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Surgical Issues in the Community (GGC – When to Admit), Red Flag symptoms,…
Surgical Issues in the Community (GGC – When to Admit)
Consider alternatives to admission (e.g., ambulatory care)
Document clearly & communicate with secondary care
Use of local referral pathways
Early identification of red flags
Patient safety first
Specific Conditions
Diverticulitis - unwell incl - peritonitic
Post-op complications - Infection with systemic signs, Wound dehiscence
Gallbladder disease - Cholecystitis, Biliary colic
Skin/soft tissue infections - Abscess not suitable for community I&D
Hernia - Incarcerated/ Strangulated (pain, vomiting, no bowel sounds)
Appendicitis
Referral Pathways (GGC Specific)
Surgical HOT clinic
NHS24 / SAS if out of hours
SCI Gateway referrals
Acute Surgical Receiving Unit SAU
Safety Netting & Documentation
Red flags explained
Contact numbers provided
Full documentation of findings & rationale
Clear verbal & written advice
Red Flag symptoms
Suspected Surgical Bleed
GI bleed (melaena/haematemesis)
Active wound haemorrhage
Rebound tenderness
Guarding
Severe pain, rigid abdomen
Suspected perforation or ischaemia
Sepsis
New confusion
Hypotension
Tachycardia
Fever or hypothermia
Airway/Breathing Concerns
Neck abscesses
Post-op complications
Stridor, swelling
Acute Abdomen