BMJ

Tension pneumothorax—time for a re-think?

Correspondence to: Mr S Leigh-Smith c/o Institute of Naval Medicine, Monckton House, Alverstoke, Gosport, Hampshire PO12 2DL, UK; simonlsukaol.com This review examines the present understanding of ...
BMJ

Does the use of the Advanced Medical Priority Dispatch System affect cardiac arrest detection?

Correspondence to: Mr A Heward London Ambulance Service NHS Trust, 220 Waterloo Road, London SE1 8SD, UK; andy.hewardlond-amb.nhs.uk Background: Cardiac arrest is the most widely recognised ...
BMJ

Rapid sequence induction of anaesthesia via the intraosseous route: a prospective observational study

Background Intraosseous (IO) drug infusion has been reported to have similar pharmacokinetics to intravenous (IV) infusion. In military and civilian trauma, the IO route is often used to obtain rapid ...
BMJ

Simple nomograms to calculate sample size in diagnostic studies

Objectives: To produce an easily understood and accessible tool for use by researchers in diagnostic studies. Diagnostic studies should have sample size calculations performed, but in practice, they ...
BMJ

Brief history of Pre-Hospital Emergency Medicine

Correspondence to Dr Roderick Mackenzie, Intercollegiate Board for Training in Pre-hospital Emergency Medicine, Faculty of Pre-hospital Care Royal College of Surgeons of Edinburgh, Edinburgh EH8 9DW, ...
BMJ

Pharmacological management of agitation in emergency settings

Objective: To review, firstly, published studies comparing classic antipsychotics, benzodiazepines, and/or combination of both; and secondly, available data on the use of atypical antipsychotic ...
BMJ

INITIAL RESULTS OF THE RE-VERSE AD TRIAL: IDARUCIZUMAB REVERSES THE ANTICOAGULANT EFFECTS OF DABIGATRAN IN PATIENTS IN AN EMERGENCY SETTING OF MAJOR ...

Objectives & Background Dabigatran, an oral thrombin inhibitor, is widely used for stroke prevention in atrial fibrillation. Idarucizumab, a monoclonal antibody fragment directed against dabigatran, ...
BMJ

Mortality, admission rates and outpatient use among frequent users of emergency departments: a systematic review

Correspondence to Dr Brian H Rowe, Department of Emergency Medicine, University of Alberta Hospital, 1G1.42 Walter C. Mackenzie Centre, 8440-112 Street NW, Edmonton, Alberta, Canada T6G 2B7; ...
BMJ

MRSA nares swab is a more accurate predictor of MRSA wound infection compared with clinical risk factors in emergency department patients with skin and soft tissue infections

Correspondence to Dr Nicole M Acquisto, Department of Pharmacy/Emergency Medicine, University of Rochester Medical Center, Rochester, NY 14642, USA; nicole_acquisto{at}urmc.rochester.edu Objectives ...
BMJ

Paramedics' experiences of end-of-life care decision making with regard to nursing home residents: an exploration of influential issues and factors

Introduction For a patient nearing the end of his or her life, transfer from a nursing home to the ED can be inappropriate, with potentially negative consequences, but transfer in these circumstances ...
BMJ

Emergency department management of undifferentiated abdominal pain with hyoscine butylbromide and paracetamol: a randomised control trial

Objective To compare the effectiveness of paracetamol, hyoscine butylbromide and the combination of paracetamol plus hyoscine butylbromide (paracetamol + hyoscine butylbromide) in the management of ...
BMJ

Are there differences in the relationship between respiratory rate and oxygen saturation between patients with COVID-19 and those without COVID-19? Insights from a cohort-based ...

Background Physicians have observed patients with COVID-19 without respiratory distress despite marked hypoxaemia and extensive radiographic abnormalities, a controversial phenomenon called ‘silent ...