Swindon Web Dev Cup - Sunday 28th August 2022

The cost of entry:

Juniors (All Sections) will be a donation.

Adults Entry Fee:  £5 

Optional Extras: 

£2 Prize Money Entry (All Monies will be divided to 1st, 2nd, 3rd – Adult Section Only – Monies will be the best scores that entered the Prize Money)

£2 Per strip or £5 for 3 Strips for Raffle (These will be four hampers (2 for adults and 2 for Junior Section) – This money raised for BMGC funds  (Minus Hamper Monies).

£1 – 2’s Club as standard (This will be collected by the Starter as normal)

(100% Of All Entry Fees + 100% of Any Donations + 100% Sponsers of holes monies given to Head2Head).

If you would like to get involved please contact with sponsoring a hole or an attraction / stall please contact: info@swindonelectrical-ltd.co.uk

We are organising a fun day for all Ages. 

Current Sponsors: (as off 23rd July)

The Vault / Bank, Swindon Electrical Limited, The Golf Stop, Redvers Services, White Mortgages Services, 3 Line, Swindon Web Development Limited.

Monies can be collected on the day or via the the normal BMGC Bank details: 

Please use REF: SWD-(your surname)

Bank: HSBC
Sort Code: 40-47-16
Account Number: 41421115
Account: Broome Manor Golf Club (BMGC)

  • HEAD 2 HEAD
  • WHAT IS A SUBARACHNOID HAEMORRHAGE (SAH)?

At the John Radcliffe hospital in Oxford, we recognised there was a need for a support service after discharge for Subarachnoid Haemorrhage patients and their families 6 years ago (2013).

We sent out a questionnaire to approximately 40 patients, the feedback referred to the lack of information available on discharge, and no one to contact when at home. Many patients wanted to talk to others who had similar experiences; this is where the idea came from.

This prompted a business plan to get money together for stamps and we started sending out invites to our very first focus group, tailored for patients and families following a SAH.

We booked a room, made a cake and the rest is history!

At the first group meeting, we had 8-10 people attend. Currently, we have an average of over 25 people attending each time. The meetings are held every 4 months and there is always tea and cake available. Our focus group is a free service for all SAH patients and their families.

Each year we audit the need for the meetings; and each year the feedback supports the value of the group. The focus group aims to provide all attendees with a relaxed atmosphere, where they have the opportunity to meet those with a similar diagnosis. It is a forum to be able to share coping strategies and stories. This is a really recommended stage of the recovery progress, and can often help to put the mind at rest. At most sessions there are presentations given by professionals about topics most relevant to the group. As always the presenters are available for questions afterwards.

If you know of others who would like to join this group who have had a subarachnoid haemorrhage, please email head2head@ouh.nhs.uk and let us know some details.

At the meetings, any issues highlighted by members are raised at OUH Neurosciences teaching days; in this way we are helping to change and improve the experience of all our patients with this condition.

In the future we hope to run the group monthly and in many other areas. Obviously for this we would need people from those areas to be involved and be willing to set up a satellite group. Due to many patients being out of Oxford area a previous patient and his wife help to set up a Facebook forum for the group, this can be accessed via this website. This way we can keep in touch 24/7 about issues you come across in your recovery.

We would not be where we are today without the kindness of people. A huge thank you to a freelance graphic designer Steph Buncher. She saw our poster on the ward area asking for a new logo design and came to our rescue. The group voted on her designs and chose this beauty. It is with gestures like this we are truly grateful. Thank you.

A subarachnoid haemorrhage (SAH) is an uncommon type of stroke caused by bleeding on the surface of the brain. It is a very serious condition and can be fatal (NHS 2019). SAH after the rupture of a cerebral aneurysm is the cause of approx. 6% - 8% of all cerebrovascular accidents, affecting approx.10 per 100,000 people each year (Castanares-Zapatero et al 2011). Due to the bleeds nature, symptoms that could relate to a SAH diagnosis should be treated with urgency and warrant a 999 call.

