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The PRIMA Study: presentation ischaemia-modified albumin in the emergency department
Objectives: To investigate the diagnostic accuracy of presentation ischaemia-modified albumin (IMA), in addition to cardiac troponin I (TnI), as a strategy to rapidly ascribe low risk to patientsExpand
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Are diagnostic peritoneal lavage or focused abdominal sonography for trauma safe screening investigations for hemodynamically stable patients after blunt abdominal trauma? A review of the literature.
BACKGROUND Assessment of patients in the emergency department who sustain blunt abdominal trauma represents a significant diagnostic challenge. Computed tomography (CT) is increasingly used as theExpand
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Partnership working in the production of clinical guidelines.
This article describes a working partnership between the Cairns Clinical Librarian Service, Health Care Libraries, University of Oxford and the Emergency Department (ED) at the John RadcliffeExpand
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Pitfalls in the clinical diagnosis of vertebral fractures: a case series in which posterior midline tenderness was absent
Objective: There is widespread belief among doctors that posterior midline tenderness is virtually a prerequisite for spinal fracture in alert, sober patients without any painful distracting injuryExpand
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Pneumomediastinum secondary to dental extraction
A 45 year old man presented to the emergency department with a suspected “allergic reaction”. He described facial and neck swelling, progressive inspiratory difficulty and pain on swallowing duringExpand
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The groin cannula: effective pain relief for fractured neck of femur.
EDITOR,-Harnden et al' point out that research in A&E lags behind that of other specialties. They highlight the need for a sufficiently large group of A&E doctors with the skills needed to plan andExpand
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Lesson of the Week: Something in the air: survival after dramatic, unsuspected case of accidental carbon monoxide poisoning
In cases of intentional carbon monoxide poisoning the diagnosis is usually straightforward and is suggested by the circumstances in which the patient is found. In contrast, accidental carbon monoxideExpand
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The acute wheezy adult with airways disease in the emergency department: a retrospective case-note review of exacerbations of COPD
Introduction: There has been an increase in interest in the peripheral blood eosinophil count as a biomarker in COPD. Few studies have examined the eosinophil count in patients attending theExpand
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