Please update your RDS mobile app to version 4.7.1

We are pleased to advise that deep linking capability, enabling users to directly download individual mobile toolkits, has now been released on the RDS mobile app. When you install the update, you will see that each toolkit has a small QR code icon the header area beside the search icon – see screenshot below. Clicking on this icon will open up a window with a full-size QR code and the alternative of a short URL for sharing with users. Instructions are provided.

You may need to actively install the update to install RDS app version 4.7.1 to see this improvement. Installing this update is also strongly recommended to get the full benefits of the new contingency arrangements – specifically, that if the RDS website should fail, you will still be able to download new mobile app toolkits.

To check your current RDS version, click on the three dots bottom right of the RDS app screen. This takes you to a “More” page where you will see the version number. To install latest updates:

On iPhones – go to the Apple store, click on your profile icon top right, scroll down to see the apps waiting to be updated and update the RDS app.

On Android phones – these can vary, but try going to the Google Play store, click on your profile icon top right, click on “Manage apps and device”, select and update the RDS app.

Please get in touch with ann.wales3@nhs.scot with any questions.

Multiple Injuries and/or Open Fractures

Antimicrobial prescribing: NHS Borders

NHS Borders

Duration

24h then review. Consider extending to 3 days if severe soft tissue injury and then review.

First Line

Important: Therapy

Co-amoxiclav 1.2g IV 8 hourly

or 625mg oral 8 hourly depending on severity

Notes:

Penicillin Allergy

Important: Therapy

Teicoplanin IV 12mg/Kg, maximum 800mg, 12 hourly for 3-5 doses then once daily if to continue after review

plus

Gentamicin IV (Extended Interval Dosing as per guideline) Use gentamicin calculator. Max 3 days then review.

or, depending on severity,

Clindamycin 150-300mg oral 6 hourly, increased if necessary up to 450mg 6 hourly.

Notes:

Important: Notes

REMEMBER Tetanus prophylaxis