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Refer urgently all children aged under 12 years with blackouts for paediatric assessment.
NICE
National Institute for Health and Clinical Excellence (NICE)
The committee agreed that all children under 12 with blackouts or transient loss of consciousness should be referred for urgent assessment because history and examination do not always allow a diagnosis to be made confidently and there are a number of potentially serious causes that need to be excluded.
ver más ... 2019Refer urgently children with new-onset blackouts (transient loss of consciousness) accompanied by seizure markers for neurological assessment, in line with the recommendation for people with ...
NICE
National Institute for Health and Clinical Excellence (NICE)
Refer urgently children with mid-activity vacant spells or behavioural outbursts associated with altered consciousness or amnesia for the events to have a paediatric assessment. Blackouts in children can be caused by neurological disorders, predominantly epilepsy, cardiac disorders or simple syncope. The committee observed that, even with a clear first-hand description of the event, it is not always possible to make a confident diagnosis without specialist assessment and investigations. The ...
ver más ... 2019Refer children with concentration or memory difficulties that interfere with learning, school progress or behaviour to community paediatric or paediatric neurodevelopmental services for assessment.
NICE
National Institute for Health and Clinical Excellence (NICE)
Be aware that some children with attention and concentration difficulties do not have hyperactivity. The committee agreed that concentration and memory difficulties that interfere with a child's learning should have further assessment to avoid unscheduled healthcare visits for learning difficulties in the future. The committee discussed the common perception of children with attention and concentration problems as having hyperactive, noisy and destructive behaviour. Such children readily come ...
ver más ... 2019Sodium zirconium cyclosilicate is recommended as an option for treating hyperkalaemia in adults only if used: in emergency care for acute life-threatening hyperkalaemia alongside standard care or in ...
NICE
National Institute for Health and Clinical Excellence (NICE)
This recommendation is not intended to affect treatment with sodium zirconium cyclosilicate that was started in the NHS before this guidance was published. People having treatment outside this recommendation may continue without change to the funding arrangements in place for them before this guidance was published, until they and their NHS clinician consider it appropriate to stop. Sodium zirconium cyclosilicate is a treatment for people with high blood potassium levels (hyperkalaemia). It may ...
ver más ... 2019Hyperparathyroidism (primary): diagnosis, assessment and initial management Recommendations for 1.1 Diagnostic testing in primary care 1.2 Testing and assessment in secondary care 1.3 Referral for ...
NICE
National Institute for Health and Clinical Excellence (NICE)
Follow the recommendations on enabling people to actively participate in their care in the NICE guideline on patient experience in adult NHS services. Give people with primary hyperparathyroidism information about the condition, including: what primary hyperparathyroidism is, what the parathyroid glands do, causes of primary hyperparathyroidism, symptoms, diagnosis, including diagnosis if calcium or PTH levels are normal, prognosis, possible effects on daily life, possible long-term ...
ver más ... 2019