Journal of accident & emergency medicine
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Emergency medicine is a relatively new specialty area within medicine, however medical schools, students and standard setting bodies have recognised that learning emergency medicine is integral to the training of medical students. There are, however, significant problems with the delivery of emergency medicine teaching including low teacher numbers, severely limited teaching time and lack of suitable learning resources. This paper describes the process of development of a learning resource, its format and content and summarises student feedback.
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Patients over the age of 75 years comprise an increasing proportion of accident and emergency (A&E) department attendances. Within this group there is a high incidence of comorbidity, which mandates effective discharge coordination from the A&E department. ⋯ Telephone follow up of patients over 75 attending our A&E department identified a number of areas where care could be improved before and after discharge. This low cost, high quality intervention has the potential for decreasing inappropriate return visits to the department by a vulnerable group of patients as well as improving overall quality of care.
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To assess the degree of appropriate referral to the accident and emergency (A&E) department following the use of a community alarm where a mobile warden works in conjunction with the community alarm control centre. ⋯ This study shows that where a mobile warden works in conjunction with the community alarm control centre the number of inappropriate referrals to the A&E department should be minimal.