This review critically examines the evidence and arguments regarding the impacts of the updated NG51 guidelines on future sepsis identification, diagnosis and outcomes. Drawing on personal observations of sepsis management in the Emergency Department, this review also includes original recommendations for potential future updates to the NG51 guidelines....

Posterior circulation stroke makes up 30% of cases of stroke. It has a variety of symptoms which are difficult to be correlated with radioimaging finding and leads to late diagnosis. This is due to its complexity in blood supply to many vital areas of the brain. Factors in radiological aspects like artefacts over posterior fossa in computed tomography of the brain contribute to the difficulties in its diagnosis. We present a case of late diagnosis of posterior circulation stroke due to challenge...