Andrew is given Co-dydramol and metoclopramide.

The departmental guideline “Pleuritic Chest Pain” is completed. The clinical risk score shows a low risk for a pulmonary embolism - but as Andrew has a raised d-dimer and abnormal CXR, the junior doctor treating Andrew decides that he needs a CTPA.

Admission is discussed with the Acute Medical team at 00.50. Mr Rhysm is not seen by the that team – but they decide to advise that his pneumonia should be treated with amoxicillin and co-dydramol, that he should go home and that advice should be given to the GP to obtain a repeat x-ray in 14 days.