Journal of accident & emergency medicine
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To estimate the proportion of prehospital deaths in a British population of trauma victims which may be preventable, and to investigate the effect of death at the scene and death in transit on potential survivorship. ⋯ There seems to be less scope for salvage of victims of trauma death in a British population than has been recorded in America, possibly due to a higher proportion of blunt trauma deaths here. Those who die in transit consist of a less severely injured group with a higher potential for survival.
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The case is reported of a young woman who suffered a wedge fracture of C7 due to axial loading with a flexed spine, in an injury caused by barfly jumping. The fracture was unstable and required surgical stabilisation. In this case the seriousness of the injury was not realised at first because neck radiographs were not taken at her initial assessment in accident and emergency.
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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.