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Fever increases heart rate and respiratory rate; a prospective observational study of acutely admitted medical patients
Background: The relationship between increase in body temperature, heart rate, and respiratory rate has only been studied in young, healthy subjects. Aim: To show the changes in heart and respiratory
How well are heart rates measured by pulse oximeters and electronic sphygmomanometers? Practice-based evidence from an observational study of acutely ill medical patients during hospital admission
Background: heart rates generated by pulse oximeters and electronic sphygmomanometers in acutely ill patients may not be the same as those recorded by ECG Methods: heart rates recorded by an oximeter
Altered kidney function on the Acute Medical Unit
Reduced kidney function, whether acute or chronic, is a highly significant biomarker of in most clinical settings. This is particularly true on the acute medical take where altered renal function is
The appropriateness of current UK training in acute internal medicine
Doctors training in Acute Internal Medicine (AIM) need to provide evidence that they can effectively manage 20 ‘top’ and 40 ‘other important’ acute medical presentations. However, the presentations
Reduced kidney function at presentation in unselected acute emergency medical admissions: incidence, outcome and associated factors
We sought to assess the impact of renal impairment on acute medical admissions and to identify potential contributory factors to admissions involving renal impairment at presentation. In a prospective
Non-Cardiac Chest Pain: management in the Ambulatory Clinic setting
Non-cardiac chest pain (NCCP) is a common presenting complaint which can be better managed. This requires the recognition of clinical sub-groups with investigation and treatment tailored accordingly.
Prediction models for mortality in adult patients visiting the Emergency Department: a systematic review
We provide a systematic overview of literature on prediction models for mortality in the Emergency Department (ED). We searched various databases for observational studies in the ED or similar setting
An acute presentation of haemophagocytic lymphohistiocytosis due to visceral leishmaniasis in a British adult returning traveller
A 62-year old British Caucasian woman normally resident in Spain presented with fever and pancytopaenia after returning to the UK. Her symptoms persisted despite broad-spectrum antibiotics, and she
Diabetic ketoacidosis, a common disease with life-threatening pitfalls
Diabetic ketoacidosis (DKA) is a common cause for admission in Emergency Department. Its treatment is well defined. Nevertheless, in some cases, type I diabetes combines with auto-immune polyendocrine
Delayed onset of liver injury after intentional chloroform overdose: a case report and literature review
Chloroform is a recognised cause of acute liver injury, although now rarely encountered in clinical practice. We present a case of inhalational chloroform self-poisoning in a 47-year-old man that presented