Emergency Medicine
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This page shows you the most recent publications within this specialty of the MedWorm directory.
New Advances in Treating Head Injuries - JEMS.com
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Head trauma can kill or leave you with a severe disability and it can result from anything from traffic accidents to a simple fall. Dr. Azedine Medhkour, University of Toledo Medical Center neurosurgeon... (Source: JEMS Latest News)
Source: JEMS Latest News - March 19, 2010 Category: Emergency Medicine Source Type: news
Michigan ER Opens New Ambulance Station - JEMS.com
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Inside Bellin's new ambulance garage in Green Bay.
... (Source: JEMS Latest News)
Source: JEMS Latest News - March 19, 2010 Category: Emergency Medicine Source Type: news
Pilot Trapped Under Plane's Wreckage for 8 Hours - JEMS.com
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SANTA CRUZ, Ariz. - Authorities rescued an injured pilot who was trapped for about eight hours in the wreckage of an experimental plane that crashed on an Indian reservation south of Phoenix.
Authorities... (Source: JEMS Latest News)
Source: JEMS Latest News - March 19, 2010 Category: Emergency Medicine Source Type: news
RI Health Officials Probe Alleged Unlicensed EMT - JEMS.com
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BARRINGTON, R.I. - Rhode Island public health authorities are investigating allegations that an unlicensed emergency medical technician worked with the Barrington Fire Department for a year and a half.
A... (Source: JEMS Latest News)
Source: JEMS Latest News - March 19, 2010 Category: Emergency Medicine Source Type: news
State Clears EMS Workers in Pittsburgh Snow Death - JEMS.com
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PITTSURGH - The state health department says Pittsburgh emergency workers didn't violate state laws when they asked a man who later died to walk to them during a snowstorm.
Health department spokeswoman... (Source: JEMS Latest News)
Source: JEMS Latest News - March 19, 2010 Category: Emergency Medicine Source Type: news
WMIG Update
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As a female physician, what do you do if patients mistake you for a nurse? American Academy of Emergency Medicine (Source: Medscape Emergency Medicine Headlines)
Source: Medscape Emergency Medicine Headlines - March 19, 2010 Category: Emergency Medicine Tags: Emergency Medicine Source Type: info
Sophia
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(Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - March 19, 2010 Category: Emergency Medicine Authors: Al-Mudhaffar, M., Wyatt, J. Tags: Miscellanea Source Type: journals
Correction
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(Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - March 19, 2010 Category: Emergency Medicine Tags: Correction Source Type: journals
Boosting interface medicine
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(Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - March 19, 2010 Category: Emergency Medicine Authors: Abdul-Ghani, A Tags: PostScript Source Type: journals
Patient satisfaction and healthcare providers
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(Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - March 19, 2010 Category: Emergency Medicine Authors: Cattermole, G. N, Graham, C. A, Rainer, T. H Tags: PostScript Source Type: journals
Bet 3
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(Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - March 19, 2010 Category: Emergency Medicine Tags: EMJ Best evidence topic reports, Drugs: cardiovascular system, Stroke, Hypertension, Radiology, Clinical diagnostic tests, Radiology (diagnostics) Source Type: journals
Bet 2
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(Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - March 19, 2010 Category: Emergency Medicine Tags: EMJ Best evidence topic reports, Influenza, TB and other respiratory infections, Child health Source Type: journals
Bet 1
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(Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - March 19, 2010 Category: Emergency Medicine Tags: EMJ Best evidence topic reports, Drugs: cardiovascular system, Pain (neurology), Acute coronary syndromes Source Type: journals
Towards evidence based emergency medicine: best BETs from the Manchester Royal Infirmary
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(Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - March 19, 2010 Category: Emergency Medicine Authors: Foex, B. A Tags: EMJ Best evidence topic reports Source Type: journals
Image on spontaneous pneumomediastinum presenting as sore throat
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(Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - March 19, 2010 Category: Emergency Medicine Authors: Baskaran, R. K. Tags: Oesophagus, TB and other respiratory infections, Pain (neurology), Radiology, Asthma, Clinical diagnostic tests, Radiology (diagnostics), Ear, nose and throat/otolaryngology, Ethics Images in emergency medicine Source Type: journals
