Blood transfusion; NICE quality standard QS138 December 2016

This quality standard covers the general principles of blood transfusion in adults, young people and children over 1 year old. It describes high-quality care in priority areas for improvement. It does not cover specific conditions that blood transfusion is used for.  This quality standard is reviewed each year and updated if needed.

The four quality statements included in the latest review:

Statement 1  People with iron-deficiency anaemia who are having surgery are offered iron supplementation before and after surgery.

Statement 2  Adults who are having surgery and expected to have moderate blood loss are offered tranexamic acid.

Statement 3  People are clinically reassessed and have their haemoglobin levels checked after each unit of red blood cells they receive, unless they are bleeding or are on a chronic transfusion programme.

Statement 4  People who may need or who have had a transfusion are given verbal and written information about blood transfusion.

Use this link for more details about this quality standard.  Follow this link for a full list of NICE Guidance published in December 2016.

Sepsis: recognition, diagnosis and early management NICE guideline

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This guideline covers the recognition, diagnosis and early management of sepsis for all populations. The guideline committee identified that the key issues to be included were: recognition and early assessment, diagnostic and prognostic value of blood markers for sepsis, initial treatment, escalating care, identifying the source of infection, early monitoring, information and support for patients and carers, and training and education.  This guideline is it for people with sepsis, their families and carers as well as healthcare professionals working in primary, secondary and tertiary care

This NICE guideline (NG51) was published in July 2016 with the full text available via this link.

Sepsis is just as urgent as heart attack, says NICE

The latest NICE guideline wants people who show signs of sepsis to be treated with the same urgency given to those with suspected heart attacks.

NICE says all health professionals, no matter where they work in the NHS, need to think about the possibility of sepsis in all patients who may have an infection.  Sepsis can affect anyone at any time. It starts when the immune system overreacts to an infection and begins to damage the body itself, leading to organ failure and in some cases death.  The UK Sepsis Trust estimates that there are around 150,000 cases of sepsis in the UK every year and it kills around 44,000 people per year.

For more details of the press release about the new guideline follow this link.

For full details of the new guidance Sepsis: recognition, diagnosis and early management (NG51) July 2016 follow this link.

Nice Guideline update – Major Trauma: Assessment and Initial Management

This guideline covers the rapid identification and early management of major trauma in pre‑hospital and hospital settings, including ambulance services, emergency departments, major trauma centres and trauma units. It aims to reduce deaths and disabilities in people with serious injuries by improving the quality of their immediate care. It does not cover care for people with burns.

This guideline includes recommendations on:

Read the full guideline here