Journal of accident & emergency medicine
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To assess whether accident and emergency (A&E) nurses using the Ottawa Ankle Rules could detect all ankle fractures. ⋯ Nurses can apply the Ottawa Ankle Rules safely without missing acute fractures; that is, of those who were not sent for radiography by nurses, none subsequently reattended the A&E department or the trauma service of the Bristol Royal Infirmary during the following two months.
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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.