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Psychometric validation of a patient-reported experience measure for older adults attending the emergency department: the PREM-ED 65 study
Psychometric validation of a patient-reported experience measure for older adults attending the emergency department: the PREM-ED 65 study
WHAT IS ALREADY KNOWN ON THIS TOPICPatient experience influences health outcomes in various acute conditions commonly seen...
The wisdom of elders: a new patient experience survey for older patients could tell us how to fix our emergency departments for everyone
The wisdom of elders: a new patient experience survey for older patients could tell us how to fix our emergency departments for everyone
It will not be news to readers that the emergency department (ED) population is ageing. Nor will it be surprising to know ...
Man with facial trauma
Man with facial trauma
Clinical introductionA man aged 41 years presented to the ED with left cheek swelling and bruising following a physical al...
Diagnostic accuracy of alternative biomarkers for acute aortic syndrome: a systematic review
Diagnostic accuracy of alternative biomarkers for acute aortic syndrome: a systematic review
WHAT IS ALREADY KNOWN ON THIS TOPICHOW THIS STUDY MIGHT AFFECT RESEARCH, PRACTICE OR POLICYDiagnostic biomarkers for AAS, ...
Delayed admission of patients with hip fracture from the emergency department is associated with an increased mortality risk and increased length of hospital stay
Delayed admission of patients with hip fracture from the emergency department is associated with an increased mortality risk and increased length of hospital stay
WHAT IS ALREADY KNOWN ON THIS TOPICIt is estimated that worldwide, approximately one in three women and one in five men, b...
Improving clinician interpretation of emergency skeletal radiographs
Improving clinician interpretation of emergency skeletal radiographs
In this issue of the EMJ, Dann et al 1 report an online prospective study in which clinicians were asked to identify injur...
Sudden onset of pruritic crusty skin alterations in a patient with lung cancer and renal impairment
Sudden onset of pruritic crusty skin alterations in a patient with lung cancer and renal impairment
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Use of emergency departments by children and young people following telephone triage: a large database study
Use of emergency departments by children and young people following telephone triage: a large database study
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Black and white: how good are clinicians at diagnosing elbow injuries from paediatric elbow radiographs alone?
Black and white: how good are clinicians at diagnosing elbow injuries from paediatric elbow radiographs alone?
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Safety of peripheral noradrenaline: a local service evaluation
Safety of peripheral noradrenaline: a local service evaluation
The administration of dilute solutions of noradrenaline via peripheral venous catheters (PVCs) has gained increasing accep...
Kings lower limb immobilisation VTE risk assessment tool (K4 score) in conservatively treated ambulatory patients: a 2-year review
Kings lower limb immobilisation VTE risk assessment tool (K4 score) in conservatively treated ambulatory patients: a 2-year review
Lower limb immobilisation increases venous thromboembolism (VTE) risk. However, as the risk is low (0.6–2%), it is prefera...
Nettle-induced Urticaria Treatment Study (NUTS): demonstrating the joy of research through a randomised, blinded, placebo-controlled trial
Nettle-induced Urticaria Treatment Study (NUTS): demonstrating the joy of research through a randomised, blinded, placebo-controlled trial
IntroductionThe common nettle Urtica dioica is an abundant native plant in the British Isles.1 Nettle stems and leaves are...
Triage measurements in the emergency department overestimate blood pressure
Triage measurements in the emergency department overestimate blood pressure
Patients who present to the ED usually have their BP measured as part of their routine triage assessment. BP measurements ...
Can levels of neuron-specific enolase be used in the diagnostic workup of possible cauda equina syndrome?
Can levels of neuron-specific enolase be used in the diagnostic workup of possible cauda equina syndrome?
A shortcut review of the literature was carried out to examine whether the measurement of neuron-specific enolase (NSE) ca...
Person-centred decisions in emergency care for older people living with frailty: principles and practice
Person-centred decisions in emergency care for older people living with frailty: principles and practice
Older people living with frailty are frequent users of emergency care and have multiple and complex problems. Typical evid...
