Acute Medicine
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Increased Risk of Acute Pancreatitis with Codeine Use in Patients with a History of Cholecystectomy.
(2019-08)BACKGROUND: Codeine has a spasmodic effect on sphincter of Oddi and is suspected to cause acute pancreatitis in patients with a history of cholecystectomy. AIMS: To assess the association between codeine use and acute ... -
Novel use of Cytosorb™ haemadsorption to provide biochemical control in liver impairment.
(2019-05)We describe the use of Cytosorb™, a synthetic extracorporeal haemoperfusion adsorption column, in the management of two patients with drug induced cholestasis and a third with alcoholic hepatitis and subsequent acute on ... -
The cost of diagnostic uncertainty: a prospective economic analysis of febrile children attending an NHS emergency department.
(2019-03)A lack of prompt and definitive diagnostics makes it difficult to distinguish viral from potentially life-threatening bacterial causes, necessitating a cautious approach. This may result in extended periods of observation, ... -
Smoking cessation in the emergency department: a qualitative exploration of staff attitudes
(2018)Emergency departments see uniquely large numbers of patients across all demographic groups who are more likely to smoke and who attend with acute health concerns that can provide an impetus for behaviour change. Despite ... -
UK national audit of safety checks for radiology interventions.
(2018-11)OBJECTIVE:: To re-audit the use of safety checklists in radiology departments in NHS departments throughout the UK. METHODS:: This audit was performed on behalf of The Royal College of Radiologists Audit Committee in 2016 ... -
Acute ‘pathological haematoma’ without significant antecedent trauma as an unusual presentation of undiagnosed malignancy
(2012-07)The authors report two cases of malignancy that presented initially with acute haematomas without any history of significant trauma. The first case was a 31-year-old male who presented with a large haematoma in the anterior ... -
Training in emergency medicine.
(2018-09)One of the key challenges faced in emergency medicine is to provide effective training so that clinicians feel valued and supported in the roles they undertake. While there are numerous areas of exemplar practice nationally ... -
Emergency tracheostomy management: Are we appropriately trained?
(2018-07)The aim of this audit was to assess the level of competency and adequacy of training, among the nursing staff in Royal Derby Hospital Intensive Care Unit and compare it to the national guidelines [1, 2]. The tracheostomy ... -
Eccentric exercise increases circulating fibroblast activation protein but not bioactive fibroblast growth factor 21 in healthy humans.
(2018-04)NEW FINDINGS: What is the central question of this study? The role of FGF21 as an exercise-induced myokine remains controversial. The aim of this study was to determine whether eccentric exercise would augment the release ... -
Tracheostomy on the intensive care unit - a two-month network-wide snapshot
(2014-04)Tracheostomy is a common and invasive procedure performed on the intensive care unit and has significant associated complications. Current evidence is insufficient to clearly guide practice. We conducted a two-month ... -
Frequency of stepping down antibiotics and nebuliser treatment is lower at weekends compared to weekdays: an observational study.
(2017-12)We hypothesised that delays in providing non-urgent medication step-downs at weekends to medical management may be associated with increased length of stay. In a novel use of electronic prescribing data, we analysed emergency ... -
Emergency department litigation and coroner's inquests: a ten year analysis.
(2017-12)INTRODUCTION: The burden of litigation within the NHS should not be underestimated. Indemnity costs rise in response to the rising frequency and costs of claims, with recent changes to the discount rate projected to increase ... -
Were James Bond's drinks shaken because of alcohol induced tremor?
(2013-12)OBJECTIVE: To quantify James Bond's consumption of alcohol as detailed in the series of novels by Ian Fleming. DESIGN: Retrospective literature review. SETTING: The study authors' homes, in a comfy chair. PARTICIPANTS: ... -
I can't believe it's not retrobulbar….
(2015-02) -
Codeine: An Under-Recognized and Easily Treated Cause of Acute Abdominal Pain.
(2015-12)We present 2 cases of acute abdominal pain secondary to oral codeine that resolved after the administration of intravenous naloxone. -
Simulation at work.
(2016-04) -
Lowering levels of bed occupancy is associated with decreased inhospital mortality and improved performance on the 4-hour target in a UK District General Hospital.
(2016-02)OBJECTIVE: To evaluate whether there is an association between an intervention to reduce medical bed occupancy and performance on the 4-hour target and hospital mortality. METHODS: This before-and-after study was undertaken ... -
β-Adrenoreceptor agonists in the management of pain associated with renal colic: A systematic review.
(2016-06)OBJECTIVES: To determine whether β-adrenoreceptor agonists are effective analgesics for patients with renal colic through a systematic review of the literature. SETTING: Adult emergency departments or acute assessment ...
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