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.
Aspiration pneumonia
This can reflect chemical injury and does not always indicate antibiotic treatment
Only treat patients with evidence of pneumonia. Do not treat prophylactically.
Severity assessment
CURB65 score (see Community acquired pneumonia) can be used to assess severity.
CURB65 < 3 = low severity. CURB65 > 3 = high severity
Chest X-ray PLUS in high severity disease:
Recommended total duration: 5 days total duration = IV + oral
Amoxicillin 1g 8 hourly orally (IV if oral route not available)
Penicillin Allergy
Co-trimoxazole 960mg every 12 hours orally (IV if oral route not available)
OR (if renal impairment)
Doxycycline 200mg on day one then 100mg daily orally
Recommended total duration: 5 days (total duration = IV + oral)
Amoxicillin 1g every 8 hours IV
PLUS
Gentamicin IV (use NHS Lothian Calculator located on AMT intranet page)
PLUS
Metronidazole 500mg every 8 hours IV
Penicillin Allergy
Vancomycin IV (use NHS Lothian Calculator located on AMT intranet page)
PLUS
Gentamicin IV (use NHS Lothian Calculator located AMT intranet page)
PLUS
Metronidazole 500mg every 8 hours IV
Amoxicillin 1g every 8 hours orally
PLUS
Metronidazole 400mg every 8 hours orally
Penicillin Allergy
Co-trimoxazole 960mg every 12 hours orally
PLUS
Metronidazole 400mg every 8 hours orally
OR (if renal impairment)
Doxycycline 200mg on day one the 100mg daily orally
PLUS
Metronidazole 400mg every 8 hours orally
Antimicrobial prescribing: NHS Lothian