Spotting the complex tachycardia
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A young man presented to the emergency department with ventricular tachyarrhythmia later attributed to varicella zoster myocarditis. Myocarditis has an unpredictable clinical sequelae, making it a difficult condition to diagnose and manage in the emergency setting. The inconsistent clinical presentations, risks and management are demonstrated through a review of the literature. (Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - March 19, 2010 Category: Emergency Medicine Authors: Mahdi, A., Anderson, S., Carley, S., Mahadevan, V. Tags: Tachyarrhythmias, Cardiomyopathy, Drugs: cardiovascular system Emergency casebook Source Type: journals
Asymptomatic left-sided pericardial cyst
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(Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - March 19, 2010 Category: Emergency Medicine Authors: O'Connell, C, Byrne, A, Swales, L Tags: Echocardiography, Pain (neurology), Radiology, Clinical diagnostic tests, Radiology (diagnostics), Ethics Images in emergency medicine Source Type: journals
An unusual presentation of congenital central hypoventilation syndrome (Ondine's Curse)
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Congenital central hypoventilation syndrome is a rare illness, which classically presents in the neonatal period; newborns present with shallow breathing and cyanosis, without a physiological rise in breathing rate. Incidence has been estimated from 1 in 10 000 to 1 in 200 000 live births. This case report describes the case of a young man who was asymptomatic until his presentation in acute respiratory failure at the age of 36 years. This case is reported to highlight the importance of considering this treatable illness as a potential cause of collapse and respiratory failure in adults presenting to emergency departm...
Source: Emergency Medicine Journal - March 19, 2010 Category: Emergency Medicine Authors: Lovell, B L, Bullock, R E, Anderson, K N Tags: Emergency casebook Source Type: journals
A congenital abnormality masquerading as encephalitis in an 11-year-old girl
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We report a case of an 11-year-old girl presenting in acute confusional state, with few historical factors suggestive of an intracranial mass lesion and no objective localising signs on examination. Although initially treated as encephalitis, neuroimaging revealed a large craniopharyngioma with acute hydrocephalus and bilateral frontal lobe compression. She was transferred immediately to the local neurosurgical unit and underwent reservoir drainage of the cystic tumour within 24 h. This resulted in immediate symptomatic resolution. This case highlights the importance of early cerebral imaging in the paediatric patient...
Source: Emergency Medicine Journal - March 19, 2010 Category: Emergency Medicine Authors: Horner, D, Jones, D, Carley, S Tags: Emergency casebook Source Type: journals
From the prehospital literature
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(Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - March 19, 2010 Category: Emergency Medicine Authors: Woollard, M. Tags: Drugs: cardiovascular system, Pain (neurology), Pain (palliative care), Anxiety disorders (including OCD and PTSD), Pain (anaesthesia), Other anaesthesia, Dentistry and oral medicine, Surgical diagnostic tests, Resuscitation, Trauma From the prehospital Source Type: journals
Bilateral chronic subdural haematoma misdiagnosed as neuroleptic malignant syndrome
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(Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - March 19, 2010 Category: Emergency Medicine Authors: Akhaddar, A, Karouache, A, Elmostarchid, B, Boucetta, M Tags: Eye Diseases, Poisoning/Injestion, Psychogeriatrics, Coma and raised intracranial pressure, Trauma CNS / PNS, Child and adolescent psychiatry (paedatrics), Radiology, Clinical diagnostic tests, Radiology (diagnostics), Poisoning, Ethics, Trauma Images i Source Type: journals
A critical reassessment of ambulance service airway management in prehospital care: Joint Royal Colleges Ambulance Liaison Committee Airway Working Group, June 2008
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Paramedic tracheal intubation has been practised in the UK for more than 20 years and is currently a core skill for paramedics. Growing evidence suggests that tracheal intubation is not the optimal method of airway management by paramedics and may be detrimental to patient outcomes. There is also evidence that the current initial training of 25 intubations performed in-hospital is inadequate, and that the lack of ongoing intubation practice may compound this further. Supraglottic airway devices (eg, laryngeal mask airway), which were not available when extended training and paramedic intubation was first introduced, a...
