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Patients with haemorrhagic shock of all degrees present to accident and emergency (A&E) departments regularly. This study examined 43 such patients who presented to one department over a 14-week period. The adequacy of their fluid replacement was judged in comparison with Advanced Trauma Life Support (ATLS) recommendations according to the degree of shock(More)
To determine if shortcomings in asthma management in the Accident and Emergency (A & E) department identified in a previous (1983) study (Reed et al. Thorax 1985; 40: 897-902) had been corrected, we retrospectively reviewed the case records of patients attending with asthma between December 1987 and November 1988. There was an increase in the number of(More)
Two cases of subendocardial infarction noted at autopsy in young boys are reported. Both patients were resuscitated and maintained on ventilation following significant periods of cardiac arrest. Presumably the infarct occurred at the time of arrest, secondary to inadequate myocardial perfusion, and became visible at autopsy because both children were(More)
A randomized double-blind trial was carried out in an accident and emergency department to reassess mefenamic acid as a suitable alternative analgesic to the combination of dextropropoxyphene plus paracetamol. Analysis of data from 87 patients showed that mefenamic acid was equally effective in relieving pain and was less likely to produce adverse(More)
During a four-year period in one general practice 50 patients suffered myocardial infarction; 24 were dead before their general practitioner saw them. Of the surviving 26, 2 were admitted to hospital for social reasons and the others were treated in their homes.One woman suffered a pulmonary embolus on the tenth day of her illness and was admitted to(More)