Articles: emergency-services.
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Randomized Controlled Trial Multicenter Study Comparative Study Clinical Trial
Prehospital-initiated vs hospital-initiated thrombolytic therapy. The Myocardial Infarction Triage and Intervention Trial.
To determine the effect of prehospital-initiated vs hospital-initiated treatment of myocardial infarction on clinical outcome. ⋯ There was no improvement in outcome associated with initiating treatment before hospital arrival; however, treatment within 70 minutes of symptom onset--whether in the hospital or in the field--minimized the infarct process and its complications.
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To compare the ratio of hospital admissions for asthma to total hospital admissions and to admissions for non-asthma respiratory conditions, over an 11-year period, to see if there has been a true increase in admissions for asthma or merely a change in diagnostic labelling. A similar comparison was made for presentations with asthma and non-asthma respiratory conditions to the accident and emergency department. ⋯ These results suggest that there has been a major increase in the number of cases of asthma being treated at this hospital and that this is a true increase, perhaps representing increased severity, rather than a change in diagnostic labelling.
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Comparative Study
How well do doctors resuscitate patients with haemorrhagic shock?
Patients with haemorrhagic shock of all degrees present to accident and emergency (A&E) departments regularly. This study examined 43 such patients who presented to one department over a 14-week period. The adequacy of their fluid replacement was judged in comparison with Advanced Trauma Life Support (ATLS) recommendations according to the degree of shock they appeared to have on presentation. The study found that more training may be required on the appropriate recognition and treatment of haemorrhagic shock.