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Archives of emergency medicine Pub Date : 2013-04-01 DOI: 10.5301/039139881303600401
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引用次数: 0
Identification of incorrect radiological diagnosis. 鉴别不正确的放射诊断。
Archives of emergency medicine Pub Date : 1993-12-01 DOI: 10.1136/emj.10.4.380
A Sivakumar, D Wallis, P S Rana
{"title":"Identification of incorrect radiological diagnosis.","authors":"A Sivakumar, D Wallis, P S Rana","doi":"10.1136/emj.10.4.380","DOIUrl":"https://doi.org/10.1136/emj.10.4.380","url":null,"abstract":"","PeriodicalId":77009,"journal":{"name":"Archives of emergency medicine","volume":"10 4","pages":"380"},"PeriodicalIF":0.0,"publicationDate":"1993-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/emj.10.4.380","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19102858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
The effect of the Cornwall and Isles of Scilly helicopter ambulance unit on the ambulance services ability to deliver acutely traumatized patients to hospital. 康沃尔和锡利群岛直升机救护单位对救护服务将严重创伤患者送往医院的能力的影响。
Archives of emergency medicine Pub Date : 1993-12-01 DOI: 10.1136/emj.10.4.382-b
K M Porter
{"title":"The effect of the Cornwall and Isles of Scilly helicopter ambulance unit on the ambulance services ability to deliver acutely traumatized patients to hospital.","authors":"K M Porter","doi":"10.1136/emj.10.4.382-b","DOIUrl":"https://doi.org/10.1136/emj.10.4.382-b","url":null,"abstract":"Holburn C. J. & Allen M. J. (1989) Pulse oximetry in the accident and emergency department. Archives of Enmergency Medicine 6, 137. Kendall I. G. (1991) Is anaesthesia necessary for reducing shoulder dislocations? Archives of Eniergency Medicine 8, 288. Underhill T. J., Wan A. & Morrice M. (1989) Interscalene brachial plexus blocks in the management of shoulder dislocation. Archives of Eniergency Medicine 6, 199.","PeriodicalId":77009,"journal":{"name":"Archives of emergency medicine","volume":"10 4","pages":"382-3"},"PeriodicalIF":0.0,"publicationDate":"1993-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/emj.10.4.382-b","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19102861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Oesophageal perforation: an unusual complication of a hypoglycaemic episode. 食道穿孔:低血糖发作的罕见并发症。
Archives of emergency medicine Pub Date : 1993-12-01 DOI: 10.1136/emj.10.4.310
H Daya, D Wijetunge
{"title":"Oesophageal perforation: an unusual complication of a hypoglycaemic episode.","authors":"H Daya,&nbsp;D Wijetunge","doi":"10.1136/emj.10.4.310","DOIUrl":"https://doi.org/10.1136/emj.10.4.310","url":null,"abstract":"<p><p>A case of spontaneous oesophageal rupture following vomiting, secondary to a hypoglycaemic episode is reported. The case is of interest in its presentation and physical signs. It reflects the difficulty in diagnosing a condition associated with considerable morbidity and mortality. The importance of recognition of a pattern of symptoms, physical signs and radiographic findings is emphasized.</p>","PeriodicalId":77009,"journal":{"name":"Archives of emergency medicine","volume":"10 4","pages":"310-3"},"PeriodicalIF":0.0,"publicationDate":"1993-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/emj.10.4.310","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19102936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Apparent tendo achilles rupture in the elderly: is routine radiography necessary? 老年人跟腱明显断裂:常规x线摄影有必要吗?
Archives of emergency medicine Pub Date : 1993-12-01 DOI: 10.1136/emj.10.4.336
S Michael, A Banerjee
{"title":"Apparent tendo achilles rupture in the elderly: is routine radiography necessary?","authors":"S Michael,&nbsp;A Banerjee","doi":"10.1136/emj.10.4.336","DOIUrl":"https://doi.org/10.1136/emj.10.4.336","url":null,"abstract":"Avulsion fractures involving the insertion of the tendo achilles into the calcaneus have been reported previously (Lowy, 1969; Protheroe, 1969). We wish to describe a case which presented clinically as a ruptured tendo achilles and the correct diagnosis was only made on the basis of a radiograph. We wish to stress the need for radiographic assessment of suspected tendo achilles ruptures in the elderly.","PeriodicalId":77009,"journal":{"name":"Archives of emergency medicine","volume":"10 4","pages":"336-8"},"PeriodicalIF":0.0,"publicationDate":"1993-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/emj.10.4.336","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19102942","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 6
Foley catheter haemostasis for penetrating cardiac wounds: the need for caution. Foley导管止血治疗心脏穿透性伤口:需要谨慎。
Archives of emergency medicine Pub Date : 1993-12-01 DOI: 10.1136/emj.10.4.385
A Sen, L Anderson
{"title":"Foley catheter haemostasis for penetrating cardiac wounds: the need for caution.","authors":"A Sen,&nbsp;L Anderson","doi":"10.1136/emj.10.4.385","DOIUrl":"https://doi.org/10.1136/emj.10.4.385","url":null,"abstract":"clinical skill can match CAD accuracy rates stressing the importance of continuing clinical teaching and supervision of junior doctors. CAD does provide an ongoing database which would help medical audit as has been rightly stressed. However, the general advocacy of use of CAD for diagnostic purposes in the busy A&E department would not only be time consuming, leading to increased patient waiting time, an important factor determining patient satisfaction, (Maitra & Chickhani, 1992) but would also not be cost effective (not improving patient care because the diagnostic accuracy rate is low).","PeriodicalId":77009,"journal":{"name":"Archives of emergency medicine","volume":"10 4","pages":"385-6"},"PeriodicalIF":0.0,"publicationDate":"1993-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/emj.10.4.385","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19102864","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
The storage of tetanus vaccine in accident and emergency departments: a postal survey. 急诊科破伤风疫苗贮存情况的邮政调查。
