Journal of accident & emergency medicine
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A pilot study to assess whether modern metal detectors can reduce unnecessary radiation in searching for ingested metallic foreign bodies. ⋯ The detector can demonstrate ingested metallic foreign bodies reliably in children, thereby reducing unnecessary irradiation.
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Randomized Controlled Trial Clinical Trial
Alkalinisation of lignocaine to reduce the pain of digital nerve blockade.
To see if the alkalinisation of lignocaine caused a reduction in the pain of injection for digital nerve blockade. ⋯ Alkalinisation of lignocaine reduces the pain of injection for digital nerve blockade.
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Olecranon bursitis is relatively common. One third of episodes are septic. Most of the remainder are non-septic, with occasional rheumatological causes. ⋯ Non-steroidal anti-inflammatory drugs probably hasten symptomatic improvement. Intrabursal corticosteroids produce a rapid resolution but concern remains over their long term local effects. Recovery from septic olecranon bursitis can take months.
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To describe the work, both qualitatively and quantitatively, of an accident and emergency (A&E) ward, and discuss some of the advantages and disadvantages associated with this ward. ⋯ This A&E ward presents a significant workload, and some of its most serious problems lie with those patients who stay longer than 72 h. The safe and effective use of the ward depends upon it being well resourced, along with the department it serves.
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A case of cold induced pulmonary oedema in a scuba diver is described. This is rare, but with the increasing popularity of the sport it is important for accident and emergency staff to be aware of the condition. Treatment is symptomatic and the outlook is good.