Journal of accident & emergency medicine
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Case Reports
Oesophageal rupture in the course of conservative treatment of bleeding oesophageal varices.
Fatal oesophageal rupture is described as a complication of the management of bleeding oesophageal varices with repeated sclerotherapy and tamponade using the Sengstaken-Blakemore tube. The importance of chest radiographs is stressed in the early detection and prevention of malposition of the Sengstaken-Blakemore tube, as inflation of the gastric balloon in the oesophagus can result in oesophageal rupture.
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Randomized Controlled Trial Clinical Trial
Topical analgesia for superficial corneal injuries.
To assess the analgesic effects of a topical non-steroidal anti-inflammatory agent, flurbiprofen 0.03%, during healing after superficial corneal injuries. ⋯ Flurbiprofen eye drops provide more effective pain relief than traditional treatments for superficial corneal injuries.
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Two cases of patients on warfarin who developed intracranial haematoma after an apparently minor head injury are described. There is a 10-fold increase in the likelihood of developing an intracranial haematoma in these patients. Recommendations are made regarding the management of this type of patient seen in the accident and emergency department.
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Comparative Study
Comparison of cardiopulmonary resuscitation techniques using video camera recordings.
To use video recordings to compare the performance of resuscitation teams in relation to their previous training in cardiac resuscitation. ⋯ ALS course completion should be regarded as a vital part of the training of any doctor involved in cardiopulmonary resuscitation.
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To examine the management of traumatic pneumothorax in a department where some of these injuries do not receive chest drains. ⋯ Chest drain insertion for small or moderate sized traumatic pneumothoraces, in the absence of other significant injuries or the need for intermittent positive pressure ventilation (IPPV), may be unnecessary.