Organ donation in the emergency department
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Scritto da Emergency Medicine Journal current issue |
Possibly one of the most sensitive and daunting conversations that takes place in the ED is about organ donation. By virtue of circumstances this conversation usually occurs subsequent to breaking news of death or imminent death. Broaching the su ... ...
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Withdrawal of life-sustaining therapy: the case for delay
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Scritto da Emergency Medicine Journal current issue |
To everything there is a season ... When should life-sustaining treatment (LST) be stopped? The simple answer is when it is no longer appropriate to continue. This may be when the patient withdraws consent for treatment to continu ... ...
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Are first rib fractures a marker for other life-threatening injuries in patients with major trauma A cohort study of patients on the UK Trauma Audit and Research Network database
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Scritto da Emergency Medicine Journal current issue |
Background
First rib fractures are considered indicators of increased morbidity and mortality in major trauma. However, this has not been definitively proven. With an increased use of CT and the potential increase in detection of fi ... ...
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Validity of the Manchester Triage System in patients with sepsis presenting at the ED: a first assessment
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Scritto da Emergency Medicine Journal current issue |
Background
The Manchester Triage System (MTS) does not have a specific presentational flow chart for sepsis. The goal of this investigation was to determine adequacy of acuity assignment for patients with sepsis presenting at the ED ... ...
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Reasons and evolution of non-thrombolysis in acute ischaemic stroke
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Scritto da Emergency Medicine Journal current issue |
Introduction
Despite increasing evidence of its efficacy in advanced age or in mild or severe strokes, intravenous thrombolysis remains underused for acute ischaemic stroke (AIS). Our aim was to obtain an updated view of reasons for ... ...
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A randomised experiment comparing low-cost ultrasound gel alternative with commercial gel
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Scritto da Emergency Medicine Journal current issue |
Objective
Point-of-care ultrasound is a portable, relatively low-cost imaging modality with great potential utility in low-resource settings. However, commercially produced ultrasound gel is often cost-prohibitive and unavailable. W ... ...
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Mid-arm circumference can be used to estimate weight of adult and adolescent patients
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Scritto da Emergency Medicine Journal current issue |
Objectives
Many drug and fluid regimens in emergency medicine are weight dependent in adults, but no standard adult weight estimation tools exist. Paediatric weight is often estimated in emergency situations using methods based on a ... ...
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