Archives of emergency medicine最新文献_第2页

Ainhum presenting to the accident and emergency department. Ainhum在急诊科做报告。

Archives of emergency medicine Pub Date : 1993-12-01 DOI: 10.1136/emj.10.4.324

M Hunt, E E Glucksman

引用次数: 6

Chronic persistent asthma presenting to an accident and emergency department--compliance with B.T.S. guidelines. 慢性持续性哮喘出现在事故和急诊科-遵守bts指南。

Archives of emergency medicine Pub Date : 1993-12-01 DOI: 10.1136/emj.10.4.347

J R Thompson, M A Lambert

引用次数: 2

ATLS courses. atl课程。

Archives of emergency medicine Pub Date : 1993-12-01 DOI: 10.1136/emj.10.4.387-a

F Drummond

引用次数: 0

Emergency eye care in the accident and emergency department. 事故和急诊科的紧急眼科护理。

Archives of emergency medicine Pub Date : 1993-12-01 DOI: 10.1136/emj.10.4.387-b

B C Patel

{"title":"Emergency eye care in the accident and emergency department.","authors":"B C Patel","doi":"10.1136/emj.10.4.387-b","DOIUrl":"https://doi.org/10.1136/emj.10.4.387-b","url":null,"abstract":"Sir I completed an Advanced Trauma and Life Support (ATLS) court in March this year. The next day I was senior house officer (SHO) on call covering general surgery for the weekend when a call was put out for the trauma team to report to the resuscitation room in the accident and emergency (A&E) department. A helicopter had crashed and a survivor was in the resuscitation room. Following immediate intubation examination revealed that he had a superficial wound to the left upper chest and a flail segment of that same side with poor air entry. I inserted a large chest drain immediately, without radiological confirmation, and the aspiration of air and blood improved his oxygenation. Following rapid infusion of fluid and blood as per ATLS guidelines his blood pressure rose to 110/90ml of mercury and his heart rate was 120 beats min-1. He had a fracture of the left femur and radiographs of the cervical spine, chest and pelvis revealed a fracture of the pelvis and marked shadowing in the left lung field with multiple rib fractures. The case demonstrated clearly to me the value of the ATLS course I had just attended. In a crisis situation it gives a system of working whereby a patient can be managed quickly and in an orderly fashion. I would encourage everyone who deals with trauma to undertake this valuable course.","PeriodicalId":77009,"journal":{"name":"Archives of emergency medicine","volume":"10 4","pages":"387-8"},"PeriodicalIF":0.0,"publicationDate":"1993-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/emj.10.4.387-b","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19102866","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

Waiting times and patient satisfaction in the accident and emergency department. 急诊科的等待时间和病人满意度。

Archives of emergency medicine Pub Date : 1993-12-01 DOI: 10.1136/emj.10.4.388

A Maitra, C Chikhani

引用次数: 40

Predictors of work satisfaction among SHOs during accident and emergency medicine training. 意外急诊医学专科医师培训期间工作满意度的预测因素。

Archives of emergency medicine Pub Date : 1993-12-01 DOI: 10.1136/emj.10.4.279

J Heyworth, T W Whitley, E J Allison, D A Revicki

{"title":"Predictors of work satisfaction among SHOs during accident and emergency medicine training.","authors":"J Heyworth, T W Whitley, E J Allison, D A Revicki","doi":"10.1136/emj.10.4.279","DOIUrl":"https://doi.org/10.1136/emj.10.4.279","url":null,"abstract":"<p><p>The purpose of this study was to assess the ability of work-related stress, and other work environment characteristics that might affect stress, to predict work satisfaction among senior house officers (SHOs) during accident and emergency (A&E) training. Questionnaires were returned by 365 SHOs, who indicated their year in training, the number of hours worked per week, the type of training hospital, the number of new A&E attendances per year, the ratios of patients and consultants to SHOs at their training hospitals and their likelihood of specializing in A&E. They also completed inventories measuring work-related stress, task and role clarity, work group functioning and work satisfaction. Scores on the satisfaction scale served as the dependent variable in a multiple regression equation. Using an alpha level of 0.05, a significant relationship was detected between satisfaction and the 10 independent variables (P = 0.0001). Direct relationships between task and role clarity (P = 0.0001) and work group functioning (P = 0.0002) were significant, as were inverse relationships between stress (P = 0.0001) and the number of new attendances (P = 0.0321). Management practices, such as orientation sessions, that define tasks and roles, enhance work group cohesiveness and mitigate against stress, should result in increased satisfaction among SHOs.</p>","PeriodicalId":77009,"journal":{"name":"Archives of emergency medicine","volume":"10 4","pages":"279-88"},"PeriodicalIF":0.0,"publicationDate":"1993-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/emj.10.4.279","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19102259","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: 26

Pseudo-dislocation of the shoulder in a child. 儿童假性肩脱位。

Archives of emergency medicine Pub Date : 1993-12-01 DOI: 10.1136/emj.10.4.289

S P Michael, A Banerjee

{"title":"Pseudo-dislocation of the shoulder in a child.","authors":"S P Michael, A Banerjee","doi":"10.1136/emj.10.4.289","DOIUrl":"https://doi.org/10.1136/emj.10.4.289","url":null,"abstract":"A 6-year-old girl fell off a climbing frame and injured her left shoulder. She was seen the same day in the accident and emergency (A&E) department with diffuse left shoulder pain. On examination diffuse swelling of the shoulder was noted but no deformity was discernible. All movements of the shoulder were grossly restricted and painful. An initial X-ray (Fig. 1) showed a Salter-Harris Type II injury of the left proximal humeral epiphysis. The head of the humerus was noted to be markedly displaced inferiorly. An axillary view to ascertain the relation of the humeral head to the glenoid could not be obtained because of patient discomfort. As a result of the severely subluxed appearance of the shoulder the patient was admitted for observation and further evaluation. An ultra sound scan of the shoulder was obtained which did not show fluid in the joint. The position of the humeral head remained unchanged over the next 3 days despite rest in a triangular sling. A week after the injury a further X-ray (Fig. 2) showed that the subluxation of the head was resolving. The shoulder became more comfortable and a reasonable range of movement returned. The proximal humeral fracture, however, became progressively more displaced but went on to unite soundly. Normal shoulder function was regained by the eighth week after injury. At this stage X-rays showed relocation of the humeral","PeriodicalId":77009,"journal":{"name":"Archives of emergency medicine","volume":"10 4","pages":"289-92"},"PeriodicalIF":0.0,"publicationDate":"1993-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1136/emj.10.4.289","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"19102260","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: 4

The first aid management of epistaxis by accident and emergency department staff. 急诊科人员对鼻出血的急救处理。

Archives of emergency medicine Pub Date : 1993-12-01 DOI: 10.1136/emj.10.4.298

G W McGarry, C Moulton

引用次数: 40

Use of anti-D in an accident and emergency department. 在事故和急诊科使用anti-D。

Archives of emergency medicine Pub Date : 1993-12-01 DOI: 10.1136/emj.10.4.306

A M Huggon, D P Watson

引用次数: 15

Accreditation--the trainee's dilemma. 认证——学员的困境。

Archives of emergency medicine Pub Date : 1993-12-01 DOI: 10.1136/emj.10.4.357

M J Williams, G Johnson

引用次数: 1