BMJ

Subarachnoid haemorrhage in the emergency department (SHED): a prospective, observational, multicentre cohort study

Background People presenting to the ED with acute severe headache often undergo investigation to exclude subarachnoid haemorrhage (SAH). International guidelines propose that brain imaging within 6 ...
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

Blackthorn injury: a report of three interesting cases

1 Department of Trauma and Orthopaedics, Southern General Hospital, Glasgow, UK 2 Department of Trauma and Orthopaedics, Bronglais General Hospital, Aberystwyth, UK Correspondence to: Mr H Sharma ...
BMJ

National initiatives to improve outcomes from out-of-hospital cardiac arrest in England

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be ...
BMJ

Extrication of the seriously injured road crash victim

In any accident scene, rapid removal of the casualty to hospital improves their chances of survival. The term the “Golden Hour” was first introduced in 1961, but because of misinterpretation as to ...
BMJ

Blunt trauma to the parotid gland

Trauma involving the parotid gland is rare and is usually caused by penetrating injuries or fractures of the facial skeleton. A unique case is presented of rupture of the parotid gland after a minor ...
BMJ

A torso model comparison of temperature preservation devices for use in the prehospital environment

Background Hypothermia is an independent predictor of increased morbidity and mortality in patients with trauma. Several strategies and products have been developed to minimise patients’ heat loss in ...
BMJ

Why is pain management so difficult in the Emergency Department? A systematic mixed studies review and thematic synthesis of staff perceptions of enablers and barriers to pain ...

Introduction Pain is the most common presenting feature within the ED, yet undertreatment of pain in the ED is a well-documented problem worldwide. Despite the development of interventions to address ...
BMJ

Aspirin and the risk of intracranial complications following head injury

A short cut review was carried out to establish whether pre-injury aspirin increases the risk of intracranial complications following head injury. 124 papers were found using the reported searches, of ...
BMJ

Spontaneous iliopsoas muscle haematoma

Department of Emergency Medicine, Chungnam National University Hospital, Daejeon, Republic of Korea Correspondence to Dr S W Kim, Department of Emergency Medicine, Chungnam National University ...
BMJ

2232 The efficacy of hyperbaric oxygen therapy and 30-day patient outcomes in delayed treatment of decompression sickness

Aims and Objectives Decompression sickness (DCS) occurs due to inert gas bubble formation in tissues and can cause serious injury. Hyperbaric oxygen therapy (HBOT) is the definitive treatment. Dive ...
BMJ

Assessing the capacity and equity of major trauma services for adult patients in the East of England Trauma Network a decade after its establishment (2013–2021)

Background The number of trauma patients in the East of England Trauma Network has been steadily increasing since 2013, raising concerns about whether the existing design (one Major Trauma Centre (MTC ...