Paediatric emergency medicine in the UK: are we meeting the needs of our children today? A descriptive workforce survey 2006-2023
Paediatric emergency medicine in the UK: are we meeting the needs of our children today? A descriptive workforce survey 2006-2023
In England, the rate of emergency department (ED) attendance in the first year of life is greater than at any other age, a...
Developing leaders in emergency medicine
Developing leaders in emergency medicine
Leadership in emergency medicine is a routine part of day-to-day practice. Being a trauma team leader, emergency physician...
Older woman with chest pain
Older woman with chest pain
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External validation of the preHEART score and comparison with current clinical risk scores for prehospital risk assessment in patients with suspected NSTE-ACS
External validation of the preHEART score and comparison with current clinical risk scores for prehospital risk assessment in patients with suspected NSTE-ACS
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Sphenopalatine ganglion (SPG) block for symptomatic relief of acute migraine
Sphenopalatine ganglion (SPG) block for symptomatic relief of acute migraine
A shortcut review of the literature was conducted to examine whether administering a sphenopalatine ganglion (SPG) block p...
Views of emergency care providers in providing healthcare for asylum seekers and refugees
Views of emergency care providers in providing healthcare for asylum seekers and refugees
12 semistructured interviews were carried out in total, including 6 nurses and 6 doctors. No participant who initially exp...
Bodys life-saving signal to initiate urgent dialysis
Bodys life-saving signal to initiate urgent dialysis
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Do we need another emergency department procedural sedation agent?
Do we need another emergency department procedural sedation agent?
Currently, various sedative agents are widely used and researched for procedural sedation in EDs. Ensuring safe and effect...
EASIER trial (Erector-spinAe analgeSia for hepatopancreaticobiliary pain In the Emergency Room): a single-centre open-label cohort-based randomised controlled trial analysing the efficacy of the ultrasound-guided erector-spinae plane block compared with intravenous morphine in the treatment of acute hepatopancreaticobiliary pain in the emergency department
EASIER trial (Erector-spinAe analgeSia for hepatopancreaticobiliary pain In the Emergency Room): a single-centre open-label cohort-based randomised controlled trial analysing the efficacy of the ultrasound-guided erector-spinae plane block compared with intravenous morphine in the treatment of acute hepatopancreaticobiliary pain in the emergency department
WHAT IS ALREADY KNOWN ON THIS TOPICPain from pancreatitis and other hepatopancreaticobiliary (HPB) diseases can be challen...
Remimazolam for procedural sedation: a future sedative potential in the emergency department?
Remimazolam for procedural sedation: a future sedative potential in the emergency department?
Procedural sedation (PS) is a frequently performed clinical practice in the ED1 aiming to facilitate a state that allows p...
Evaluation of the impact of artificial intelligence-assisted image interpretation on the diagnostic performance of clinicians in identifying pneumothoraces on plain chest X-ray: a multi-case multi-reader study
Evaluation of the impact of artificial intelligence-assisted image interpretation on the diagnostic performance of clinicians in identifying pneumothoraces on plain chest X-ray: a multi-case multi-reader study
WHAT IS ALREADY KNOWN ON THIS TOPICArtificial intelligence (AI)-assisted image interpretation algorithms can be used to ac...
Haematoma block is the most efficient technique for closed forearm fracture reduction: a retrospective cohort study
Haematoma block is the most efficient technique for closed forearm fracture reduction: a retrospective cohort study
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Restoring hope
Restoring hope
The experience of forced migration is recognised as a key determinant of health and well-being. Asylum seekers and refugee...
Accessing mechanical thrombectomy treatment for stroke in England, Wales and Northern Ireland: the importance of the emergency pathway
Accessing mechanical thrombectomy treatment for stroke in England, Wales and Northern Ireland: the importance of the emergency pathway
Severe disability due to large vessel occlusion (LVO) stroke can be avoided by emergency mechanical thrombectomy (MT)1 but...
On-scene times during ambulance assessment of suspected stroke patients across England from December 2021 to November 2022
On-scene times during ambulance assessment of suspected stroke patients across England from December 2021 to November 2022
Ambulance crew’s main focus during stroke care is symptom recognition and rapid transport to specialist units to maximise ...
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