BMJ

Critical care in the emergency department: shock and circulatory support

Correspondence to: Dr T R J Parke Accident and Emergency Department, Southern General Hospital, Glasgow G51 4TF, UK; tim.parkesgh.scot.nhs.uk Effective resuscitation includes the rapid identification ...
BMJ

The NICE guidelines in the real world: a practical perspective

Correspondence to: Mr J Dunning Department of Emergency Medicine, Manchester Royal Infirmary, Oxford Road, Manchester M13 3BW, UK; joeldunningdoctors.org.uk This review examines the derivation of the ...
BMJ

Flumazenil use in benzodiazepine overdose in the UK: a retrospective survey of NPIS data

Correspondence to Dr Aravindan Veiraiah, NPIS Edinburgh (Scottish Poisons Information Bureau), The Royal Infirmary of Edinburgh, Edinburgh EH16 4SA, UK; drveiraiah{at}doctors.org.uk Objective ...
BMJ

The minimum clinically significant difference in visual analogue scale pain score does not differ with severity of pain

Correspondence to: Professor Kelly, Department of Emergency Medicine, Western Hospital, Private Bag, Footscray, Vic 3011, Australia (Anne-Maree.Kelly{at}nwhcn.org.au) Objective—To determine whether ...
BMJ

Presentation of neurogenic shock within the emergency department

Background Injury to the spinal cord can result in loss of sympathetic innervation causing a drop in BP and HR, this condition is known as neurogenic shock. There is debate among the literature on how ...
BMJ

Population, Intervention, Comparison, Outcomes and Study (PICOS) design as a framework to formulate eligibility criteria in systematic reviews

Dear editor, We read with great interest the review entitled ‘Paracetamol vs other analgesia in adult patients with minor musculoskeletal injuries: a systematic review’,1 published in the Emergency ...
BMJ

The sepsis six and the severe sepsis resuscitation bundle: a prospective observational cohort study

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 ...
BMJ

Non-urgent emergency department attendances in children: a retrospective observational analysis

Introduction A significant proportion of ED attendances in children may be non-urgent attendances (NUAs), which could be better managed elsewhere. This study aimed to quantify NUAs and urgent ...
BMJ

Current Issue

Correspondence on “Removing systolic blood pressure from the National Early Warning Score (NEWS) for mortality prediction: an observational study” by Zaboli et al ...
BMJ

How events in emergency medicine impact doctors’ psychological well-being

Background Emergency medicine is a high-pressured specialty with exposure to disturbing events and risk. We conducted a qualitative study to identify which clinical events resulted in emotional ...
BMJ

Prevalence, causes and consequences of compassion satisfaction and compassion fatigue in emergency care: a mixed-methods study of UK NHS Consultants

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, ...
BMJ

Venous pH can safely replace arterial pH in the initial evaluation of patients in the emergency department

Objective—This study aims to determine the extent of correlation of arterial and venous pH with a view to identifying whether venous samples can be used as an alternative to arterial values in the ...