Volume 17, Issue 2, Pages 57 – 116 (2018)
Abnormal cardiac conduction in a septic patient: incidental finding or cause for concern?
The initial ECG (figure 1A) demonstrates a regularly irregular rhythm at approximately 80bpm. There is a profound first-degree atrioventricular(AV) block with a PR interval of over 400ms. There is
Assessment of Fluid responsiveness in the Acute Medical Patient and the Role of Echocardiography
Abstract
Both hyper and hypovolaemia have been associated with poor outcomes. Assessment of fluid responsiveness is challenging in the acute medical patient, due to time constraints, limited evidence
Iliofemoral deep vein thrombosis and the problem of post-thrombotic syndrome
Abstract
Deep vein thrombosis (DVT) is an important cause of short-term mortality and long-term morbidity. Among the different presentations of DVT, thrombus in the iliofemoral veins may be considered
Abnormal cardiac conduction in a septic patient: incidental finding or cause for concern?
A 64-year-old male presents to the emergency department in acute respiratory distress. He gives a limited history of progressive shortness of breath of one week’s duration and several episodes of
Successful intravenous lipid emulsion therapy: Olanzapine intoxication
Abstract Olanzapine is an antipsychotic drug used in psychiatric diseases. At high doses it exhibits cardiovascular and neurological sideeffects in particular. Lipid emulsion therapy for the removal
Routine HIV Screening in Cancer Patients in the Emergency Department
Abstract Treatment of human immunodeficiency virus(HIV) in cancer patients improves outcomes and reduces transmission of this oncogenic virus. HIV testing rates of cancer patients are similar to the
Changes in vital signs post discharge as a potential target for intervention to avoid readmission
Abstract Readmissions are treated as adverse events in many healthcare systems. Causes can be physiological deterioration or breakdown of social support systems. We investigated data from a European
Direct and delayed admissions to ICU in older medical patients
Abstract The aims of this retrospective cohort study were to retrieve characteristics and outcomes of older (65+) medical patients who are directly admitted to ICU from the ED and to compare these
Effective acute care handover to GP: optimising the structure to improve discharge documentation
Abstract Time and resource constraints have often led to the use of assessment records as discharge communications from acute and emergency departments. However, whether this addresses the primary
Results on patient flow of implementing an Acute Medical Unit
Abstract Background: There is an increased influx of patients needing admission. Introducing an acute medical unit (AMU) may increase the admission capacity without increasing the total number of beds.