Background Physician-based prehospital teams provide advanced critical care services in the UK (eg, prehospital anaesthesia). The last review of such teams in 2009, which included England, Wales and ...

2 Centre for Clinical Trials and Population Studies, Plymouth University Peninsula Schools of Medicine and Dentistry, Plymouth, UK 3 Academic Department of Military Emergency Medicine, Royal Centre ...

1 Emergency Department, Nottingham University Hospitals NHS Trust, Queens Medical Centre Campus, Nottingham, UK 2 Emergency Department, Derby Hospitals NHS Foundation Trust, Derby, UK Aim To determine ...

Background and objective The hypothesis of the present work derives from clinical experience that suggests that patients who are more ill have less facial expression variability in response to ...

Background Previous studies have indicated that crowding within the emergency department (ED) is associated with longer lengths of stay in the ED and higher mortality. Boarding, the time patients ...

Background Sepsis is a major cause of morbidity and mortality and many tools exist to facilitate early recognition. This review compares two tools: the quick Sequential Organ Failure Assessment (qSOFA ...

4 Florence Nightingale Faculty of Nursing & Midwifery King's College London, London, UK Correspondence to Dr Sunil Dasan, Emergency Department, St George's Hospital, Blackshaw Road, London SW17 0QT, ...

Objective To determine if intravenous paracetamol was superior to oral paracetamol as an adjunct to opioids in the management of moderate to severe pain in the ED setting. Methods A prospective, ...

Background Knife-related deaths in children present a serious public health challenge. This study reports the demographics and preinjury, injury and postinjury factors associated with death in ...

Background Nausea and vomiting is a common ED chief complaint. However, randomised trials comparing antiemetic agents to placebo have not demonstrated superiority. This systematic review investigates ...

Background Despite the frequent use of both advanced airway management (AAM) and epinephrine during resuscitation, no studies have evaluated the optimal sequencing of these interventions in paediatric ...

Background Severe sepsis is likely to account for around 37 000 deaths annually in the UK. Five years after the international Surviving Sepsis Campaign (SSC) care bundles were published, care ...