Emergency medicine journal : EMJ
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To investigate whether nurses performing triage are able to predict the need for admission of patients attending the emergency department (ED) with sufficient accuracy to facilitate hospital bed management. ⋯ Predicting admission at triage is not sufficiently accurate to inform hospital in-patient bed management systems. The decision to admit can only be determined after a comprehensive clinical work up and patients cannot be accurately 'signposted' during the triage process.
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A short cut review was performed to seek the evidence for use of intravenous lipid emulsion in the treatment of overdose with β-receptor antagonists. Eight case reports and one case series with a total of 10 patients were found. The authors, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses are tabulated. The clinical bottom line is that there is only anecdotal evidence of effectiveness for this treatment.
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A short cut review was performed to assess the effect of the presence of family members on the efficiency of paediatric trauma resuscitation. Two studies with a total of 999 patients were included. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses are tabulated. The clinical bottom line is that the presence of the patient's family does not adversely affect the outcome of paediatric trauma resuscitation.