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A multi-modal approach to quality improvement: reducing 'door-to-ct' time in potenitally thombolysable stroke patients
Conclusion Early thrombolysis has been shown to improve outcomes in patients with ischaemic stroke.2 Reducing ‘Door-to-CT' scan time in the ED is an important step in enabling a reduction in the overall DTN time. This can be achieved by stream-lining key processes in the patient journey through the ED. A multi-modal approach ensured this change was introduced safely and effectively whilst re-enforcing a core change to standard working practice. Further work on process mapping and the delivery of thrombolysis is the next obvious step in further reduction in DTN time. Figure 1Quality Improvement Run Chart 'Door-t...
Source: Emergency Medicine Journal - November 17, 2016 Category: Emergency Medicine Authors: Waterson, F., Braithwaite, I., Tuck, I., Alcock, R. Tags: Stroke, Radiology, Clinical diagnostic tests, Radiology (diagnostics) RCEM Lightning presentations Source Type: research

Risk factors for medical complications of acute hemorrhagic stroke
Conclusions Our study has assessed that hypertension followed by diabetes mellitus are the major risk factors for medical complications of hemorrhagic stroke. Female mortality rate was more when compared to males.\
Source: Journal of Acute Disease - August 4, 2015 Category: Emergency Medicine Source Type: research

Debilitating Headache after an Excited Reaction
​BY GREGORY TAYLOR, DO, & MATTHEW WARPINSKI, DOA 35-year-old man with a history of uncontrolled hypertension and medical noncompliance was brought to the emergency department by EMS complaining of a headache. The family said the patient was watching football and developed an acute headache after he stood up screaming in excitement.His family said he had not taken his blood pressure medication for years. He was afebrile, his blood pressure was 245/129 mm Hg, his respiratory rate was 18 bpm, his heart rate was 68 bpm, and he weighed 340 pounds. The patient was obtunded with a Glasgow Coma Scale score of 4 and was subse...
Source: The Case Files - November 20, 2018 Category: Emergency Medicine Tags: Blog Posts Source Type: research

Diagnostic Value of S100B Protein in the Differential Diagnosis of Acute Vertigo in the Emergency Department / El Valor Diagnóstico de la Proteína S100B en el Diagnóstico Diferencial del Vértigo Agudo en el Servicio de Urgencias
ConclusionsTo the best of our knowledge this is the first study assessing the utility of serum S100B levels for diagnosis of acute‐onset vertigo. Serum S100B levels are associated with the presence of central causes of vertigo on cranial MRI. However, serum S100B levels are not sufficiently sensitive to exclude candidates from cranial MRI. Resumen ObjetivosEl vértigo es un motivo de consulta frecuente y es consecuencia de una etiología central o periférica. Debido a que las causas centrales pueden ser de riesgo vital, la determinación de la naturaleza del vértigo es crucial en el servicio de urgencias (SU). Con un ...
Source: Academic Emergency Medicine - August 13, 2014 Category: Emergency Medicine Authors: Aslı Gülfer Kartal, Serkan Yılmaz, Elif Yaka, Murat Pekdemir, Hasan Tahsin Sarısoy, Mustafa Baki Çekmen, Melih Yüksel Tags: Original Contribution Source Type: research

Pre-hospital emergency skills for medical students
Conclusion These results show that there is some anxiety amongst students about being able to manage pre-hospital emergencies in which the public might expect them to cope or in which they feel obliged to help. The results show that although students would be willing to help they may not posess the necessary knowledge to do so. They show that there is a demand for teaching focussed on these skills but that there is not necessarily a need for it taking into account the frequency of incidents encountered. A trial teaching programme will take place in July.
Source: Emergency Medicine Journal - November 23, 2015 Category: Emergency Medicine Authors: Wheeler, C. Tags: Stroke RCEM LIGHTNING PRESENTATIONS Source Type: research