2 Senior house officer in Intensive Care Medicine, Birmingham Heartlands Hospital, UK 3 Consultant in Accident and Emergency Medicine, Birmingham Heartlands Hospital, UK The nasopharyngeal airway (NPA ...

Background The concept of situation awareness (SA) has become a core theme throughout human factors research. SA is a cognitive process, put simply, it refers to a person’s ability to be aware of what ...

Methods: The study was based in one emergency department (ED) in the UK and took a generic qualitative approach. A stratified sample of nine experienced ED nurses were recruited for semi-structured ...

In any accident scene, rapid removal of the casualty to hospital improves their chances of survival. The term the “Golden Hour” was first introduced in 1961, but because of misinterpretation as to ...

Introduction National practice guidelines recommend early aspirin administration to reduce mortality in acute coronary syndrome (ACS). Although timely administration of aspirin has been shown to ...

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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 ...

A short cut review was carried out to establish whether a glucagon infusion is of benefit in patients with refractory anaphylaxis. 62 papers were found using the reported search, of which two ...

National Poisons Information Service, Guy's and St Thomas' NHS Trust, London, UK Correspondence to: Dr A Jones, National Poisons Information Service, Guy's and St Thomas' NHS Trust, Avonley Road, ...

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 ...

The importance of end of life care (EoLC) for patients and their families is well documented, however, the skills and knowledge of emergency clinicians in delivering EoLC is not widely understood but ...

2 Medical Management, Regional Ambulance Service Hollands-Midden, Leiden, The Netherlands Background In Dutch ambulance practice, failure or inability to intubate patients with altered oxygenation and ...