Posttraumatic transcalvarial brain herniation into the eyelid
Content Type Journal ArticleDOI 10.1007/s10140-010-0897-4Authors
Gaurav Jindal, Department of Radiology, Jai Prakash Narayan Apex Trauma Centre, All India Institute of Medical Sciences, 175, Minakshi Garden, P.O. Tilak Nagar, New Delhi, 110018 IndiaAtin Kumar, Department of Radiology, Jai Prakash Narayan Apex Trauma Centre, All India Institute of Medical Sciences, 175, Minakshi Garden, P.O. Tilak Nagar, New Delhi, 110018 IndiaShivanand Gamanagatti, Department of Radiology, Jai Prakash Narayan Apex Trauma Centre, All India Institute of Medical Sciences, 175, Minakshi Garden, P.O. Tilak Nagar, New Delhi, 110018 IndiaSumit Sinha, Department of Neurosurgery, Jai Prakash Narayan Apex Trauma Centre, All India Institute of Medical Sciences, New Delhi, 110029 India
Journal Emergency Rad......
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Sophia
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Management of ingested dentures
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Haemorrhage requiring embolisation after low energy pelvic fracture in an elderly patient: a case report
An 89-year-old woman presented with a stable fracture of the pelvis following a low energy trauma. The patient was taking no anticoagulation medication and was found to have life-threatening pelvic bleeding which required embolisation. Stable pelvic fractures following low energy trauma are common injuries in the elderly and frequently require admission for pain relief and mobility management. This case highlights that severe pelvic bleeding is a possible, life-threatening sequela after low energy pelvic injury in the elderly, and careful attention must be paid to the signs of active haemorrhage. (Source: Emergency Medicine Journal)...
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Bet 4
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Bet 3
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Bet 2
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Bet 1
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Purple urine bag syndrome
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Nasal foreign bodies in children: kissing it better
Conclusion
The kissing technique should be employed as a preferred technique to remove nasal foreign bodies in children. (Source: Emergency Medicine Journal)...
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Trauma exposure and symptoms of post-traumatic stress disorder in emergency medical services personnel in Hawaii
Conclusion
EMS personnel are at high risk of experiencing post-traumatic stress symptoms. Early identification and treatment of potential stressors, psychiatric and medical problems is warranted and necessitates ongoing assessment and employee assistance programmes at the minimum. (Source: Emergency Medicine Journal)...
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Caecal perforation following apparently minor abdominal blunt trauma
(Source: Emergency Medicine Journal)...
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Is it the H or the EMS in HEMS that has an impact on trauma patient mortality? A systematic review of the evidence
Conclusions
The role and structure of HEMS in a modern trauma service is a debate that is likely to continue. Prehospital care design should be specific to critical incident frequency, geographical arrangements of hospital facilities and travel times within each trauma network. It is also important to consider the benefits and capabilities of the emergency medical team separately from the transport method being considered. An effective helicopter EMS will ultimately depend on effective operating procedures and tasking protocols, clinical governance, and auditing of the helicopter EMS activity. (Source: Emergency Medicine Journal)...
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Effect of 24-h alcohol licensing on emergency departments: the South Yorkshire experience
Conclusion
Trends in alcohol-related attendances after the implementation of the Licensing Act (2003) varied across South Yorkshire hospitals and probably reflect local factors rather than any consistent impact from the Act. (Source: Emergency Medicine Journal)...
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The role of health and non-health-related factors in repeat emergency department visits in an elderly urban population
Conclusion
ED act as an important safety net for older people regardless of economic or demographic backgrounds. Appropriate assessment and referral are an essential part of this safety role. (Source: Emergency Medicine Journal)...
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Giant right vertebral artery aneurysm
(Source: Emergency Medicine Journal)...
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Organisational influences on the activity of chest pain units during the ESCAPE trial: a case study
Conclusion
Organisational factors were identified that could have impacted on the outcomes of the ESCAPE trial through, for example, delays in discharge, and missed recruitment opportunities. Complex interventions such as the ESCAPE trial are prone to the effects of local organisational issues, some of which could be predicted and planned for. Findings from single centre studies of complex interventions should be treated with caution before a decision is taken to implement in a new setting. (Source: Emergency Medicine Journal)...
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Ischaemia modified albumin cannot be used for rapid exclusion of acute coronary syndrome
Conclusion
This study does not support the use of IMA as a negative predictor for ACS. (Source: Emergency Medicine Journal)...
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The additional use of end-tidal alveolar dead space fraction following D-dimer test to improve diagnostic accuracy for pulmonary embolism in the emergency department
Conclusions
By itself ADSF assessment performed well in diagnosis of PE. The combined result of a positive D-dimer and abnormal ADSF increased the specificity for diagnosing PE compared with the D-dimer test alone. The use of additional bedside ADSF assessment following a positive D-dimer test may reduce the need for further imaging studies to detect PE in patients with a low or intermediate clinical probability. (Source: Emergency Medicine Journal)...
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Outcome and cost of childhood brain injury following assault by young people
Conclusions
This study demonstrates the serious consequences of inter-juvenile assault. Survival can be associated with neurological and psychological deficits. The cost to the health service is substantial. Further work is required to establish the long-term needs of these children. (Source: Emergency Medicine Journal)...
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