BMJ

The sepsis six and the severe sepsis resuscitation bundle: a prospective observational cohort study

Background Severe sepsis is likely to account for around 37 000 deaths annually in the UK. Five years after the international Surviving Sepsis Campaign (SSC) care bundles were published, care ...
BMJ

Online First

Application of Step-by-Step and Paediatric Emergency Care Applied Research Network (PECARN) Clinical Decision Aids in the management of young febrile infants in a UK cohort ...
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

The minimum clinically significant difference in visual analogue scale pain score does not differ with severity of pain

Correspondence to: Professor Kelly, Department of Emergency Medicine, Western Hospital, Private Bag, Footscray, Vic 3011, Australia (Anne-Maree.Kelly{at}nwhcn.org.au) Objective—To determine whether ...
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

1060 All-cause presentations to emergency facilities in low-income and low-middle income Sub-Saharan African countries: a systematic review

Introduction Emergency conditions constitute a large proportion of the total global burden of disease and annual global deaths. All 10 leading causes of death in LMICs are conditions which are ...
BMJ

17 Exploring ambulance conveyances to the emergency department: a descriptive analysis of non-urgent transports

Objectives An NHS England report highlighted key issues in how patients were initially navigating access to healthcare. This has manifested in increased pressure on ambulance services and emergency ...
BMJ

The emerging role of the emergency care practitioner

Objectives: To examine the emerging role of the emergency care practitioner (ECP) with comparisons to paramedic practice. Key activities were identified of newly appointed ECPs using qualitative ...
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

Evaluation of triage methods used to select patients with suspected pandemic influenza for hospital admission

3 Department of Respiratory and Intensive Care Medicine, University Hospital of South Manchester NHS Foundation Trust, Manchester, UK 4 Department of Medical Statistics, School of Health and Related ...
BMJ

A randomised controlled trial to determine the effectiveness of double Tubigrip in grade 1 and 2 (mild to moderate) ankle sprains

Objective—To compare functional outcome in patients with acute grade 1 or 2 (mild to moderate) lateral ankle sprains randomised to treatment with or without a double tubigrip bandage (DTG).
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 ...