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Identify sepsis in patients by using early warning scores, doctors are urged

General practitioners and hospital doctors should all use an early warning score system when they suspect that a patient may have sepsis to help improve the recognition of cases, a report recommends.1  
feeds.bmj.com
almost 4 years ago
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Identify sepsis in patients by using early warning scores, doctors are urged

General practitioners and hospital doctors should all use an early warning score system when they suspect that a patient may have sepsis to help improve the recognition of cases, a report recommends.1  
feeds.bmj.com
almost 4 years ago
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Identify sepsis in patients by using early warning scores, doctors are urged

General practitioners and hospital doctors should all use an early warning score system when they suspect that a patient may have sepsis to help improve the recognition of cases, a report recommends.1  
feeds.bmj.com
almost 4 years ago
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GPs get free indemnity cover for working out of hours this winter

General practitioners who sign up for out-of-hours sessions from December 2015 to March 2016 will get free indemnity cover under plans announced by NHS England.  
feeds.bmj.com
almost 4 years ago
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Opioid Overprescribing Not Limited to a Few Bad Apples

The bulk of prescriptions for opioid painkillers are written by the broad swath of general practitioners, not by a limited group of specialists, new Medicare data suggest.  
medscape.com
over 3 years ago
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The World According to the General Practitioner

Dr Henry Black and internist Dr Nicholas Fiebach talk about blood pressure after JNC 8 and SPRINT, cholesterol screening , and other issues facing generalists.  
medscape.com
over 3 years ago
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Wider group of health professionals should be located in emergency departments, college says

The Royal College of Emergency Medicine has urged the government to co-locate general practitioners, psychiatrists, mental health teams, and community pharmacists in all hospital emergency departments in England to help ease current pressures.  
feeds.bmj.com
over 3 years ago
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GPs to discuss possible industrial action in crisis summit

The chair of the BMA’s General Practitioners Committee has warned the government that the future sustainability of UK general practice is “in serious question,” ahead of a crisis summit later this month.  
feeds.bmj.com
over 3 years ago
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Sexual health services: divided and unprotected

Local authorities in England now oversee the lion’s share of commissioning sexual health services. The rest is left to the NHS: most contraceptive services, for example, are provided by general practitioners and commissioned by NHS England. So how are the country’s sexual health services faring under this new system, not yet even three years old, especially as a painful programme of government cuts begins to bite?  
feeds.bmj.com
over 3 years ago
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Screening Picks Up Early CRC With Better Chance of Survival

Bowel and other cancers detected with screening are more than twice as likely to be stage I cancers than those detected by a general practitioner or emergency presentation, new findings suggest.  
medscape.com
over 3 years ago
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General practice being “eroded” in Scotland, says RCGP

Patients in Scotland have been told that they “have every right to worry” as the Royal College of General Practitioners (RCGP) accused the Scottish government of deliberately eroding primary care.  
feeds.bmj.com
over 3 years ago
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Five minutes with . . . Chaand Nagpaul

GPs in the UK held a crisis summit on Saturday 30 January to debate how to tackle the current crisis facing the profession.1 The chairman of the BMA’s General Practitioners Committee, who gave an impassioned keynote talk to the conference, told The BMJ what he thinks should happen next  
feeds.bmj.com
over 3 years ago
Www.bmj
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A limping child

A 15 month old girl was referred to the orthopaedics department by her general practitioner with an abnormal gait and a tendency to fall over more than her peers. There was no history of trauma or family history of note, and she was otherwise well.  
feeds.bmj.com
over 3 years ago
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Abnormality on a plain film chest radiograph

An 82 year old man with a 40 pack year smoking history was referred for chest radiography by his general practitioner because of haemoptysis associated with unintentional weight loss over the past few months.  
feeds.bmj.com
over 3 years ago
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Funding uplift agreed under GP contract deal

General practitioners in England will receive a 1% pay uplift next year after the BMA and NHS Employers reached an agreement on contractual arrangements for 2016/17.  
feeds.bmj.com
over 3 years ago
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A man with a short history of lower back pain

A previously fit and well 69 year old man presented to his general practitioner with a four week history of lower back pain. He had no history of trauma, took no regular drugs, was an ex-smoker, and did not drink alcohol. Physiotherapy, sought privately, had provided no benefit. His GP prescribed painkillers and reviewed him two weeks later, at which point, with no improvement in symptoms, spinal radiography was organised. Radiography showed multiple compression fractures of vertebrae T11-L2 (fig 1⇓; arrows).  
feeds.bmj.com
over 3 years ago
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A man with a short history of lower back pain

A previously fit and well 69 year old man presented to his general practitioner with a four week history of lower back pain. He had no history of trauma, took no regular drugs, was an ex-smoker, and did not drink alcohol. Physiotherapy, sought privately, had provided no benefit. His GP prescribed painkillers and reviewed him two weeks later, at which point, with no improvement in symptoms, spinal radiography was organised. Radiography showed multiple compression fractures of vertebrae T11-L2 (fig 1⇓; arrows).  
feeds.bmj.com
over 3 years ago
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An often forgotten cause of chest pain

A 66 year old white woman presented to the emergency department of a district general hospital with shortness of breath and chest pain, which radiated to her back. She had previously received antibiotics from her general practitioner for a presumed chest infection. Comorbidities included drug controlled hypertension. On examination she was tachypnoeic and hypertensive with a blood pressure of 170/90 mm Hg. No disparity in blood pressure was seen between her arms. Because clinical signs and plain chest radiography were suggestive of a left sided basal pneumonia with associated parapneumonic effusion (fig 1⇓), she received intravenous antibiotics.  
feeds.bmj.com
over 3 years ago
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An often forgotten cause of chest pain

A 66 year old white woman presented to the emergency department of a district general hospital with shortness of breath and chest pain, which radiated to her back. She had previously received antibiotics from her general practitioner for a presumed chest infection. Comorbidities included drug controlled hypertension. On examination she was tachypnoeic and hypertensive with a blood pressure of 170/90 mm Hg. No disparity in blood pressure was seen between her arms. Because clinical signs and plain chest radiography were suggestive of a left sided basal pneumonia with associated parapneumonic effusion (fig 1⇓), she received intravenous antibiotics.  
feeds.bmj.com
over 3 years ago
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Seven days in medicine: 6-12 April

General practitioners currently take around two thirds of the 372 million appointments made at general practice surgeries in England every year, but they and other experts, interviewed by the public services think tank Reform, said that around half of these appointments could be taken by nurses and other clinicians. The report added that the government’s target of recruiting an extra 5000 GPs should be abandoned and that bigger practices and new technology could deliver better access and avoid millions of unnecessary visits to emergency departments (see the full BMJ story at doi:10.1136/bmj.i2082).  
feeds.bmj.com
over 3 years ago