Archives of emergency medicine Pub Date : 1993-12-01 DOI: 10.1136/emj.10.4.331
J D Howell, N G Kirby
{"title":"The storage of tetanus vaccine in accident and emergency departments: a postal survey.","authors":"J D Howell,&nbsp;N G Kirby","doi":"10.1136/emj.10.4.331","DOIUrl":"https://doi.org/10.1136/emj.10.4.331","url":null,"abstract":"<p><p>The aim of this study was to assess the quality of storage of tetanus vaccine in accident and emergency (A&E) departments and also of the awareness of Department of Health guidelines. A postal questionnaire was sent to 50 randomly selected major A&E departments in the British Isles, enquiring about awareness of Department of Health guidelines (Department of Health, 1990). Forty (80%) A&E departments responded. Only 14 were aware of the Department of Health guidelines and in only 18 was there a member of staff taking responsibility for vaccine storage. The study found that safe storage of vaccine, and therefore guarantee of efficacy, is not occurring in the majority of A&E departments. Unnoticed failure of refrigerators could be exposing patients to the risk of tetanus infection.</p>","PeriodicalId":77009,"journal":{"name":"Archives of emergency medicine","volume":"10 4","pages":"331-5"},"PeriodicalIF":0.0,"publicationDate":"1993-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/emj.10.4.331","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19102941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Adder (Vipera berus) bites: a case report and review of the management for emergency medical personnel. 蝮蛇(蝰蛇)咬伤:急诊医务人员处理一例报告与回顾。
Archives of emergency medicine Pub Date : 1993-12-01 DOI: 10.1136/emj.10.4.375
M A Johnston, W M Tullett
{"title":"Adder (Vipera berus) bites: a case report and review of the management for emergency medical personnel.","authors":"M A Johnston,&nbsp;W M Tullett","doi":"10.1136/emj.10.4.375","DOIUrl":"https://doi.org/10.1136/emj.10.4.375","url":null,"abstract":"<p><p>Few doctors working in the accident and emergency (A&E) department will have had experience in the management of adder (Vipera Berus) bites. While such events are uncommon, and rarely fatal, prompt correct management undoubtedly helps in reducing mortality and morbidity. Various isolated case reports (Watson & Harland, 1977; Gerard & Pugh, 1982; Jones & Clegg, 1985) and larger reviews (Reid, 1976; Pesson & Irestedt 1981; Hawley, 1988, 1990) have appeared in non A&E related journals. Following our own recent experience we felt it timely to report our case and review the management.</p>","PeriodicalId":77009,"journal":{"name":"Archives of emergency medicine","volume":"10 4","pages":"375-9"},"PeriodicalIF":0.0,"publicationDate":"1993-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/emj.10.4.375","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19102857","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 9
Management of the moribund carbon monoxide victim. 对垂死的一氧化碳受害者的处理。
Archives of emergency medicine Pub Date : 1993-12-01 DOI: 10.1136/emj.10.4.383
A F Brown, S J Dunjey, C T Myers
{"title":"Management of the moribund carbon monoxide victim.","authors":"A F Brown,&nbsp;S J Dunjey,&nbsp;C T Myers","doi":"10.1136/emj.10.4.383","DOIUrl":"https://doi.org/10.1136/emj.10.4.383","url":null,"abstract":"helicopter were for secondary missions, the helicopter being deployed after the land ambulance had arrived at the scene. It is clear from the work with the West Midlands that the best effective deployment of an air ambulance is as a primary resource replacing a land-based ambulance resource. The only absolute measure of evaluating the emergency response care provided by the ambulance service will be a clearly demonstrated reduction in morbidity and mortality and this can only be shown with reference to formal trauma scoring in particular TRISS methodology.","PeriodicalId":77009,"journal":{"name":"Archives of emergency medicine","volume":"10 4","pages":"383-4"},"PeriodicalIF":0.0,"publicationDate":"1993-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/emj.10.4.383","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19102862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Computer aided diagnosis of abdominal pain: implementation difficulties in the North Western Region. 腹部疼痛的计算机辅助诊断:在西北地区的实施难点。
Archives of emergency medicine Pub Date : 1993-12-01 DOI: 10.1136/emj.10.4.314
J A Clyma, G Lancaster
{"title":"Computer aided diagnosis of abdominal pain: implementation difficulties in the North Western Region.","authors":"J A Clyma,&nbsp;G Lancaster","doi":"10.1136/emj.10.4.314","DOIUrl":"https://doi.org/10.1136/emj.10.4.314","url":null,"abstract":"<p><p>During 1987 a system for the computer-aided diagnosis of abdominal pain was introduced on a trial basis in seven district health authorities in the North Western (NW) Region. Despite good reports of the system from other areas, by the end of a 12-month period only two of the seven districts continued to use it in the routine management of patients. A study was undertaken to determine the difficulties that had been encountered and the way in which these had hindered successful implementation of the system. Information was obtained by interview with key personnel involved in the trial, which included the chief executive in each district, a consultant designated as responsible for the system and clerical staff. The study identified three main factors undermining the implementation of the system: a lack of consultant support; the negative attitude of junior doctors; and inadequate clerical support.</p>","PeriodicalId":77009,"journal":{"name":"Archives of emergency medicine","volume":"10 4","pages":"314-20"},"PeriodicalIF":0.0,"publicationDate":"1993-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/emj.10.4.314","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19102937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
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