European journal of emergency medicine : official journal of the European Society for Emergency Medicine
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The modified Early Warning Score (mEWS) is a triage instrument that promises to predict patient disposition and clinical outcome in emergency departments (EDs). We investigated whether mEWS can predict death, hospital admission, intensive care unit (ICU) admission, and in-hospital deaths in a Turkish setting. ⋯ We conclude that scores on the mEWS predict ICU admission as well as ICU and in-hospital deaths.
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Objective of this study is to determine whether the formulation of standard operating procedures (SOPs) and their incorporation in a trauma pathway are associated with an improvement of trauma treatment process. ⋯ SOP incorporation in a trauma pathway shortens the total stay in the emergency room, resuscitation time and the time to achieve definitive diagnosis in multiple trauma patients. Thus, it can be concluded that organization and timing of trauma treatment steps help in improving the quality of trauma treatment process.
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No European airway management guidelines are currently specific to patients with cervical spinal cord injury (CSCI). The objectives of this study were to determine the clinical practice of European emergency physicians and anaesthesiologists regarding airway management in patients with CSCI. A questionnaire survey was completed by the participants of the fourth European Congress on Emergency Medicine regarding the preferred intubation techniques and the relevant skills, as well as airway management manoeuvres that, in the physician's opinion, caused the least and the greatest cervical spine movement. ⋯ However, most of the physicians who indicated the use of the fibreoptic bronchoscope as their preferred technique, were not skilled in its use. Furthermore, two-thirds of the respondents did not recognise that mask ventilation causes considerable cervical spine movement. Emergency physicians need better training in airway management to anticipate problems in patients with CSCI.
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Letter Case Reports
Poppers-induced methemoglobinemia: an unusual cause of cyanosis.