Emergency nurse : the journal of the RCN Accident and Emergency Nursing Association
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Despite research suggesting that the Glasgow Coma Scale (GCS) has limitations, its results are regarded as the gold standard in assessments of patient consciousness levels. This article discusses and evaluates the GCS, and reviews the literature on the advantages and limitations of the tool, and considers whether the Lowry Coma Record (Lowry 1999) should be used instead.
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It is important to be able to demonstrate that clinical practice and choice of products are based on evidence. This article discusses findings from an audit of wound-healing outcomes, ease of use, and patient and practitioner satisfaction associated with the use of a tissue adhesive in an emergency department. It briefly discusses wound and adhesive types, and shows that using such products for specific lacerations can provide safe and effective closure and acceptable healing outcomes for patients and clinicians, and reports the results of the study.
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Patient group directions (PGDs) enable practitioners who are not independent prescribers to administer or supply patients with medications. They reduce delays in the administration of medication and thereby improve patients' journeys. This article discusses an audit of the use of PGDs in an emergency care centre to ensure that they are used appropriately and regularly.