PD30 - Management of pediatric anaphylaxis - comparison between a district general hospital (DGH) and a regional centre in UK

Re-organising Junior Doctors During the COVID-19 Outbreak: A Single Centre Experience in the United Kingdom

An analysis of outcomes of emergency physician/department-based thrombolysis for stroke

BACKGROUND Stroke thrombolysis is strongly supported as an effective therapy for selected cases of early stroke. The absence of 24 h stroke specialists in district general hospitals (DGHs) has led to the suggestion that regional hyper-acute stroke centres should be developed. This paper describes a cooperative model that uses the skills already present in a DGH to deliver a thrombolysis service...

Planning and Developing Services for Diabetic Retinopathy in Sub-Saharan Africa

Background Over the past few decades diabetes has emerged as an important non-communicable disease in SubSaharan Africa (SSA). Sight loss from Diabetic Retinopathy (DR) can be prevented with screening and early treatment. The objective of this paper is to outline the required actions and considerations in the planning and development of DR screening services.   Methods A multiple-case study app...

Are district general hospital patients with unstable angina at a disadvantage?

OBJECTIVE To determine whether patients with non-ST elevation acute coronary syndromes requiring coronary angiography and revascularisation have inferior access to these services if admitted to district general hospitals (DGHs) compared with similar patients admitted to a base hospital containing a tertiary cardiac centre. DESIGN Prospective, consecutive monitoring of all patients with acute ...

Cardiology registrars and permanent pacemaker complication rates in a district general hospital--safety and service implications.

Permanent cardiac pacing in the district general hospital (DGH) was endorsed by the British cardiovascular society in 1987, and by 1992 a third of DGHs provided this service.1,2 More than two decades have passed and the rates at which permanent pacemakers (PPM) are being implanted have risen substantially. Implant rates in England have increased by approximately 4% per year since 2000 to 525 PP...