A short cut review was carried out to establish whether there was any evidence to decide between the various described methods of tick removal. Altogether 40 papers were found using the reported ...

Background: The administration of analgesics to patients with acute abdominal pain due to acute appendicitis is controversial. A study was undertaken to assess the analgesic effect of morphine in ...

Dabigatran is an oral direct thrombin inhibitor (DTI) licensed for stroke prevention in atrial fibrillation and likely to be soon approved in Europe for treatment of venous thrombosis. Predictable ...

Background Emergency department (ED) violence is common and widespread. ED staff receive both verbal and physical abuse, with ED nurses bearing the brunt of this violence. The violence is becoming ...

An ambulance crew attended a patient complaining of chest pain with a clinical picture strongly suggestive of acute myocardial infarction (AMI). A 12-lead electrocardiogram (ECG) was obtained, which ...

Correspondence to Richard Body, Emergency Department, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL, UK; rbody{at}doctors.org.uk The Guidelines in Emergency Medicine Network (GEMNet) has ...

Background: Shoulder dislocations account for almost 50% of all joint dislocations, which are most commonly anterior (90–98%) and occur due to trauma. This prospective study was conducted to report ...

Objective To assess the effect of a single dose of intravenous dexamethasone in addition to routine treatment on visual analogue scale (VAS) pain scores at 24 h in emergency department (ED) patients ...

Introduction The 2015 RCEM End of Life Care best practice guideline highlighted the need for organ and tissue donation to be a usual part of end of life care in the Emergency Department (ED). NICE ...

Sample size estimates are critical to the planning and interpretation of clinical studies, whether they are descriptive or analytical. Too small a sample size will result in imprecise estimates in a ...

Background Colles’ type fractures of the distal radius are one of the most commonly manipulated fractures in the ED. Local audit data suggest that a high proportion of these injuries undergo ...

Intra-abdominal infections are the second most common source of severe sepsis and successful treatment relies on early intervention and appropriate resources.1–3 The COVID-19 pandemic has disrupted ...