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Mashup Score: 0
In many countries, the COVID-19 pandemic resulted in restricted hospital visiting by relatives. Staff have been forced to deliver unwelcome and bad news over the telephone. There are few training resources around how to do this. We created a bespoke training package consisting of a 15 min eLearning session and a 1-hour facilitated role-play session. Two simulated telephone calls to a…
Source: Emergency Medicine JournalCategories: Hem/Oncs, Latest HeadlinesTweet
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Mashup Score: 0National initiatives to improve outcomes from out-of-hospital cardiac arrest in England - 10 month(s) ago
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 rate of initial success (return of spontaneous circulation) was 25%, with less than half of those who are successfully resuscitated initially surviving to go home from hospital (survival to discharge…
Source: Emergency Medicine JournalCategories: Critical Care, Latest HeadlinesTweet
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Mashup Score: 1Can you assess the Clinical Frailty Scale in the HEMS setting? A Feasibility Study - 11 month(s) ago
Patients living with frailty are at risk of worse outcomes.1 The Clinical Frailty Scale (CFS) is a tool that has been developed to assess a patient’s level of frailty.2 It is determined by a patient’s baseline health (status two weeks prior to hospital admission), with a score of 1 being very fit and 9 being terminally ill.2 Prior to the COVID-19 pandemic, frailty screening was part of the…
Source: Emergency Medicine JournalCategories: Emergency Medicine, Latest HeadlinesTweet
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Mashup Score: 0
Background Although frequent emergency department (ED) users have been widely studied in cross-sectional settings, there is some evidence suggesting that most frequent ED users do not remain frequent users over multiple consecutive years. The objective of this study was to explore the association between persistent multiyear frequent ED use and individuals’ characteristics. Methods A…
Source: Emergency Medicine JournalCategories: Emergency Medicine, Latest HeadlinesTweet
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Mashup Score: 0Accuracy of ultrasound in diagnosing ankle injuries in emergency care - 11 month(s) ago
Background Ankle injuries are one of the most common presentations in the ED. Although fractures can be ruled out using the Ottawa Ankle Rules, the specificity is low, which means many patients may still receive unnecessary radiographs. Even once fractures are ruled out, assessment of ankle stability is recommended to rule out ruptures, but the anterior drawer test has only moderate sensitivity…
Source: Emergency Medicine JournalCategories: Emergency Medicine, Latest HeadlinesTweet
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Mashup Score: 5Improving communications in PPE: a solution for ‘landline’ telephone communication - 11 month(s) ago
Background Emergency care staff wearing elastomeric respiratory personal protective equipment (PPE) report difficulties in communicating by telephone. We developed and tested an affordable technological solution aimed at improving telephone call intelligibility for staff wearing PPE. Methods A novel headset was created to enable a throat microphone and bone conduction headset to be used in…
Source: Emergency Medicine JournalCategories: Emergency Medicine, Latest HeadlinesTweet
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Mashup Score: 1Diagnostic accuracy of point-of-care lung ultrasound for COVID-19: a systematic review and meta-analysis - 11 month(s) ago
Background Point-of-care (POC) lung ultrasound (LUS) is widely used in the emergency setting and there is an established evidence base across a range of respiratory diseases, including previous viral epidemics. The necessity for rapid testing combined with the limitations of other diagnostic tests has led to the proposal of various potential roles for LUS during the COVID-19 pandemic. This…
Source: Emergency Medicine JournalCategories: Emergency Medicine, Latest HeadlinesTweet
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Mashup Score: 2
Objective Paracetamol, non-steroidal anti-inflammatory drugs (NSAIDs) and opiates/opioids, administered parenterally via intravenous or intramuscular route, are widely used to provide analgesia for patients with moderate to severe pain. This systematic review and meta-analysis evaluated the level of analgesia provided by intravenous paracetamol (IVP) alone compared with NSAIDs (intravenous or…
Source: Emergency Medicine JournalCategories: Emergency Medicine, Latest HeadlinesTweet
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Mashup Score: 0Can you assess the Clinical Frailty Scale in the HEMS setting? A Feasibility Study - 11 month(s) ago
Patients living with frailty are at risk of worse outcomes.1 The Clinical Frailty Scale (CFS) is a tool that has been developed to assess a patient’s level of frailty.2 It is determined by a patient’s baseline health (status two weeks prior to hospital admission), with a score of 1 being very fit and 9 being terminally ill.2 Prior to the COVID-19 pandemic, frailty screening was part of the…
Source: Emergency Medicine JournalCategories: Emergency Medicine, Latest HeadlinesTweet
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Mashup Score: 3Which clinical features best predict occult scaphoid fractures? A systematic review of diagnostic test accuracy studies - 11 month(s) ago
Background Plain radiographs cannot identify all scaphoid fractures; thus ED patients with a clinical suspicion of scaphoid injury often undergo immobilisation despite normal imaging. This study determined (1) the prevalence of scaphoid fracture among patients with a clinical suspicion of scaphoid injury with normal radiographs and (2) whether clinical features can identify patients that do not…
Source: Emergency Medicine JournalCategories: Emergency Medicine, Latest HeadlinesTweet
Time-critical telephone conversations in the emergency department: lessons learnt from a pilot educational project to improve communication skills over the telephone in response to the COVID-19 global pandemic https://t.co/ZVo4GsiSUo via @drsarahedwards et al