The December 2019 edition of Clinical Communiqué highlights the implications of throat symptoms that can progress to fulminant adult epiglottitis. Case studies share the dangerous combination of a missable diagnosis and a potential for rapid, lethal deterioration. Guidance on the management of adult epiglottitis, training to recognise the potential complications, and safely managing a difficult airway are explored. It is imperative that robust team approaches are in place for these higher risk cases, with careful planning and preparation to manage the onset of adult epiglottitis.
Future Leaders Communiqué
The January 2020 edition of Future Leaders Communiqué explores the theme of the ‘perils of clinical handover’ between multiple disciplines, complications arising from gaps in communication between healthcare professionals and lack of articulation with patient information. The case study presented highlights delayed post-operative complications following a surgical procedure, and failure in multidisciplinary team communications. With proper communication, including peer-to-peer discussions, maintenance of patient records and governance on the use of structured clinical handover tools can help prevent harm in the setting of clinical handover and its presented risks.