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1.  Erratum 
PMCID: PMC1286066
4.  ATLS courses. 
PMCID: PMC1286063  PMID: 8110345
7.  Portable CO2 detectors. 
PMCID: PMC1286058  PMID: 8110340
10.  Adder (Vipera berus) bites: a case report and review of the management for emergency medical personnel. 
Archives of Emergency Medicine  1993;10(4):375-379.
Few doctors working in the accident and emergency (A&E) department will have had experience in the management of adder (Vipera Berus) bites. While such events are uncommon, and rarely fatal, prompt correct management undoubtedly helps in reducing mortality and morbidity. Various isolated case reports (Watson & Harland, 1977; Gerard & Pugh, 1982; Jones & Clegg, 1985) and larger reviews (Reid, 1976; Pesson & Irestedt 1981; Hawley, 1988, 1990) have appeared in non A&E related journals. Following our own recent experience we felt it timely to report our case and review the management.
PMCID: PMC1286055  PMID: 8110337
11.  Intracranial haemorrhage associated with ingestion of 'ecstasy'. 
Archives of Emergency Medicine  1993;10(4):372-374.
A case of a patient with intracranial haemorrhage thought to have been associated with ingestion of 'Ecstasy' [3-4 methylenedioxymethamphetamine (MDMA)] is presented. The case illustrates the importance of drug analysis in cases involving illicit drug use.
PMCID: PMC1286054  PMID: 7906517
12.  Chemical burns causing systemic toxicity. 
Archives of Emergency Medicine  1993;10(4):368-371.
PMCID: PMC1286053  PMID: 8110336
13.  Labelling of equipment dispensers. 
Archives of Emergency Medicine  1993;10(4):365-367.
A new labelling system for use on medical equipment dispensers is tested. This system uses one of the objects stored in each unit of the dispenser as the 'label', by attaching it to the front of the dispenser with tape. The new system was compared to conventional written labelling by timing subjects asked to select items from two dispensers. The new system was 27% quicker than the conventional system.
PMCID: PMC1286052  PMID: 8110335
14.  Hospital hoppers--jumping to conclusion? 
Archives of Emergency Medicine  1993;10(4):362-364.
PMCID: PMC1286051  PMID: 8110334
15.  Accreditation--the trainee's dilemma. 
Archives of Emergency Medicine  1993;10(4):357-361.
PMCID: PMC1286050  PMID: 8110333
17.  Chronic persistent asthma presenting to an accident and emergency department--compliance with B.T.S. guidelines. 
Archives of Emergency Medicine  1993;10(4):347-353.
Forty-six patients, known to suffer from asthma, attending an inner-city accident and emergency (A&E) department, were screened for the presence of chronic symptoms and their current treatment documented. The patients were asked if they knew their optimum peak expiratory flow rate (PEFR) or if they possessed a peak flow meter. The treatment being used by each of the 26 patients with evidence of chronic persistent asthma was compared to that as advised by the British Thoracic Society (B.T.S.) and it was found that only three patients were receiving adequate treatment. Most often the treatment regimes were suboptimal due to the absence of an inhaled anti-inflammatory agent. Patient awareness of their own PEFR or possession of a peak flow meter was uniformly low in both the well-controlled patients and those with chronic persistent asthma.
PMCID: PMC1286048  PMID: 8110331
18.  Detection of pneumothorax by accident and emergency officers and radiologists on single chest films. 
Archives of Emergency Medicine  1993;10(4):343-346.
To assess whether an accurate diagnosis of pneumothorax can be made on a single chest film, 233 pairs of inspiratory (I) and expiratory (E) chest films taken in an accident and emergency (A&E) department for suspected pneumothorax were reviewed by two A&E officers and three radiologists. The films were assessed for the presence of pneumothorax by viewing the I film in isolation and, after an interval, by viewing the paired I and E films together. Fifty-four of the patients had a pneumothorax. The five observers missed 23 pneumothoraces (8.5% of total) on the I film alone which were correctly diagnosed on the paired I and E films, the three radiologists missed 10/162 pneumothoraces on the I film alone which were correctly identified on the I and E films (6%) and the two A&E officers 13/108 (12.5%). The use of a single inspiratory chest film for suspected pneumothorax could result in pneumothoraces being missed, particularly by less experienced observers and therefore we believe that paired I and E films should continue to be used routinely for suspected pneumothorax.
PMCID: PMC1286047  PMID: 8110330
19.  Spontaneous spinal epidural haematoma: a cautionary tale. 
Archives of Emergency Medicine  1993;10(4):339-342.
Less than two hundred cases of spontaneous spinal epidural haematoma (SSEH) have been reported in the literature and theories as to its genesis are diverse. It is a serious condition, especially if there is a delay in diagnosis, as early treatment confers marked prognostic advantage. We present a case report of a 68-year-old male who was diagnosed as having a spinal epidural haematoma, followed by a discussion of the possible aetiology of this condition.
PMCID: PMC1286046  PMID: 8110329
21.  The storage of tetanus vaccine in accident and emergency departments: a postal survey. 
Archives of Emergency Medicine  1993;10(4):331-335.
The aim of this study was to assess the quality of storage of tetanus vaccine in accident and emergency (A&E) departments and also of the awareness of Department of Health guidelines. A postal questionnaire was sent to 50 randomly selected major A&E departments in the British Isles, enquiring about awareness of Department of Health guidelines (Department of Health, 1990). Forty (80%) A&E departments responded. Only 14 were aware of the Department of Health guidelines and in only 18 was there a member of staff taking responsibility for vaccine storage. The study found that safe storage of vaccine, and therefore guarantee of efficacy, is not occurring in the majority of A&E departments. Unnoticed failure of refrigerators could be exposing patients to the risk of tetanus infection.
PMCID: PMC1286044  PMID: 8110327
24.  Calcific tendinitis of flexor carpi ulnaris: an easy misdiagnosis. 
Archives of Emergency Medicine  1993;10(4):321-323.
Calcific tendinitis in the wrist is rare, and frequently misdiagnosed. A case is described and discussed with a review of the literature.
PMCID: PMC1286041  PMID: 8110324
25.  Oesophageal perforation: an unusual complication of a hypoglycaemic episode. 
Archives of Emergency Medicine  1993;10(4):310-313.
A case of spontaneous oesophageal rupture following vomiting, secondary to a hypoglycaemic episode is reported. The case is of interest in its presentation and physical signs. It reflects the difficulty in diagnosing a condition associated with considerable morbidity and mortality. The importance of recognition of a pattern of symptoms, physical signs and radiographic findings is emphasized.
PMCID: PMC1286039  PMID: 8110322

Results 1-25 (696)