Emergency medicine journal : EMJ
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Multicenter Study
The accuracy of existing prehospital triage tools for injured children in England--an analysis using trauma registry data.
To investigate the performance characteristics of prehospital paediatric triage tools for identifying seriously injured children in England. ⋯ None of the prehospital triage tools currently used or being developed in England meet recommended criteria for over- and under-triage rates. There is an urgent need for the development of triage tools to accurately risk-stratify injured children in the prehospital setting.
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Multicenter Study Observational Study
A multicentre observational study to evaluate a new tool to assess emergency physicians' non-technical skills.
To evaluate a new tool to assess emergency physicians' non-technical skills. ⋯ This study shows the performance of the assessment tool is acceptable and provides valuable information to structure the assessment and training of non-technical skills, especially in relation to leadership. The framework of skills may be used to identify areas for development in individual trainees, as well as guide other patient safety interventions.
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Multicenter Study
Serial multiple biomarkers in the assessment of suspected acute coronary syndrome: multiple infarct markers in chest pain (MIMIC) study.
To evaluate the accuracy of a 2-h serial multiple biomarker (SMB) protocol for exclusion of myocardial infarction (MI) in the Emergency Department. ⋯ SMB alone is not sufficiently sensitive to exclude MI. Combined with risk scoring, SMB appears to identify patients at lower risk. This requires prospective validation.
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Multicenter Study
Palliative care for patients who died in emergency departments: analysis of a multicentre cross-sectional survey.
A growing number of patients die each year in hospital emergency departments (EDs). Decisions to withhold or to withdraw life-support therapies occur in 80% of patients as described in a multicentre cross-sectional survey including 2420 patients. Palliative care has not been explored in patients dying in this setting. The aim of this study was to assess the incidence of palliative care and to describe this population. ⋯ Palliative care is administered to about half of the patients who die in EDs. This is insufficient as the majority of the patients who died in EDs actually died after a decision to withhold or withdraw life-support therapies. End-of-life management must be improved in EDs.
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Multicenter Study
Environmental triggers of hospital admissions for school-age children with asthma in two British cities.
Research has reported seasonal peaks in asthma in school age asthmatic children. The study aimed to assess if hospital admissions could be predicted from the possible environmental triggers using data from two British cities: Aberdeen and Doncaster. However, there were no consistent patterns across the two cities with no clear evidence that hospital admissions could be predicted from environmental data.