Background Physicians have observed patients with COVID-19 without respiratory distress despite marked hypoxaemia and extensive radiographic abnormalities, a controversial phenomenon called ‘silent ...

Background Ankle injuries are one of the most common presentations in the ED. Although fractures can be ruled out using the Ottawa Ankle Rules, the specificity is low, which means many patients may ...

One of the hallmarks of an emergency department (ED), compared with an urgent care, or a physician’s office, is that patients are seen by the clinicians in order of acuity, not arrival. When there are ...

The Manchester Triage System (MTS) is a well-known algorithmic triage tool, designed for use in EDs with the aim of identifying patients with critical illness and prioritising patients’ safety. Zaboli ...

Background Patient experience is positively associated with both clinical effectiveness and patient safety and should be a priority for emergency care providers. While both quantitative and ...

Background A cross-sectional service evaluation within South Central Ambulance Service (SCAS) revealed deficiencies in the assessment and management of paediatric patients’ pain resulting from trauma.

Use of the femoral vein for self-administration of drugs is increasing among intravenous drug users. We report an unusual source of haemorrhage in an habitual intravenous drug user involved in trauma.

Background Most headache presentations to emergency departments (ED) have benign causes; however, approximately 10% will have serious pathology. International guidelines recommend that patients ...

Background A small proportion of patients referred to as ‘frequent attenders’ account for a large proportion of hospital activity such as ED attendances and admissions. There is a lack of recent, ...

Nitazenes are potent synthetic opioids, never licensed for human use due to profound central nervous system and respiratory depression. