suspected SAH cases
Standard: LP performed no sooner than 12 hours from symptom onset when CT does not reveal SAH or contraindication
Target: 100%
Indicators: Percentage of eligible patients undergoing LP ≥12 hours after headache onset
Data Items: Clinical details in request; time of CT; CT findings; contraindications; timing and result of LP; report timing
Suggested Number: 40 consecutive requests
Resources: Review of request forms, patient notes, laboratory log books; radiologist time (8 hours)
References: SIGN Guidelines 107 (2008); NICE CG68 (2008); RCP Stroke Guideline (2012); BMJ, Stroke, Neurologia and other cited journals
Submitted By: Taken from Clinical Audit in Radiology 100+ recipes RCR 1996, updated by B Morrissey & L Narayanan
Published Date: Monday 7 January 2008
Last Reviewed: Thursday 9 January 2020
Price: 8 / 10 USD
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Examination of the Cerebrospinal Fluid: Lumbar Puncture
Note: Year
Notification of Injury: Abrasions, Cuts or Puncture Wounds
Document type: School health office injury notification form
Institution: School health office
Subject: Student injury involving skin wound
Wound types: Abrasion (scrape), Cut, Puncture
Intended recipient: Parent or guardian of the student
Medical focus: Wound care and infection signs
Signature field: Yes
Date field: Yes
Injury timing field: Yes (AM/PM)
Health advisory: Guidance on monitoring for infection and when to contact a health care provider
Management of the Adult with a nontraumatic Subarachnoid Haemorrhage
Year: 2023
Region / City: Canberra
Topic: Health, Medical Procedures
Document Type: Clinical Procedure
Organization / Institution: Canberra Health Services
Author: Unknown
Target Audience: Medical Professionals, Nurses, Allied Health Professionals
Period of Validity: Ongoing
Approval Date: Unknown
Date of Changes: Unknown
Multimodal assessment of cognitive impairment after aneurysmal subarachnoid hemorrhage
Year: 2026
Region / city: Not specified
Subject: Neurology, Cognitive Neuroscience
Document type: Supplementary Materials
Institution / Organization: Not specified
Authors: Not specified
Target audience: Researchers and clinicians in neurology and neuroimaging
Study period: Acute to 6 months post-aSAH
Methods: MRI (sMRI, DTI, rs-fMRI), EEG, ERP, biomarker analysis
Patient groups: aSAH patients, UIA controls
Biomarkers: Amyloid β (Aβ40, Aβ42), tau protein, p-tau181, neurofilament light chain
Data presentation: Tables (S1–S4), Figures (S1–S2)
Analytical focus: Structural and functional brain changes, cognitive impairment, early diagnosis markers
Supplementary Content Table S1. Search Strategy for PubMed, Web of Science, and Embase on Subarachnoid Hemorrhage and Statins
Year: Not specified
Document type: Supplementary material
Content type: Literature database search strategy
Research field: Medicine
Academic field: Neurology
Topic: Subarachnoid Hemorrhage and Statin Therapy
Databases covered: PubMed; Web of Science; Embase
Search components: Controlled vocabulary terms; Title/Abstract keywords; Boolean operators
Key medical concepts: Subarachnoid Hemorrhage; Aneurysmal Subarachnoid Hemorrhage; Statins; Hydroxymethylglutaryl-CoA Reductase Inhibitors
Structure: Sectioned database queries with numbered search expressions
Purpose: Identification of scientific literature related to subarachnoid hemorrhage and statin use
Source context: Supplementary table associated with a biomedical research study
General Risk Assessment Form for Out-of-Hours Work
Note: Year
Document Type: Risk Assessment
Target Audience: Staff, students, visitors, contractors, and security personnel
Out-of-hours guidance for care of patients treated with Lutetium-177 (Lu-177)
Year: 2026
Region / City: UK, Bristol
Topic: Nuclear medicine, patient care
Document type: Clinical guidance
Organization / Institution: Bristol Molecular Radiotherapy
Author: Not specified
Target audience: Healthcare professionals managing Lu-177 patients
Treatment period: Day 0 – Day 30 post-administration
Contact information: Molecular Therapy Department, Bristol; Radiation Protection Adviser; phone 0117 3422694
Precautions: Radiation safety measures for staff and relatives
Handling of deceased: Guidelines for burial, cremation, and post-mortem within six weeks
NRAC GP Out-of-Hours Adjustment Update for TAGRA (November 2023)
Year: 2023
Region / Country: Scotland, United Kingdom
Subject: Health funding allocation methodology for GP out-of-hours services
Document type: Policy briefing paper
Institution: NHS Scotland
Committee: TAGRA (Technical Advisory Group on Resource Allocation)
Related framework: NRAC Formula (NHSScotland Resource Allocation Committee formula)
Related formulas: Scottish Allocation Formula (SAF); Scottish Workload Formula (SWF)
Sector: Public healthcare finance and service planning
Services concerned: General Practitioner out-of-hours (GP-OoH) services
Geographical focus: NHS Boards and Health and Social Care Partnerships (HSCPs)
Key topic: Methodology for calculating rurality-based adjustments in healthcare funding distribution
Reference period of data: 2013/14–2017/18 SAF data
Implementation period discussed: From 2024/25 onward
Purpose: Review of current calculation method and discussion of proposed methodological changes for GP-OoH adjustment within the NRAC allocation model
Out-of-Hours Guidance for Approved Mental Health Professionals on Support, Resources, and Procedures for Urgent Mental Health Act Assessments
Year: Not specified
Country: United Kingdom
Subject: Mental health law and emergency assessment procedures
Document type: Professional guidance
Relevant legislation: Mental Health Act 1983; Care Act 2014; Children and Families Act 2014
Associated standards: AMHP National Service Standards 2020
Referenced policy document: Mental Health Act Code of Practice 2015
Responsible services: Local Authority Adult Social Care and Emergency Duty Team
Target audience: Approved Mental Health Professionals (AMHPs)
Operational context: Out-of-hours mental health assessments
Geographical scope: North East region protocols and local authority procedures
Related institutions: NHS Mental Health Trusts, Clinical Commissioning Groups, Police services, HM Courts and Tribunals Service
Key operational topics: urgent MHA assessments, access to legal advice, police assistance, warrant procedures, admission bed availability, risk assessment, interagency coordination
Referenced agreements and protocols: Joint Policy for Police Assistance to Mental Health Act Assessments (2018); North East Cross Boundary Protocol for Mental Health Act Assessments (2021); National Emergency Out of Hours Warrant Scheme (HMCTS North East Region Scheme 2017); Section 140 Local Agreement for Special Urgency Admissions (2021)
Topics: Puncture Subarachnoid Out-of-Hours