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Is it OK to close emergency departments? Many emergency physicians would be very concerned by any talk about closing Emergency Departments (EDs). We may have experienced it in our own regions, and we may have our own opinions about its impact on patient care. In this issue, Knowles et al have studied the real-world impact of closing [...]Read More...
Primary survey Do EPs change their clinical behaviour in the hallway encounters or when a companion is present? A cross-sectional survey and the commentary by Jacky Hanson and Kirsten Walthall Privacy is a key element in the process of undertaking a consultation with a patient, as it allows due care and attention to paid to the patient’s [...]Read More...
Addressing language barriers in the emergency department The ‘Editor’s Choice’ paper covers the critical topic of communication and the concern that patients with a different first language are more likely to experience adverse events and poorer outcomes. How do you communicate with a patient who has a different first language: do you ask a member [...]Read More...
Welcome to the January edition of the EMJ. A new decade starts a time of heavy clinical activity here in the UK, but despite that workload there is still much to learn and love about emergency medicine. This month sees a range of papers to change or challenge your practice. Which decision aid is best [...]Read More...
Introduction As Emergency Medicine (EM) finds itself in the midst of a pandemic, we are reminded that the practice of medicine is a global endeavour. Alongside the traumatic consequences of COVID-19 will also come opportunities to fundamentally rethink our approach to healthcare, including how to engage with global health. In this article, we report on [...]Read More...
This month the primary survey is collated and written by Edward Carlton, Associate Editor, EMJ. Editor’s Choice: Controversies in Sepsis In this issue of the Emergency Medicine Journal (EMJ) we have two papers exploring tools to predict critical illness in sepsis. Two retrospective cohort studies, in ED patients with suspected sepsis/infection, evaluate the diagnostic accuracy of [...]Read More...
In the spring of 2018, an important conversation started in the hallways of the Emergency Department at Campbelltown Hospital – a community hospital on the fringe of Sydney, Australia. Three emergency physicians, the authors, realised we were all following the US-based FemInEM podcast and blog (feminem.org), and each of us was noticing the empowering impact [...]Read More...
Dental radiographs in the ED I expect we’ve all requested panoramic dental radiographs at some point or other. I also suspect that if it’s for anything other than trauma then many of us will be a little lost on the interpretation. Anton Sklavos present a great review paper on interpretation that taught me a lot, [...]Read More...
Do we know what older patients want from emergency care? We are increasingly aware of the preponderance of older patients attending our emergency departments as well as the fact that they are often acutely unwell. It is heartening then to see in this month’s issue some excellent papers pertaining to the care and treatment of [...]Read More...
This month, we’re opening our blog page up to emergency physicians worldwide to discuss how their hospitals (or countries) are responding to the novel Coronavirus outbreak and the role their emergency department is taking. Are you the “first call” for patients who might have the disease? What type of help are you getting from [...]Read More...