Background/aim In ED chest pain patients, a 0-hour/1-hour protocol based on high sensitivity cardiac troponin T (hs-cTnT) tests combined with clinical risk stratification in diagnosing acute coronary ...

Background To describe the epidemiological profile and clinical manifestations of liquid ecstasy (GHB) poisonings. Methods All cases of GHB poisoning or overdose admitted to the Emergency Department ...

Imperial College, Emergency Department, St Mary’s Campus, London W2 1NY, UK I Maconochie, Imperial College, Emergency Department, St Mary’s Campus, Praed Street, Paddington, London W2 1NY, UK; ...

Background The number of ambulance service-employed paramedic practitioners moving to work in primary care is increasing. Several Health Education England-supported pilot rotational programmes are ...

Background Despite concerns that non-steroidal anti-inflammatory drugs (NSAIDs) contribute to acute kidney injury (AKI), up to 75% of ultramarathon runners ingest these during competition. The effect ...

A male in his sixties with no history of cardiac chest pain awoke with chest pain following an afternoon sleep. The patient did not self medicate. The patient’s observations were within normal limits, ...

Prolongation of the QT interval is a serious electrocardiogram finding because of its association with torsades de pointes and sudden cardiac death.1 Both congenital and acquired factors can lead to ...

Injuries to the foot are a common cause for presentation to the ED, and imaging is often used to aid in the diagnosis. The foot can be divided into three distinct anatomical regions: the forefoot, ...

Nitazenes are potent synthetic opioids, never licensed for human use due to profound central nervous system and respiratory depression. Developed in the 1950s, they re-emerged in illicit drug supplies ...

The D-dimer is a stable termination product of fibrin degradation. It was introduced as a biomarker of coagulation activation in the early 1970s and first evaluated as a test to exclude venous ...

A shortcut review of the literature was conducted to determine whether manual pressure augmentation improves the outcome from cardiac arrest. A total of nine publications were screened by title and ...

Serious pelvic injuries are associated with a high mortality rate,1 ,2 which has remained persistently high even with advances in hospital care. Hypovolaemia is often a significant contributing factor ...