Emergency medicine journal : EMJ
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Inadequate stocking of essential antidotes in hospitals for the treatment of poisoned patients has been reported worldwide. Joint National Poisons Information Service (NPIS)/College of Emergency Medicine (CEM) guidelines for antidote stocking in UK emergency departments and acute hospitals were published in 2008. ⋯ Stocking of less commonly used antidotes is inconsistent. This is likely to result in delayed access to treatment and worse patient outcomes.
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A short-cut review was carried out to establish whether pelvic immobilisation with a T-POD, or similar device, or pelvic immobilisation with a wrapped sheet is better at fracture stabilisation. Three papers were relevant to the question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these papers are shown in table 2. The clinical bottom line is that these devices/techniques do reduce and stabilise some fractures, whether one device is better than another is unclear.
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Randomized Controlled Trial
Implementation of a novel communication tool and its effect on patient comprehension of care and satisfaction.
Emergency department (ED) communication has been demonstrated as requiring improvement and ED patients have repeatedly demonstrated poor comprehension of the care they receive. Through patient focus groups, the authors developed a novel tool designed to improve communication and patient comprehension. ⋯ Using their novel communication tool, the authors were not able to show a statistically significant improvement in either comprehension or satisfaction, though a tendency towards improved comprehension was seen.
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A short-cut review was carried out to establish whether pelvic immobilisation with a pelvic compression device or with a wrapped sheet would provide haemorrhage control. Four studies were relevant to the question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these papers are shown in table 3. The clinical bottom line is that both may provide some haemorrhage control, but there is insufficient evidence to recommend one over the other