Objective In the case of an emergency, fast and structured patient management is crucial for a patient's outcome. Every physician and graduate medical student should possess basic knowledge of ...

Regular readers will know that we often use this space to comment on the way that patients flow through the emergency department, whether they are discharged or admitted. In doing so we take note of ...

A 55 year old right handed man presented with a three month history of left arm pain and precordial chest discomfort. His symptoms had started three months previously after a heavy game of squash.

Background Electronic medical records are becoming an integral part of healthcare delivery. Objective The goal of this study was to compare paper documentation versus electronic medical record for non ...

Objective Intravenous cannulation is a routine procedure in the ED. Different methods are being used to reduce the pain of intravenous cannulation. Among them, there are studies which have shown the ...

Aims and Objectives Crowding is the most pressing issue currently faced by UK emergency departments (ED). When departments are crowded then hospital admissions are delayed, and the risk of mortality ...

Background Prehospital critical care is a rapidly evolving field. There is a paucity of evidence relating to its practice, with limited progress in answering those research questions identified over a ...

Objective: This study aimed to develop a definition of frequent use of an emergency department (ED) by comparing differences in the observed frequency distribution with that of a theoretical frequency ...

Objectives To directly compare the diagnostic accuracy of four decision aids (Troponin-only Manchester Acute Coronary Syndromes (T-MACS), History, ECG, Age, Risk factors and Troponin (HEART), ...

Background Globally, the measurement of quality is an important process that supports the provision of high-quality and safe healthcare services. The requirement for valid quality measurement to gauge ...

Background Identification of trauma patients at significant risk of death in the prehospital setting is challenging. The prediction probability of basic indices like vital signs, Shock Index (SI), SI ...

Methods A series of meetings were held between the Unscheduled Care Team and the clinical and managerial staff of Dumfries and Galloway Royal Infirmary over a two-week period to train staff on ...