Acute Oncology

 

Metastatic spinal cord compression (MSCC)

Referral criteria

Contact the MSCC coordinator at East Kent Hospitals urgently (within 24 hours) to discuss the care of patients with any of the following symptoms suggestive of spinal metastases:

  • pain the middle (thoracic) or upper (cervical) spine
  • progressive lower (lumbar) spinal pain
  • severe unremitting lower spinal pain
  • spinal pain aggravated by straining (e.g. for stool, or when coughing or sneezing)
  • localised spinal tenderness
  • nocturnal spinal pain preventing sleep

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MSCC Guidance for GPs

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Neutropenic sepsis

Referral criteria

If neutropenic sepsis is suspected, treat as an acute medical emergency:

  • patients must be treated within 1 hour of arrival in hospital
  • IV antibiotics may be given before full history is taken or FBC known
  • even if afebrile, all unwell suspected neutropenic septic patients should be treated as above
  • when arranging transfer to hospital ensure that the ambulance service code yellow sepsis pathway is requested

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Advice and Guidance is being made available for all specialties, and is being provided by consultant specialists at East Kent Hospitals.  To make a request or to check to if a query has been answered, you will need to log in via the electronic Referral System (eRS)

Click here for the "how to access" e-Referral Advice and Guidance Manual for instructions on how to make a request and check responses

Have a question or query?

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