A short systematic review was undertaken to assess whether silicone gel improves cosmetic and symptomatic outcomes of scars following the suturing of traumatic facial lacerations in ED. A systematic ...

NHS England report that the ambulance services attempt to resuscitate approximately 28 000 people from out-of-hospital cardiac arrest each year (approximately 1 per 2000 inhabitants per year).1 The ...

Background Despite concerns that non-steroidal anti-inflammatory drugs (NSAIDs) contribute to acute kidney injury (AKI), up to 75% of ultramarathon runners ingest these during competition. The effect ...

Objective: : In 2002 a new protocol was introduced based on the Canadian CT rules. Before this the Royal College of Surgeons “Galasko” report guidelines had been followed. This study evaluates the ...

Background Establishing intravenous access is often vital in an acute hospital setting but can be difficult. Ultrasound-guided cannulation increases success rates in prospective studies. However, ...

Prolongation of the QT interval is a serious electrocardiogram finding because of its association with torsades de pointes and sudden cardiac death.1 Both congenital and acquired factors can lead to ...

Background The number of ambulance service-employed paramedic practitioners moving to work in primary care is increasing. Several Health Education England-supported pilot rotational programmes are ...

Background Unless emergency departments have adequate capacity to meet demand, they will fail to meet clinical and performance standards and will be operating in the ‘coping zone’. This carries risks ...

Early assessment and management of poisoning constitutes a core emergency medicine competency. Medical and psychiatric emergencies coexist; the acute poisoning is a dynamic medical illness that ...

Background To describe the epidemiological profile and clinical manifestations of liquid ecstasy (GHB) poisonings. Methods All cases of GHB poisoning or overdose admitted to the Emergency Department ...

Imperial College, Emergency Department, St Mary’s Campus, London W2 1NY, UK I Maconochie, Imperial College, Emergency Department, St Mary’s Campus, Praed Street, Paddington, London W2 1NY, UK; ...

Background ABG samples are often obtained in trauma patients to assess shock severity. Venous blood gas (VBG) sampling, which is less invasive, has been widely used to assess other forms of shock. The ...