BMJ1d
The use of the spinal board after the pre-hospital phase of trauma management
Objectives—For pre-hospital spinal immobilisation the spinal board is the established gold standard. There are concerns that its subsequent use in hospital may adversely affect patient outcome. This ...
BMJ1d
The reliability of vital signs in estimating pain severity among adult patients treated by paramedics
Background The aim of this study was to examine the strength of correlation between initial pain severity score and systolic blood pressure, heart rate and respiratory rates among adults reporting ...
BMJ5d
Traumatic atlantoaxial rotatory subluxation
2 Neurosciences Intensive Care Unit, Wessex Neurological Centre, Southampton, UK Correspondence to: Dr C A Eynon Director of Neurosciences Intensive Care, Wessex Neurological Centre, Tremona Road, ...
BMJ5d
Barking up the wrong tree? A survey of dog bite wound management
Objectives: Several trials have been published examining the role of antibiotics in dog bite wound management. A meta-analysis of these suggests that there is very little benefit to routine antibiotic ...
BMJ4d
Silver Trauma Review Clinic: a novel model of care to manage non-operative injuries in older patients
Background Increasing numbers of older patients are presenting to the ED following trauma. These patients require multidisciplinary care that the traditional trauma model fails to provide. A Silver ...
BMJ5d
On-scene time and outcome after penetrating trauma: an observational study
1 Department of Anaesthesia, Centre of Head and Orthopaedics 4231, Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark 2 Department of Intensive Care Medicine 4131, Copenhagen ...
BMJ5d
Unnecessary laparotomy by using physical examination and different diagnostic modalities for penetrating abdominal stab wounds
1 Department of General Surgery, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey 2 Department of General Surgery, Vakif Gureba Training Hospital, Istanbul, Turkey Correspondence to ...
BMJ6d
Prehospital delay in acute stroke and TIA
Correspondence to Dr Kashif Waqar Faiz, Akershus University Hospital, Department of Neurology, N-1478 Lørenskog, Norway; kashif.faiz{at}medisin.uio.no Background Early management improves outcome in ...
BMJ4d
Airway obstruction due to aspiration of muddy water
2 HEMS ‘Lifeliner 1’, Trauma Center North-West Netherlands/VUmc, Amsterdam, The Netherlands Correspondence to Dr Lothar A Schwarte, HEMS ‘Lifeliner 1’, Trauma Center North-West Netherlands/VUmc, De ...
BMJ6d
Flucloxacillin alone or combined with benzylpenicillin to treat lower limb cellulitis: a randomised controlled trial
Correspondence to: Dr P Leman Emergency Department, Royal Perth Hospital, Wellington Street, Perth, WA 6001, Australia; peter.lemanhealth.wa.gov.au Objective: To determine whether using intravenous ...
BMJ6d
Could a D-dimer/fibrinogen ratio have a role in ruling-out venous thromboembolism?
Background Diagnosis of venous thromboembolism (VTE) requires chest CT angiography for pulmonary embolism and venous ultrasound for deep vein thrombosis. To reduce imaging, guidelines recommend ...
BMJ4d
Effects of gastric acid on euro coins: chemical reaction and radiographic appearance after ingestion by infants and children
Objectives: This study investigated whether coins of the new European currency (€) corrode when they are exposed to gastric acid, and whether this change can be detected radiographically. Methods: The ...