Endocrine Abstracts

The Beatson West of Scotland Cancer delivers all PRRT to patients in Scotland. Approximately 4 patients are treated per week in a ward specially designed for the administration of radionuclide treatments. Pre treatment assessment is an essential part of the care and the patient in this case was identified as fit, well with bloods within normal range and a performance status of 0. Within a few hours of treatment administration the patient became unwell and was found to have cold sepsis and an acute kidney injury. The Critical Care Outreach Team were contacted as per protocol and she required to be transferred off-site to the Intensive Care Unit across Glasgow. This case raised several issues relating to radiation protection highlighting significant lack of understanding and knowledge of staff not routinely involved in this treatment. As a consequence of this a new Standard Operating Procedure has been produced. This is to improve the management of acutely unwell adults who are hazard to others health due to radiation who require off-site management.