Background Ankle injuries are one of the most common presentations in the ED. Although fractures can be ruled out using the Ottawa Ankle Rules, the specificity is low, which means many patients may ...

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 ...

The Manchester Triage System (MTS) is a well-known algorithmic triage tool, designed for use in EDs with the aim of identifying patients with critical illness and prioritising patients’ safety. Zaboli ...

Background Capillary refill (CR) time is traditionally assessed by ‘naked-eye’ inspection of the return to original colour of a tissue after blanching pressure. Few studies have addressed ...

Report by Ooi Yau Wei, Medical Officer Search checked by Stewart Teece, Specialist Registrar Singapore Armed Force A short cut review was carried out to establish whether urine dipstick testing for ...

Background Tranexamic acid (TXA) is an antifibrinolytic drug used to prevent bleeding. It was introduced as an intervention for post-traumatic haemorrhage across emergency medical services (EMS) in ...

Background Patient experience is positively associated with both clinical effectiveness and patient safety and should be a priority for emergency care providers. While both quantitative and ...

Aim: To assess knowledge of capacity and consent among emergency healthcare workers. Design: A cross-sectional survey with a structured questionnaire. Methods: 86 questionnaires were distributed and ...

Background A cross-sectional service evaluation within South Central Ambulance Service (SCAS) revealed deficiencies in the assessment and management of paediatric patients’ pain resulting from trauma.

Objective The Wood’s lamp, a handheld instrument that uses long-wave ultraviolet (UV) light with magnification of 2–3 times, is commonly used by non-ophthalmologists for examining patients with eye ...

Objective To describe the population of patients who attend emergency departments (ED) in England for mental health reasons. Methods Cross-sectional observational study of 6 262 602 ED attendances at ...

Background Most headache presentations to emergency departments (ED) have benign causes; however, approximately 10% will have serious pathology. International guidelines recommend that patients ...