European journal of emergency medicine : official journal of the European Society for Emergency Medicine
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To improve the communication during shift handover in an emergency department. ⋯ The present study showed how in-depth observations and analyses of real work processes can be used to better support the quality of patient care.
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Patients with recent-onset atrial fibrillation (AF) and cardiac troponin I (cTnI) elevations show poor outcomes. Coronary heart disease might be a cause, consequence, or an innocent bystander. ⋯ In patients with AF and cTnI elevations, tailored care inclusive of echocardiography and stress testing succeeded in recognizing and treating masked 'critical' coronary heart disease, avoiding adverse events.
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Our study analyzes the impact of becoming a major trauma centre (MTC) on paediatric trauma workload in a centre outside a major city without specialist paediatric surgical services. ⋯ The implementation of a regional trauma network has led to a rise in paediatric trauma cases. Paediatric trauma patients tend to be less severely injured, but the proportion undergoing CT scanning has remained the same, and these scans are more likely to be normal. A more rational approach for imaging of paediatric trauma patients is required to reduce the potentially harmful effects of exposure to ionizing radiation, and criteria for implementing trauma calls in children should be reconsidered.
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The aim of this study was to create an overview of the treatment of mallet fingers in Dutch hospitals. ⋯ There is a general consensus on the treatment of uncomplicated mallet fingers. The follow-up treatment of uncomplicated lesions as well as the treatment of complicated mallet fingers should be fields of future research.
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Observational Study
Hyperglycemia in emergency patients - prevalence and consequences: results of the GLUCEMERGE analysis.
Hyperglycemia is a common finding in emergency department (ED) patients, but its general relevance for the further clinical course has not been determined as yet. ⋯ ED hyperglycemia was found to be a strong predictor of in-hospital outcome, whereas responding ED management was inadequate. Further prospective studies are needed to determine whether systematic ED hyperglycemia management could improve outcomes.