Emergency medicine journal : EMJ
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A short cut review was carried out to establish whether steroids are indicated in children presenting with Bell's palsy. A total of 60 papers were found using the reported search, of which three represented the best evidence to answer the clinical question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results, and study weaknesses of these best papers are tabulated. A clinical bottom line is stated.
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Myocardial contusion injury (MCI) is a complication of blunt thoracic trauma, which may occur at relatively low velocities. MCI may also occur from chest compressions during cardiopulmonary resuscitation. We review the clinical pathology, diagnostic tools, and treatment for MCI.
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Competence based training and assessment has become central to education and training for healthcare professionals. There continues to be uncertainty about the meaning of competence and how the principles underpinning competence based training and assessment can be applied to evolving subspecialty and multidisciplinary areas such as prehospital care. Considerable development work has been undertaken on a national level with the creation of a Competence Framework for Emergency Care. This article explores the concepts of competence, defines the terminology, and describes the role of a competence framework in education and training.
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A short cut review was carried out to establish whether topical anaesthetics are an acceptable alternative to lidocaine infiltration in children. A total of 54 papers were found using the reported search, of which seven represented the best evidence to answer the clinical question. The author, date and country of publication, patient group studied, study type, relevant outcomes, results, and study weaknesses of these best papers are tabulated. A clinical bottom line is stated.
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Epistaxis is a common, potentially life threatening, emergency but first line medical staff are often not adequately trained in its management. This paper presents an illustrated step by step guide to the management of epistaxis by junior doctors in the emergency department.