Emergency medicine journal : EMJ
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This study was conducted as a feasibility pilot for the Prediction of Risk In Syncope using ECG characteristics (PRISE) study. The secondary aim was to determine whether heart rate variability (HRV) characteristics may be useful to distinguish low and high-risk syncope patients. ⋯ Measuring HRV in the acute ED setting is feasible. If patients with cardiac and neurocardiogenic syncope have different HRV characteristics then it could be useful to determine a patient's underlying cause of syncope in the ED, which would allow earlier decision-making.
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To explore the safety and efficacy of propofol as a sedative for the relocation of hip prostheses in the emergency department. ⋯ Significant adverse effects of propofol in this case series were uncommon (12/98 patients) and readily countered. This case series suggests that propofol is a safe and effective sedative for relocating hip prostheses.
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Spontaneous renal haemorrhage, or Wunderlich's syndrome, is an unusual cause of acute abdomen. It is a rare disease, usually secondary to tumours, and is an emergency and life-threatening condition. CT scanning is highly recommended to achieve a definitive diagnosis and to determine the approach to follow, trying to use conservative surgery whenever possible, although our case was treated with nephrectomy. The case history is reported of spontaneous renal haemorrhage or Wünderlich syndrome secondary to bilateral giant renal angiomyolipomas in a 21-year-old patient with tuberous sclerosis.
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To determine the clinical experience, management and training of emergency physicians in the suspected use of excessive force by law enforcement officers. ⋯ Suspected excessive use of force is encountered by academic emergency physicians in the USA. There is only limited training or policies for the management of these cases.