Journal of accident & emergency medicine
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Two cases are described in which an inhalation anaesthetic was performed in order to secure an airway in patients with upper airway compromise. The agent used, sevoflurane, is relatively new and its properties are described. This is an important technique in which accident and emergency staff should obtain the appropriate supervised training.
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Comparative Study
Can the full range of paramedic skills improve survival from out of hospital cardiac arrests?
To examine the effect of full implementation of advanced skills by ambulance personnel on the outcome from out of hospital cardiac arrest. ⋯ No improvement in survival was demonstrated with more advanced prehospital care.
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Proposals for specialist registrar training in accident and emergency medicine in Mid-Trent Region are outlined. These may provide a framework for other schemes as well as stimulating further ideas.
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To test the hypothesis that limited paramedic advanced life support skills afford no advantage in survival from cardiac arrest when compared with non-paramedic ambulance crews equipped with defibrillators in an urban environment; and to investigate whether separate response units delayed on scene times. ⋯ The interventions of greatest benefit in out of hospital cardiac arrest are basic life support and defibrillation. Additional skills are of questionable benefit and may detract from those of greatest benefit.
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Comparative Study
The misdiagnosis severity score and doctors' perception of the severity of diagnostic errors.
To test the previously described misdiagnosis severity score (MSS) by comparing it with doctors' perceptions of the severity of diagnostic errors. ⋯ It is reasonable to use the MSS as a measure of the severity of diagnostic errors.