Source: Emergency Medicine Journal - March 19, 2010 Category: Emergency Medicine Authors: Deakin, C. D, Clarke, T., Nolan, J., Zideman, D. A, Gwinnutt, C., Moore, F., Ward, M., Keeble, C., Blancke, W. Tags: Resuscitation Prehospital care Source Type: journals
Unusual cause of acute upper airway obstruction
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(Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - March 19, 2010 Category: Emergency Medicine Authors: Bair, M-J, Lin, I-T, Chen, H-L, Lee, C-H Tags: Tachyarrhythmias, Oesophagus, Drugs: cardiovascular system, Pain (neurology), Dermatology, Surgical diagnostic tests, Ethics Images in emergency medicine Source Type: journals
Sonographic diagnosis of epiglottal enlargement
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The case is presented of epiglottal and pre-epiglottal oedema secondary to infection of the pharyngolaryngeal area. The purpose of this report was to assess the utility of ultrasonography to image epiglottal and pre-epiglottal oedema. Bedside emergency department ultrasonography could be a valuable tool to detect pathological enlargement of the epiglottis. Ultrasonography may be used in unstable patients for diagnosing epiglottitis because it is cheap, rapid, non-invasive and does not aggravate the patient's symptoms. (Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - March 19, 2010 Category: Emergency Medicine Authors: Bektas, F., Soyuncu, S., Yigit, O., Turhan, M. Tags: TB and other respiratory infections, Radiology, Clinical diagnostic tests, Radiology (diagnostics) Short report Source Type: journals
Surveying young patients
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The East of England Ambulance Service NHS Trust (the Trust) was keen to engage young patients and to encourage them to give feedback about the service they had received. The standard Trust satisfaction survey was modified for use with young patients, and this had the effect of increasing the response rate from this patient group by 8%, and increasing the percentage of young patients aged 5–10 years completing the survey themselves by 29%. The vast majority of parents/guardians were happy for the Trust to survey their child, but the age of the child affected to whom they would like the survey sent. The Trust subs...
Source: Emergency Medicine Journal - March 19, 2010 Category: Emergency Medicine Authors: Foster, T., Maillardet, V. Tags: Original article Source Type: journals
Spontaneous pneumocephalus
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(Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - March 19, 2010 Category: Emergency Medicine Authors: Oh, J H, Na, H I Tags: Eye Diseases, Headache (including migraine), Pain (neurology), Trauma CNS / PNS, Ethics, Trauma Images in emergency medicine Source Type: journals
Temporal and spatial characteristics and treatment strategies of traumatic brain injury in Wenchuan earthquake
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Conclusion
Patients with traumatic brain injury during the early period accounted for a large proportion of the patients wounded in the Wenchuan earthquake, and their conditions changed quickly. The patients all came from the plain area which has convenient transportation. After admission, providing first-aid early had a significant effect on increasing the success of treatment for these patients. (Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - March 19, 2010 Category: Emergency Medicine Authors: Gu, J., Yang, W., Cheng, J., Yang, T., Qu, Y., Kuang, Y., Huang, H., Yang, L., He, W., Min, L. Tags: Trauma CNS / PNS, Trauma Original article Source Type: journals
To ED or not to ED: NHS 24 referrals to the emergency department
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Conclusions
GPs and consultants in emergency medicine both believe a high proportion of NHS 24 referrals to the ED should be handled by primary care services. This would suggest that, compared with previous out-of-hours practice, NHS 24 favours an ED outcome. The results indicate a large proportion of primary care patients are being handled inappropriately and uneconomically in the ED setting. There is a need for ongoing improvement of the telephone triage service provided by NHS 24. (Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - March 19, 2010 Category: Emergency Medicine Authors: Cook, R., Thakore, S., Morrison, W., Meikle, J Tags: Original article Source Type: journals
Tuberculous tension pneumothorax
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(Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - March 19, 2010 Category: Emergency Medicine Authors: Athey, N, Hills, A Tags: Drugs: infectious diseases, TB and other respiratory infections, Pain (neurology), Radiology, Tuberculosis, Clinical diagnostic tests, Radiology (diagnostics), Ethics Images in emergency medicine Source Type: journals
