Emergency medicine journal : EMJ
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Comparative Study
Tracheal intubation by novice staff: the direct vision laryngoscope or the lighted stylet (Trachlight)?
To compare the ease of use of the direct vision laryngoscope and the lighted stylet (Trachlight) by novice staff. ⋯ The results show that the use of the conventional direct vision laryngoscope in novices is associated with significantly shorter mean intubation times and higher success rates on the first attempt compared with the Trachlight.
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To identify whether the practice of the UK ambulance trusts comply with national recommendations with respect to when ambulance personnel are allowed to recognise death and/or terminate resuscitation attempts in the adult, normothermic, non-traumatic cardiac arrest. ⋯ The JRCALC has proposed guidelines for recognition of death and terminating resuscitation attempts in the adult normothermic non-traumatic cardiac arrest. Despite this, there was still considerable variance in the practice of the UK ambulance trusts.
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A short cut review was carried out to establish whether there is any evidence to show that stripping the stratum corneum with adhesive tape reduces time to analgesia after application of EMLA in children undergoing venepuncture. Altogether 43 papers were found using the reported search, of which one presented the best evidence to answer the clinical question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of this paper are tabulated. A clinical bottom line is stated.
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Case Reports
Respiratory papillomatosis: a rare cause of collapse in a young adult presenting to the emergency department.
Treating patients with rapidly deteriorating respiratory compromise in the emergency room is difficult and stressful. The patient in front of you is rapidly progressing towards total cardiorespiratory collapse and you may have no idea why. A case is reported of an adult presenting with impending cardiorespiratory collapse attributed to asthma who actually had upper airway obstruction caused by laryngeal papillomata. This case report reinforces the importance of airway assessment, gives an overview of respiratory papillomatosis, and reiterates both the non-surgical and surgical approach to the difficult airway.
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Case Reports
Towards evidence based emergency medicine: best BETs from the Manchester Royal Infirmary. How to remove a tick.
A short cut review was carried out to establish whether there was any evidence to decide between the various described methods of tick removal. Altogether 40 papers were found using the reported search, of which two presented the best evidence to answer the clinical question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results and study weaknesses of these best papers are tabulated. A clinical bottom line is stated.