Henry R Guly

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BACKGROUND Spinal cord injury (SCI) is recognised to cause hypotension and bradycardia (neurogenic shock). Previous studies have shown that the incidence of this in the emergency department (ED) may be low. However these studies are relatively small and have included a mix of blunt and penetrating injuries with measurements taken over different time frames.(More)
OBJECTIVES To describe the diagnostic errors occurring in a busy district general hospital accident and emergency (A&E) department over four years. METHOD All diagnostic errors discovered by or notified to one A&E consultant were noted on a computerised database. RESULTS 953 diagnostic errors were noted in 934 patients. Altogether 79.7% were missed(More)
AIM The Advanced Trauma Life Support system classifies the severity of shock. The aim of this study is to test the validity of this classification. METHODS Admission physiology, injury and outcome variables from adult injured patients presenting to hospitals in England and Wales between 1989 and 2007 and stored on the Trauma Audit and Research Network(More)
AIM To study the epidemiology of ocular injuries in patients with major trauma in the UK, determining the incidence and causes of ocular injuries, and their association with facial fractures. METHODS A retrospective analysis of the Trauma Audit Research Network database from 1989 to 2004, looking at data from 39,073 patients with major trauma. RESULTS(More)
The recent UK Department of Health publication ‘‘Taking Healthcare to the Patient: Transforming NHS Ambulance Services’’ recommended that the Department of Health should commission a programme of work to build the evidence base for the delivery of emergency and unscheduled prehospital care. As a starting point, the Department of Health commissioned the 999(More)
(Honner I 969; Harvey I 974) although cases of locking are probably not rare. Aston (1 960) found five cases in 10 months and Goodfellow and Weaver (1961) were also able to describe five cases. Many senior doctors working in accident and emergency departments recall having seen locking and it is probable that many such cases are seen by junior doctors who(More)
OBJECTIVE To describe the work of a moorland rescue team and, in particular, the medical aspects of this work. METHODS A retrospective study of 25 years of callouts of the Dartmoor Rescue Group (DRG)-the mountain rescue team (MRT) for Dartmoor. These were analysed by cause, year, month, day of the week, and time of day. Injuries and other medical problems(More)
OBJECTIVE To compare intramuscular glucagon with intravenous glucose in the prehospital management of hypoglycaemia in adults. METHODS In the first part of the trial all UK ambulance services were asked how their personnel treat prehospital episodes of hypoglycaemia. In the second part, two protocols for treating prehospital hypoglycaemia were studied. In(More)
AIM The Advanced Trauma Life Support (ATLS) system classifies the severity of shock. The aim of this study is to test the validity of this classification. METHODS Admission physiology, injury and outcome variables from adult injured patients presenting to hospitals in England and Wales between 1989 and 2007 and stored on the Trauma Audit and Research(More)