28 june 2024
Our eHealth team advised us yesterday of an international vulnerability relating to polyfill.io . This domain has become compromised and is spreading malware through a widespread supply chain attack, estimated to affect over 110,000 websites including major websites such as the BBC. The Polyfill site offered widely used bits of code for older browsers that allowed the use of modern Javascript features. Such code makes the work for web developers easier and allows compatibility with a broader range of browsers.
Websites that have used the Javascript code from Polyfill have been urged to remove such code immediately. The change occurred after a suspected Chinese firm purchased the domain in early 2024.
Tactuum have identified and are now testing a fix to remove all Polyfill code from the RDS site.. They will be deploying the fix on Monday 1 July along with other planned fixes and amendments. I will notify you of the timing of the deployment as soon as possible.
In the meantime, please ensure that you have up-to-date anti-virus software installed on your machines and personal devices.
Scope and purpose
The Tayside transfer trolley has been developed to improve the ergonomics of intra-hospital patient transfer of critically unwell or injured patients and to reduce time to definitive care.
Attaching the trolley
Note: the spacer bar ensures correct placement.
Attaching the monitor
Note: the “rabbit ears” will hold the monitor firmly in place. Use release button to remove
Attaching the Oxylog 3000
Insert Oxlog 3000 at 45 degree angle to ensure snug fit and rotate upwards to secure at rear
Attaching the Laerdal suction unit
Insert at 45 degree angle ensuring base restraints are lined up and then fasten clip to secure
Braun syringe pumps
The syringe pump stack remains fixed to the transfer trolley at all times and can accommodate up to 4 separate pumps. The pumps will charge when the trolley is on mains supply.
Charging the transfer trolley
The transfer trolley is fitted with a retractable mains supply plug and should be plugged to wall source power when not in use.
Oxygen supply
The trolley has 2 E size cylinders (680 Litres in each) with Schraeder valve and in addition the Stryker Trolley has a F size cylinder underneath (1360 Litres).
Only one porter is required to move bed and connected transfer trolley. There is adequate space to fit in all lifts
Enter CT suite “feet first”
Line Stryker bed up with CT gantry as normal
Transfer patient across to CT gantry
Unclasp the transfer trolley from end of bed
Move bed away from CT gantry to rear of suite
Relocate transfer trolley to right side of CT aperture (when facing CT from viewing room) ensuring monitor remains visible
Minimise snag risks prior to scanning and ensure ventilator circuit and monitoring cables are not packaged within vacuum mattress.
The transfer trolley should be stored on charge in the equipment room in resus. It should be wiped down after each patient use with Clinell universal disinfectant wipes.
Any incident occurring as a result of the usage of the transfer trolley should be recorded on Datix and sent to michael.donald@nhs.scot to verify.
NHS Tayside ED Guidance