Diagnosing Small Bowel Obstruction in the ED: A Role for Ultrasound?

Diagnosing small bowel obstruction (SBO) is bread-and-butter work for the emergency physician. It accounts for 2% of patients presenting to the ED with abdominal pain, and 20% of all surgical admissions[1]. In the developing world the majority of SBO patients have had previous intra-abdominal surgeries causing adhesions… But I won’t delve into aetiology, let’s talk […]

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Primary survey Highlights from the January 2015 issue. Mary Dawood, Editor

A mask tells us more than a face (Editor’s choice) As ED clinicians we often pride ourselves on recognising the sickest patients by how they look, this skill is tacit and one that is the result of experience and longevity in emergency care. Our psychiatric colleagues have long accumulated significant research into disturbances in affect […]

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The Role of IO in Trauma: A #FOAMed Debate

The Emergency Medicine Journal recently published a review of intraosseous access experience from the Royal Army Medical Corps. This review documents 1,014 IO devices and 5,124 infusions of blood products, medications, and fluids. There were no major complications, and the rate of minor complications was extraordinarily low – the most frequent being device failure, occurring […]

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Highlights from the October issue of EMJ

Emerg Med J 2014;31:793 doi:10.1136/emermed-2014-204282 Highlights from this issue Ian K Maconochie, Deputy editor Conducting emergency research when consent and consultation are a challenge (editor’s choice) Studies in patients with emergency conditions that render them unable to give consent have been very difficult to conduct owing to ethical considerations. The guidance offered in the commentary […]

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Why do we call it ‘Teaching’?

A Reflection on Teaching and Learning Culture in UK Emergency Medicine   One of the things that most amuses my school teacher friends is my insistence on referring to postgraduate educational opportunities as ‘teaching sessions’, e.g. ’I’ve got regional teaching this afternoon’. I’m not alone here in referring to ‘teaching’ – it’s common amongst doctors […]

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What are we doing in EM?

It’s been a tough few months in UK Emergency Departments and has caused me recently to do a bit of thinking, as I knew I was losing a bit of my zeal and enthusiasm for our specialty. Yes, there’s the constant unrelenting pressure over targets and working under very trying circumstances with overcrowding and understaffing […]

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