Gareth Quin

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AIM Acute surgical patients are admitted to our regional hospital through the emergency department (ED) and through a new surgical assessment unit (SAU). The aim of this study was to compare the efficiency of the two units in seeing and assessing acute surgical patients, as well as patients' satisfaction with their experiences in both units. METHODS A(More)
Proximal tibiofibular joint dislocation is an uncommon injury, which may be easily missed on plain radiography. If recognised, it can be treated in the emergency department, avoiding surgery and long term problems. The case is presented of a 22 year old male rugby player who was tackled from the left hand side while turning to the left. He heard a "pop"(More)
  • G Quin
  • 2000
Chest pain is a common cause of accident and emergency (A&E) presentation. In the United States, it accounts for 5–6% of new emergency department attendances. 2 The principal challenge in these patients is to identify those with an acute coronary syndrome (ACS). Early diagnosis allows eVective treatment and inadvertent discharge may have disastrous(More)
A 25 year old man attended the accident and emergency department complaining of anterior pleuritic chest pain. Fourteen hours previously he had ingested three ecstasy tablets and danced for several hours. There was no history of trauma or vomiting. Clinical examination suggested pneumomediastinum and this was confirmed on chest radiography (fig 1). The(More)
OBJECTIVES To ascertain how UK accident and emergency (A&E) departments access the child protection register, their levels of satisfaction with that access and their criteria for checking the register. METHODS A postal questionnaire was sent to 254 "major" A&E departments listed in the 1996 British Association for Accident and Emergency Medicine(More)
A 2-year-old girl was brought to the Emergency Department having collapsed at home. She was unconscious and apnoeic with a sinus bradycardia of 50 beats/min. Cardiopulonary resuscitation (CPR) was commenced and her airway was secured. Epinephrine and atropine were administered. The blood glucose was found to be <0.5 mmol/l. There were minimal ketones found(More)
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