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4,896 results
  • Interpretation of emergency CT scans in polytrauma: trauma surgeon vs radiologist. [Journal Article]
    Afr J Emerg Med. 2020 Jun; 10(2):90-94.Parag P, Hardcastle TC
  • CONCLUSIONS: There was no significant discrepancy in the critical findings on interpretation of whole body CT scans in polytrauma patients by the trauma surgeon and radiologist and therefore no negative impact on patient management from missed injury or misdiagnosis.The turnaround time for the radiology report does not allow for timeous management of the trauma patient.
  • Viral and bacterial coinfection of the respiratory tract in a 10-month-old child. [Journal Article]
    BMJ Case Rep. 2020 Jul 01; 13(7)Govindarajan S, Bivan S
  • A 10-month-old child, immunised appropriately for age, presented with a history of cough, vomiting, diarrhoea, increased work of breathing and eye redness for 1 week. She was treated for suspected bronchiolitis with supportive oxygen and hypertonic saline nebulisation. In view of continuing fever spikes and persistent oxygen requirement, she was evaluated further. Her inflammatory markers were ra…
  • Non traumatic spinal epidural haematoma. [Journal Article]
    Acute Med. 2019; 18(1):38-40.Khalid NA, Shah N
  • Spinal epidural haematoma is a rare condition, which may be due to trauma, surgery, epidural catheterisation or disorders of coagulation. We report a case of 60 year old lady who was on warfarin for Atrial fibrillation (AF) presented with history of non-traumatic sudden onset pain in both legs and difficulty in walking. Magnetic resonance imaging (MRI) spine demonstrated epidural haematoma which …
  • Case based review: Toxicology on the Acute Medical Unit. [Journal Article]
    Acute Med. 2019; 18(1):27-36.Achilleos A, Collas O, Murch N
  • Accidental and intentional poisoning from prescribed, illicit and organic substances remains a major cause of morbidity and mortality worldwide and accounts for just under 1% of the total number of NHS hospital admissions, or around 170,000, a year in the UK1. A knowledge of the constellation of signs and symptoms that constitute specific poisonings (referred to as toxidromes) may enable early em…
  • Floseal: a novel application technique for the treatment of challenging epistaxis. [Letter]
    Clin Otolaryngol. 2020 Jul 01 [Online ahead of print]Bonduelle Q, Biggs TC, Sipaul F
  • There were 24,719 emergency admissions for epistaxis in English NHS trusts from April 2017-April 2018.1 Epistaxis is initially managed with external nasal pressure and ice, then cautery, nasal packing, surgery or embolisation, in ascending order. There is growing evidence for Floseal use in anterior and posterior epistaxis. Floseal is a hydrophilic, biodegradable matrix haemosealant. The keyrepor…
  • Are hydroxychloroquine and chloroquine effective in the treatment of SARS-COV-2 (COVID-19)? [Comment]
    Evid Based Dent. 2020 06; 21(2):64-65.Wright C, Ross C, Mc Goldrick N
  • Data sources The authors of this rapid review did not disclose which electronic databases were included in their literature search. The inclusion and exclusion criteria for the data sources are not reported in the manuscript.Study selection The authors included six studies on the effectiveness of hydroxychloroquine or chloroquine for the prevention and treatment of COVID-19 in humans. Studies com…
  • Sleep and pain management: a review. [Journal Article]
    Pain Manag. 2020 Jun 23 [Online ahead of print]Woo A, Ratnayake G
  • There is a complex interplay between sleep disturbance and patients in pain. There is an increasing appreciation of the direct effects of analgesic drugs and sleep quality. This review provides an overview of the effects of different analgesic drugs and their effects on phases of sleep. The effects of different pain conditions and their direct effects on sleep physiology are also discussed. A str…
  • Twitter-Based Journal Clubs: Bringing Critical Appraisal to the Social Table. [Review]
    Semin Nephrol. 2020 May; 40(3):264-272.Stoneman S, Hiremath S
  • Journal clubs have existed since William Osler started them in the 19th century, and serve as an important avenue for critical appraisal of medical research in academia. In the past decade, particularly the past 5 years, there has been a proliferation of online journal clubs on Twitter (Twitter Inc, San Francisco, CA). These Twitter-based journal clubs have used the conversational nature of the m…
  • Breast Cancer in Jamaica: Trends From 2010 to 2014-Is Mortality Increasing? [Journal Article]
    JCO Glob Oncol. 2020 Jun; 6:837-843.Reid S, Donaldson-Davis K, … James K
  • CONCLUSIONS: Breast cancer remains the leading cause of death among Jamaican women. Despite global advances in breast cancer screening and management, breast cancer remains a major public health challenge and represents a public health priority in Jamaica. The increasing breast cancer-specific mortality in Jamaica over the 5-year period contrasts with decreasing mortality rates among US women with breast cancer. This study highlights the critical need to address the implementation of a national organized breast cancer screening program in Jamaica and to focus future research efforts on the biology of breast cancer, especially among young Jamaican women.
  • No Fever, No Worries? A Retrospective Audit of Bacteraemic Patients in the Emergency Department. [Journal Article]
    Intern Med J. 2020 Jun 15 [Online ahead of print]Chiodo-Reidy J, Loftus MJ, Holmes N
  • CONCLUSIONS: There was no significant difference in receipt of antibiotics within 4 h or 24 h ED arrival between the febrile and afebrile groups. However, afebrile patients experienced higher 30-day mortality. While most bacteraemic patients received antibiotics within 24 h, only half received antibiotics within 4 h, representing a key area for improvement. This article is protected by copyright. All rights reserved.
  • Patients' perception of using a smartphone light source in the clinical environment. [Journal Article]
    Br Dent J. 2020 Jun; 228(11):849-852.Cameron A, Webster J, … Colbert SD
  • Introduction A satisfactory light source is of paramount importance during an oral head and neck examination. It has become common practice for the light source on a smartphone to be used during inpatient intra-oral examination. We determined if patients identified the use of a smartphone as a light source, during head and neck examinations, as unprofessional.Methods and materials A clinical phot…
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