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Evaluation of the prehospital administration of tranexamic acid for injured patients: a state-wide observational study with sex and age-disaggregated analysis
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Performance of 21 Early Warning System scores in predicting in-hospital deterioration among undifferentiated admitted patients managed by ambulance services
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No safe harbour: triage nurses as targets
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Austerity policies: levelling down?
Austerity policies: levelling down?
The associations between where you live and your health outcomes are increasingly understood. Healthy life expectancy is m...
Are local public expenditure reductions associated with increases in inequality in emergency hospitalisation? Time-series analysis of English local authorities from 2010 to 2017
Are local public expenditure reductions associated with increases in inequality in emergency hospitalisation? Time-series analysis of English local authorities from 2010 to 2017
WHAT IS ALREADY KNOWN ON THIS TOPICLocal government spending reductions increase mortality and inequality in mortality.How...
Pharmacists in Trauma: a randomised controlled trial of emergency medicine pharmacists in trauma response teams
Pharmacists in Trauma: a randomised controlled trial of emergency medicine pharmacists in trauma response teams
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Trends and projections in fall death in the Netherlands from 1990 to 2045
Trends and projections in fall death in the Netherlands from 1990 to 2045
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Impact of trauma systems on injury morbidity: important considerations for low-income and middle-income countries
Impact of trauma systems on injury morbidity: important considerations for low-income and middle-income countries
The impact of trauma care system implementation has largely and traditionally focused on demonstrating its potential to re...
Does the implementation of a trauma system affect injury-related morbidity and economic outcomes? A systematic review
Does the implementation of a trauma system affect injury-related morbidity and economic outcomes? A systematic review
WHAT IS ALREADY KNOWN ON THIS TOPICThe implementation of a trauma system is known to improve overall mortality rates withi...
Intervention to increase colorectal cancer screening among emergency department patients: results from a randomised pilot study
Intervention to increase colorectal cancer screening among emergency department patients: results from a randomised pilot study
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Management and outcome of oncological patients under immune checkpoint inhibitors presenting at the emergency department
Management and outcome of oncological patients under immune checkpoint inhibitors presenting at the emergency department
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Healthcare professional views about a prehospital redirection pathway for stroke thrombectomy: a multiphase deductive qualitative study
Healthcare professional views about a prehospital redirection pathway for stroke thrombectomy: a multiphase deductive qualitative study
WHAT IS ALREADY KNOWN ON THIS TOPICThrombectomy is a time-sensitive treatment that greatly improves chances of recovery fr...
Paediatric oral electrical burn
Paediatric oral electrical burn
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Fibrinogen replacement in trauma haemorrhage: essential but not empirical?
Fibrinogen replacement in trauma haemorrhage: essential but not empirical?
The CRYOSTAT-2 randomised controlled trial (RCT), published in JAMA 1 in October 2023, is the largest transfusion trial to...
Joint RCEM and NPIS best practice guideline: assessment and management of acute opioid toxicity in adults in the emergency department
Joint RCEM and NPIS best practice guideline: assessment and management of acute opioid toxicity in adults in the emergency department
The Royal College of Emergency Medicine Toxicology Special Interest Group in collaboration with the UK National Poisons In...
Can acutely ill patients predict their outcomes? A scoping review
Can acutely ill patients predict their outcomes? A scoping review
WHAT IS ALREADY KNOWN ON THIS TOPICPatient prognostication has been widely used in disease-specific settings but has never...
Prognostic awareness of seriously ill older adults in the emergency department
Prognostic awareness of seriously ill older adults in the emergency department
Three-quarters of older adults visit an ED in the last 6 months of life.1 For older patients with serious, life-limiting i...
An unusual mediastinal shift
An unusual mediastinal shift
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Pain in the ED: does anyone manage it well?
Pain in the ED: does anyone manage it well?
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Eye injury preventing the eye from opening or closing
Eye injury preventing the eye from opening or closing
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Development and validation of an assessment tool for adult simulated ultrasound-guided fascia iliaca block: a prospective monocentric study
Development and validation of an assessment tool for adult simulated ultrasound-guided fascia iliaca block: a prospective monocentric study
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Optimal timing for the Modified Early Warning Score for prediction of short-term critical illness in the acute care chain: a prospective observational study
Optimal timing for the Modified Early Warning Score for prediction of short-term critical illness in the acute care chain: a prospective observational study
WHAT IS ALREADY KNOWN ON THIS TOPICThe Modified Early Warning Score (MEWS) is an effective tool to identify deteriorating ...
Ultrasound-guided fascia iliaca blocks for hip fracture: is the juice worth the squeeze?
Ultrasound-guided fascia iliaca blocks for hip fracture: is the juice worth the squeeze?
Hip fractures require prompt, effective analgesia. However, there is evidence from national audits in the UK that pain is ...
Newborn with abdominal distention
Newborn with abdominal distention
Clinical introductionAn 18-day-old male patient presented to the ED with a 2-day history of abdominal distension and blood...
Predictive performance of the common red flags in emergency department headache patients: a HEAD and HEAD-Colombia study
Predictive performance of the common red flags in emergency department headache patients: a HEAD and HEAD-Colombia study
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SONO case series: point-of-care ultrasound for intubation confirmation
SONO case series: point-of-care ultrasound for intubation confirmation
A woman in her 60s with a medical history of chronic obstructive pulmonary disease, obstructive sleep apnoea and diabetes ...
Is arrival by ambulance a risk factor for myocardial infarction in emergency department patients with cardiac sounding chest pain?
Is arrival by ambulance a risk factor for myocardial infarction in emergency department patients with cardiac sounding chest pain?
Patients commonly present to the ED with cardiac sounding chest pain1 and a non-diagnostic ECG, yet an important proportio...
Best Evidence Topic report: Antithrombotic therapy and endovascular intervention for blunt cerebrovascular injury
Best Evidence Topic report: Antithrombotic therapy and endovascular intervention for blunt cerebrovascular injury
A short cut review of the literature was carried out to examine the evidence supporting antithrombotic treatment and/or en...
Outcomes of repeat X-rays of the chest recommended by radiology of patients discharged from the emergency department
Outcomes of repeat X-rays of the chest recommended by radiology of patients discharged from the emergency department
Reviewing and acting on diagnostic reports is a professional obligation.1 This includes X-ray of the chest (CXR) reports w...
Diagnostic accuracy of venous system ultrasound for subtypes of acute kidney injury
Diagnostic accuracy of venous system ultrasound for subtypes of acute kidney injury
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