  • Sudden severe headache
  • Neck stiffness
  • Visual disturbances - double vision, blurred vision, light sensitivity
  • Nausea or vomiting
  • New limb weakness
  • Slurred speech

The bleed may be categorised in hospitals as either Traumatic or Aneurysmal; dependent on the type of SAH will depend on treatment options available.

Aneurysmal SAH

An aneurysm is a weakness in the arterial wall that bulges out like a 'balloon' to cause an aneurysm. This aneurysm can occur at any point in a persons life for unknown causes. Factors increasing someones chances maybe family history, high blood pressure or smoking.

Traumatic SAH

Usually caused through head injury such as a fall or road traffic accident.

No cause identified

In up to 20% of patients no abnormality is identified and the bleeding is thought to originate from a small vein and is referred to as a non-aneurysmal SAH. Patients will still experience symptoms and will need to take time to recover.

Diagnosis

Once a SAH has been diagnosed, a CT angiogram (CTA), this is a CT scan with intravenous injection of X-ray dye, is performed to look for abnormalities of the intracranial blood vessels such as an aneurysm or an arteriovenous malformation. If a CTA does not show a vascular abnormality, a cerebral angiogram (DSA) may be performed to assess the intracranial blood vessels in greater detail. This involves a catheter being inserted into an artery in the groin (femoral artery). Dye is injected into the blood vessels in the brain and digital X-ray images are taken.

Angiogram of the brain

If the CTA and DSA do not reveal an abnormality the diagnosis of non-aneurysmal subarachnoid haemorrhage (NASAH) may be made.

Treatment

The aim of treatment for SAH is to prevent rebleeding. Treatment will depend on whether an abnormality is found or not. Treatment options will be discussed with you and your family. Options are as follows:

Embolisation

Embolisation is a way of treating your aneurysm so that it is no longer at risk from bleeding. Aneurysms are embolised using specially designed platinum coils, which are used to pack the aneurysm to prevent it from bleeding. This procedure is performed in the Angio suite. This involves treating the aneurysm from inside the blood vessels.

Coiling of aneurysms.

Surgical Clipping

Aneurysms that are not suitable for coiling or other similar forms of treatment, may be treated with a surgical clip. This is a neurosurgical procedure where an opening is made in the skull (craniotomy) and a metal clip is placed at the base of the aneurysm.

Craniotomy

Conservative management

This option is when the risks of any treatment far outweigh the benefits. This will be discussed with you and your family in more details.

How long will I need to stay in hospital?

You will stay in hospital until your symptoms have settled and you are well enough to return home. Length of stay varies according to the severity of the initial bleed. Most patients will be discharged home after approx 10 days.

Going home and recovery

There can be many symptoms you may be experiencing when you are going home. You are advised to take plenty of rest, as fatigue is very common following SAH. It is recommended that you pace your return to your normal levels of activity. You may have days where you may be able to do more than others.

You may suffer with ongoing headaches. They are a normal part of the recovery process and should settle with time. Simple pain killers may help. You may find you also have some back discomfort, again this is normal and usually resolves itself over time.

 

If you experience worsening headaches that become severe, you should seek medical assistance.

 

Cognition

Some patients experience difficulties with short term memory and concentration (cognitive changes) following SAH. Many patients may also experience changes in mood and emotions. Anxiety is common. These symptoms improve over time. If you are concerned about cognitive or emotional changes please speak to your specialist nurse or your GP.

Confidence

When you are just out of hospital, not having a routine or regular support of a nurse or other professional can seem daunting. Family and friends are an excellent point of support but sometimes you may feel different to the person you were before the injury.

Regaining your confidence in relationships, finances and a wide range of daily interactions. Adjusting to life after the injury can have devastating consequences for the individual and their family. All of us with or without brain injury have difficulty making decisions from time to time.

Further advice

In hospital you will be seen by a neurovascular nurse practitioner (NNP) who will discuss your diagnosis and progress and will provide you with advice on your discharge and recovery. You will also receive a telephone consultation with the NNP 6-8 weeks after discharge.