Volume 8

Poisoning And Toxicological Emergencies – Current Trends And Practice

Abstract

Poisoning is a common presentation to hospital acute medical units, and can produce a variety of clinical scenarios. This review discusses the epidemiology of poisoning, a framework for managing patients with drug toxicity and considerations in the diagnosis of toxicity with unknown substances. The commonest substances seen in toxicity in the UK – paracetamol, antidepressants, sedatives and opioids are discussed in more detail.

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Acute Asthma in Adults: Controversies and Best Practice

Abstract

Asthma in the emergency care setting is common and may be life-threatening. Last year the British Thoracic Society updated their guidelines for the management of asthma, however some treatments remain controversial and there is variation in adherence to these and other national and international guidelines.

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Management of Non-STEMI and suspected Acute Coronary Syndrome

Chest pain is a common complaint of patients presenting to the Emergency Department, but there is a wide variety of underlying causes. These include ischaemic chest pain (acute coronary syndromes (ACS) and stable angina), non-ischaemic cardiovascular chest pain (aortic dissection, pulmonary embolism, pericarditis) and a wide variety of non cardiovascular causes (musculoskeletal, psychiatric and gastrointestinal causes).

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Editorial

Milestones are often seen as opportunities for reflection and reminiscence. As this edition of the journal coincides with the 10th anniversary of my consultant appointment I hope readers will forgive a couple of paragraphs of self-indulgence. The phrase: ‘Where did all that time go?’ will probably be familiar to physicians at a more advanced stage of their career. With medical students now returning as specialist registrars, and former house officers appearing as consultant colleagues, the passage of time is increasingly apparent. I recently realised that our current third year students were born in the year I clerked my first patient: surprisingly I still remember his name, age and diagnosis, unlike many of those (and all of the students!) who I have seen since.

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