Background Menopausal symptoms can have a significant impact on workplace attendance and performance, yet limited evidence regarding the menopause transition in the emergency services exists. The aim ...

A 52 year old man was admitted to an emergency department with a fast ventricular rate atrial fibrillation after an electrical shock. Electrical cardioversion was attempted after echocardiographic ...

The use of adrenaline (epinephrine) containing auto-injector devices as a treatment for severe allergic reactions is now widely accepted and EpiPens are increasingly prescribed for children. It is ...

Background Unless emergency departments have adequate capacity to meet demand, they will fail to meet clinical and performance standards and will be operating in the ‘coping zone’. This carries risks ...

NHS England report that the ambulance services attempt to resuscitate approximately 28 000 people from out-of-hospital cardiac arrest each year (approximately 1 per 2000 inhabitants per year).1 The ...

Objective: : In 2002 a new protocol was introduced based on the Canadian CT rules. Before this the Royal College of Surgeons “Galasko” report guidelines had been followed. This study evaluates the ...

Background ABG samples are often obtained in trauma patients to assess shock severity. Venous blood gas (VBG) sampling, which is less invasive, has been widely used to assess other forms of shock. The ...

Background Establishing intravenous access is often vital in an acute hospital setting but can be difficult. Ultrasound-guided cannulation increases success rates in prospective studies. However, ...

Background To describe the epidemiological profile and clinical manifestations of liquid ecstasy (GHB) poisonings. Methods All cases of GHB poisoning or overdose admitted to the Emergency Department ...

Imperial College, Emergency Department, St Mary’s Campus, London W2 1NY, UK I Maconochie, Imperial College, Emergency Department, St Mary’s Campus, Praed Street, Paddington, London W2 1NY, UK; ...

Early assessment and management of poisoning constitutes a core emergency medicine competency. Medical and psychiatric emergencies coexist; the acute poisoning is a dynamic medical illness that ...

Objectives: Activated charcoal is now the mainstay of non-specific treatment for self poisoning in accident and emergency (A&E) departments and should be administered within one hour of ingestion of ...