Elevated serum S100B levels in acute spinal fracture without head injury
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Conclusions
Serum S100B levels are raised in all patients with acute spinal fracture without head injury. Spinal fracture may therefore be one of the extracerebral sources of S100B. Serum S100B levels may be an effective tool for excluding subtle spinal fractures with no clear radiographic findings. (Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - March 19, 2010 Category: Emergency Medicine Authors: Lee, S. J., Kim, C. W., Lee, K. J., Choe, J. W., Kim, S. E., Oh, J. H., Park, Y. S. Tags: Fractures, Spinal cord injury, Spinal cord, Trauma CNS / PNS, Radiology, Clinical diagnostic tests, Radiology (diagnostics), Trauma Original article Source Type: journals
Things that go bump ... bump ... bump: an analysis of injuries from falling down stairs in children based at Sheffield Children's Hospital
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Conclusion
Infants who fall down stairs with their carer or are dropped while being carried down stairs require an especially close evaluation. (Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - March 19, 2010 Category: Emergency Medicine Authors: Docherty, E., Hassan, A., Burke, D. Tags: Fractures, Head injury, Trauma CNS / PNS, Trauma Original article Source Type: journals
Theme: Acute bacterial meningitis
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(Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - March 19, 2010 Category: Emergency Medicine Tags: EMQ answers Source Type: journals
What factors are associated with repeated domestic assault in patients attending an emergency department? A cohort study
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Conclusions
There are readily measurable clinical features that are associated with repeat ED attendance as a result of domestic assault. (Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - March 19, 2010 Category: Emergency Medicine Authors: Boyle, A., Frith, C., Edgcumbe, D., McDougall, C. Tags: Violence, Trauma CNS / PNS, Domestic violence, Violence against women Original article Source Type: journals
Alcohol intoxication at a university hospital acute medicine unit--with special consideration of young adults: an 8-year observational study from Switzerland
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Conclusion
Episodic drinking is not only a problem in the 16–25 age group, it also concerns men of 35–45 years. This is a major public health problem in industrialised countries. Intoxicated patients are at acute risk of injuries and violence following alcohol abuse. Preventive measures should not only be limited to younger adults. (Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - March 19, 2010 Category: Emergency Medicine Authors: Haberkern, M, Exadaktylos, A K, Marty, H Tags: Child abuse, Alcohol dependence, Drugs misuse (including addiction), Alcohol Original article Source Type: journals
Emergency retinal pallor
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(Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - March 19, 2010 Category: Emergency Medicine Authors: Moradi, P, Chandra, A, Islam, N Tags: Eye Diseases, Cranial nerves, Headache (including migraine), Pain (neurology), Stroke, Radiology, Dermatology, Surgical diagnostic tests, Clinical diagnostic tests, Ethics Images in emergency medicine Source Type: journals
Point of care troponin decreases time in the emergency department for patients with possible acute coronary syndrome: a randomised controlled trial
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Conclusions
POC testing for troponin in the ED tended to reduce the LOS for possible ACS patients. The degree of this benefit is likely to be markedly dependent on its acceptance and uptake by attending personnel, and on the ED setting in which it is used. (Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - March 19, 2010 Category: Emergency Medicine Authors: Loten, C., Attia, J., Hullick, C., Marley, J., McElduff, P. Tags: Drugs: cardiovascular system Original article Source Type: journals
A late complication of a traumatic flail segment: colonic herniation
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(Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - March 19, 2010 Category: Emergency Medicine Authors: Hunt, I., Rekieh, K., Stewart, K., Bedard, E. L R, Valji, A. Tags: Pain (neurology), Radiology, Clinical diagnostic tests, Radiology (diagnostics), Ethics, Trauma Images in emergency medicine Source Type: journals
Provision of trauma teams in Scotland: a national survey
