Aim: To identify the extent to which emergency departments (EDs) in England are involved in the initiation of the pathway to early goal-directed therapy (EGDT) in patients with severe sepsis and ...

Objectives To directly compare the diagnostic accuracy of four decision aids (Troponin-only Manchester Acute Coronary Syndromes (T-MACS), History, ECG, Age, Risk factors and Troponin (HEART), ...

Empathy is a reigning topic in healthcare because of its relationship to the aims of medical practice: improved health outcomes1 adherence to treatment recommendations, improved quality of care and ...

One of the hallmarks of an emergency department (ED), compared with an urgent care, or a physician’s office, is that patients are seen by the clinicians in order of acuity, not arrival. When there are ...

Poverty and social deprivation affect health from birth to death, with morbidity increasing, mortality occurring earlier, and access to appropriate healthcare worsening along the gradient from ...

We have read with great interest the recently published study titled ‘Comparison of the Effects of Vapocoolant Spray and Topical Anaesthetic Cream (Lidocaine–Prilocaine) on Pain of Intravenous ...

Background Medical imaging use has increased progressively, prompting discussions about its clinical impact. Interventions to reduce low-value imaging have had varying success, as they generally do ...

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 ...

Defining research priorities in a specialty as broad as emergency medicine is a significant challenge. In order to fund and complete the most important research projects, it is imperative that we ...

Background Febrile infants ≤90 days old with proven viral infections who may have concurrent serious bacterial infections (SBIs) remain a diagnostic dilemma. We aimed to compare the prevalence of SBIs ...

Comments. This single case report1 suggests that manual pressure augmentation may be achievable and may reduce impedance. As impedance is a barrier to successful defibrillation, this might improve ...