Journal of accident & emergency medicine
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To assess the management of elderly patients presenting to the accident and emergency (A&E) department with a proximal femoral fracture. ⋯ The fast track system was of benefit to all involved, including the patient, A&E staff, ward staff, and orthopaedic personnel.
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Tourniquet of hair and thread fibres may become tightly wrapped around a child's digit. The resultant ischaemia may lead to tissue necrosis and autoamputation. ⋯ The need for prompt recognition and complete removal of all fibres is stressed. The possibility of non-accidental injury should be born in mind.
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Case Reports
Suicide rate following attendance at an accident and emergency department with deliberate self harm.
To determine the risk of suicide in patients attending an accident and emergency (A&E) department with deliberate self harm. ⋯ There is a significant association between suicide and a previous attendance at A&E with deliberate self harm. Appropriate assessment of these patients is an efficient way of managing self harm.
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Victims of near hanging are being increasingly seen in accident and emergency (A&E) department. This paper reports on seven cases of near hanging seen over four years in a district general hospital. The mechanism of injury is ligature strangulation rather than cervical spinal cord injury. All cases of near hanging should be actively and vigorously resuscitated, as initial presenting features bear a poor correlation to eventual outcome.
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To assess the effect of a preprinted form on the documentation of clinical data and compliance with the national guidelines for the management of asthma. ⋯ The preprinted form resulted in enhanced documentation of data and conformity with current guidelines for the management of asthma.