Central Alerting System
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Originator: NHS Improvement

From: James Nicholls

Issue date: 12-Nov-2018 14:58:56

This alert has been issued to:
  • Care Trusts
  • Mental Health Trusts
  • Specialists Trusts
  • NHS Regional Offices
  • Learning Disabilities Trusts
  • Mental Health & Social Care Trusts
  • Ambulance Trusts
  • Mental Health & Learning Disabilities Trusts
  • Acute Trusts
  • Community Trusts

  • Other contacts
  • Independent Healthcare Providers (registered with CAS)
  • Clinical Commissioning Groups
  • Special Health Authorities
  • Territorial CMOs in Northern Ireland, Scotland & Wales

Action category: Immediate Action

Title: Management of life threatening bleeds from arteriovenous fistulae and grafts

Broadcast content:

Blood loss from an arteriovenous fistulae (AVF) or arteriovenous graft (AVG) created for haemodialysis access can usually be controlled by applying pressure to the site. However, rarely bleeds do not resolve and, due to the rate and volume of blood loss, become life threatening.

This alert signposts providers to resources produced jointly by The British Renal Society and the Vascular Access Society of Britain and Ireland to help staff, carers and patients recognise the warning signs. Providers are asked to ensure local guidance incorporates the advice in these resources, and to raise awareness of their availability.

Additional information: NHS regional teams - please cascade this alert to GPs. Can you please include the following in your covering email to general practice: 'This alert has actions for general practice as it is possible that patients may attend or seek advice from a GP or primary care practitioner in respect to their AVG or AVF site. It is therefore required that team members have local guidance that incorporates the advice in the British Renal Society's resources for the detection and management of a life threatening bleed, to support them to manage the patient safely and appropriately.'

Alert reference: NHS/PSA/RE/2018/007

Action underway deadline: 15-Nov-2018

Action complete deadline: 13-May-2019


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Email: safetyalerts@mhra.gov.uk

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