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Conclusions
There are few trauma teams in Scottish acute hospitals. There was little enthusiasm for introducing them for a variety of reasons. Local evidence of benefit is probably needed before their adoption becomes widespread. (Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - March 19, 2010 Category: Emergency Medicine Authors: Hornsby, J, Quasim, T, Dignon, N, Puxty, A Tags: Original article Source Type: journals
Secondary care and changing the face of emergency care
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(Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - March 19, 2010 Category: Emergency Medicine Authors: Bell, D, Mason, S Tags: Patients, Telemedicine Commissioned series Source Type: journals
Access to urgent health care
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(Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - March 19, 2010 Category: Emergency Medicine Authors: Salisbury, C, Bell, D Tags: Patients Commissioned series Source Type: journals
Alternative services to deliver urgent care in the community
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(Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - March 19, 2010 Category: Emergency Medicine Authors: Mason, S, Snooks, H Tags: Commissioned series Source Type: journals
Urgent care and the patient
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(Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - March 19, 2010 Category: Emergency Medicine Authors: Salisbury, C, Coulter, A Tags: Commissioned series Source Type: journals
Hostel emergency medicine in Iran
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(Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - March 19, 2010 Category: Emergency Medicine Authors: Geary, B. Tags: Other anaesthesia Personal view Source Type: journals
Theme: Acute bacterial meningitis
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(Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - March 19, 2010 Category: Emergency Medicine Authors: Davey, M Tags: Eye Diseases, Drugs: infectious diseases, Influenza, Meningitis, TB and other respiratory infections, Vaccination / immunisation, Cranial nerves, Child health Emergency Medicine Questions (EMQs) Source Type: journals
The implications of the NICE guidelines on neurosurgical management for all severe head injuries: systematic review
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Conclusions
The evidence NICE cited is of variable quality. Much of the research was conducted outside the UK, which raises questions about its relevance to the NHS. Care of traumatic brain injuries in the UK is already hampered by the inadequate capacity of regional neurosurgical units to meet demand, and transferring more patients would be likely to exacerbate this. Increasing the number of transfers could also worsen inequalities of access for other groups, such as elective patients, particularly in areas where facilities are most stretched. (Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - March 19, 2010 Category: Emergency Medicine Authors: Barratt, H., Wilson, M., Moore, F., Raine, R. Tags: Editor's choice, Trauma CNS / PNS, Child health, Trauma Review Source Type: journals
Prehospital airway management
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(Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - March 19, 2010 Category: Emergency Medicine Authors: Fitzgerald, M. Tags: Commentary Source Type: journals
Joint Royal College Ambulance Liaison Committee Airway Working Group commentary
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(Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - March 19, 2010 Category: Emergency Medicine Authors: Jackson, M. Tags: Commentary Source Type: journals
The College of Paramedics (British Paramedic Association) position paper regarding the Joint Royal Colleges Ambulance Liaison Committee recommendations on paramedic intubation
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(Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - March 19, 2010 Category: Emergency Medicine Authors: Woollard, M., Furber, R, on behalf of the Council of the College of Paramedics Tags: Commentary Source Type: journals
Caring to the end?
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(Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - March 19, 2010 Category: Emergency Medicine Authors: Hughes, G. Tags: Editorial Source Type: journals
Primary survey
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(Source: Emergency Medicine Journal)
Source: Emergency Medicine Journal - March 19, 2010 Category: Emergency Medicine Authors: Carley, S. Tags: EMJ Primary survey Source Type: journals
