Emergency medicine journal : EMJ
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We investigate whether admission from a consultant-led ED is associated with ED occupancy or crowding and inpatient (bed) occupancy. ⋯ Admission thresholds are modestly associated with ED and inpatient occupancy when these reach extreme levels. Admission thresholds are higher when the number of emergency inpatients is particularly high. This may indicate that riskier discharge decisions are taken when beds are full. Admission thresholds are also high when pressures within the hospital are particularly low, suggesting the potential to safely reduce avoidable admissions.
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Clinical introductionA healthy 17-year-old girl presents with a wound on her left medial thigh (figure 1). Two days earlier while applying acrylic nail tips, she spilled nail glue on her jeans in the area of concern. Despite noticing an immediate irritable sensation, she did not perform any first aid nor did she remove her clothing to check the underlying skin.emermed;39/3/185/F1F1F1Figure 1Wound left medial thigh. ⋯ Partial thickness thermal burn. Allergic reaction to nail glue. For answer see page 02.