Aim: To identify the extent to which emergency departments (EDs) in England are involved in the initiation of the pathway to early goal-directed therapy (EGDT) in patients with severe sepsis and ...

Objectives To directly compare the diagnostic accuracy of four decision aids (Troponin-only Manchester Acute Coronary Syndromes (T-MACS), History, ECG, Age, Risk factors and Troponin (HEART), ...

Correspondence to: Dr S R Jones, Emergency Department, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL, UK; steve.r.jones{at}bigfoot.com ...

Correspondence to: Dr D A Kilroy, Department of Emergency Medicine, Northern General Hospital, Herries Road, Sheffield S5 7AU, UK; dakilroy{at}doctors.org.uk Objectives: To apply a previously ...

Anaesthesia and Intensive Care Medicine, Frenchay Hospital, Bristol and Pre-hospital Care, Royal London Hospital, London, UK Dr D Lockey, Anaesthesia and Intensive Care Medicine, Frenchay Hospital, ...

There is currently much debate about the relative roles of pharmacological reperfusion (ie, thrombolysis) and mechanical reperfusion (ie, primary percutaneous coronary intervention (PPCI) in the ...

Background Irregular patient volumes, high patient transit and limitless presentations means that Emergency Department (ED) handovers differ from other specialities. Therefore, a degree of handover ...

Where is the present flurry of activity in medical education leading and what sort of future is envisaged? This paper looks at trends in postgraduate medical education. Four themes and two trends for ...

Background: Heatstroke is a medical emergency that results from failure of thermoregulatory mechanism coupled with an exaggerated acute phase response, causing an elevation in core body temperature ...

Department of Cardiac Rhythm Management, John Radcliffe Hospital, Oxford, UK Yaver Bashir, Department of Cardiac Rhythm Management, John Radcliffe Hospital, Headley Way, Headington, Oxford OX3 9DU, UK ...

Correspondence to Dr Lisa Mellon, Division of Population Health Sciences, Department of Psychology, Royal College of Surgeons in Ireland, Dublin 2, Ireland; lisamellon{at}rcsi.ie Background and ...

Correspondence to Dr Sally Aldous, Cardiology Department, Christchurch Hospital, Riccarton Road, Christchurch 8024, New Zealand; sally.aldous{at}cdhb.govt.nz Objective To investigate whether a ...