Bmj - emj.bmj.com - Emergency Medicine Journal current issue

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Highlights from this issue 13 Aug 2013 | 04:27 pm

Back to the future Medicine (including Emergency Medicine) has become increasingly reliant on ‘tests’ and, certainly amongst younger practitioners, the thought of ruling a diagnosis in or out on clin...

Clearing up the mess 13 Aug 2013 | 04:27 pm

Emergency departments (EDs) in the UK seemed to hog the news headlines in May and June earlier this year; in the midst of all this welcome publicity the subject of ED overcrowding was on the agenda of...

Quality care for older people with urgent and emergency care needs in UK emergency departments 13 Aug 2013 | 04:27 pm

Over the next 20 years, the number of people aged 85 years and over in the UK is set to increase by two-thirds, compared with a 10% growth in the overall population. Hospital episode statistics indica...

Pulmonary embolism rule-out criteria (PERC) in pulmonary embolism--revisited: A systematic review and meta-analysis 13 Aug 2013 | 04:27 pm

Objectives To perform a systematic review and meta-analysis including all the current studies to assess the accuracy of pulmonary embolism rule-out criteria (PERC) in ruling out pulmonary embolism (P...

Avoidable emergency admissions? 13 Aug 2013 | 04:27 pm

Background Use of specialist healthcare services is increasing. Aim To evaluate whether alternative healthcare services could reduce the need for admissions to specialist care hospitals. Design P...

Right kidney passing into the intrathoracic space after blunt abdominal trauma 13 Aug 2013 | 04:27 pm

The patient was a 67-year-old man who showed right massive haemothorax after being run over by a low-speed vehicle. In the ambulance, his Glasgow Coma Scale score was 15/15 (eyes: 4; verbal: 5; motor:...

Epidemiological study of acute poisoning in children: a 5-year retrospective study in the Paediatric University Hospital in Bialystok, Poland 13 Aug 2013 | 04:27 pm

Background Poisoning among children and youths in the northeastern part of Poland accounted for 25% of the total number of patients admitted to the Hospital Emergency Department of the Paediatric Uni...

Vitamin D deficiency in children presenting to the emergency department: a growing concern. Vitamin D deficiency in Birmingham's children: presentatio... 13 Aug 2013 | 04:27 pm

Introduction The increase in detected vitamin D deficiency appears to be multifactorial: an increasingly multicultural society, reduced exposure to sunlight due to concern about skin cancer and a mor...

A re-conceptualisation of acute spinal care 13 Aug 2013 | 04:27 pm

The emergency care of patients who may have spinal injuries has become highly ritualised. There is little scientific support for many of the recommended interventions and there is evidence that at lea...

Role of routine pelvic radiography in initial evaluation of stable, high-energy, blunt trauma patients 13 Aug 2013 | 04:27 pm

Background Pelvic fractures are among the most devastating traumatic injuries accompanied by high morbidity and mortality rate leading to catastrophic outcomes and haemodynamic consequences. Although...

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