Andy Breakell
Emergency Physician Liverpool , UK. Innovation | Med Tech Award Winner- NHS and SBRI
A lead physician in one of Europe’s busiest emergency departments – designated major trauma centre and teaching hospital.
Responsible for major trauma, acute medical and surgical cases, fractures and soft tissue injuries.
The Trust clinical lead for Major Incident Planning including Hazmat incidents and CBRN.
I have a teaching and supervision role for junior doctors, emergency nurse practitioners and advanced nurse practitioners.
Andy regularly contributes to point of care, medical devices, emergency medicine, and medical innovation discussions.
The Future of Biomarkers in Sport and Exercise Medicine
The science and medicine team have a task to enhance an athletes health and resilience to injury and illness and maximize performance from physical conditioning and nutrition. Key variables are physical workload, diet, sleep and nutrition to promote health and recovery. Subjective tools are convenient, but can be inaccurate and prone to bias. Blood biomarkers…
The Presepsin( sCD14) biomarker and early Sepsis Diagnosis and Prognosis in the Emergency Department
The History of Presepsin Presepsin has been around for about 20 years since its discovery in Japan as a sepsis biomarker. Various studies have measured this biomarker in sepsis cases and looked at the diagnostic ability and severity and outcomes including prognosis. There is a significant amount of bias due to the various sepsis criteria…
Point of Care CRP in the Emergency Department – Community Acquired Pneumonia(CAP)
Case Series 2 – Community Acquired Pneumonia (CAP) Acute Respiratory tract infections in community care and A&E are one of the most frequent reasons for medical consultation and antibiotic prescription. Incidence is 3-11 cases per 1000 inhabitants. Mortality from pneumonia remains high in developed and developing countries. This article is the second in the clinical…
Point of Care CRP in the Emergency Department – Urinary Tract Infection vs Pyelonephritis
Case 3 – Urinary Tract Infection (UTI) vs Acute Pyelonephritis (APN). Urinary tract infection is one of the most common infections in general clinics, GP surgeries, care homes and A&E attendances. Female lifetime incidence is 50-60% , its one of the most common reasons for care home antibiotics and pyelonephritis is responsible for 100,000 admissions…
Point of Care CRP in the Emergency Department – a scientific clinical case series review
Case series 1. – Acute Exacerbation of COPD A frequent presentation to the Emergency Department. Acute flair up of airway disease is triggered by viral, bacterial or a mix of both organisms. CRP ( C -Reactive Protein) is a widely used inflammatory biomarker that is used to help the clinician determine the degree of inflammation / infection…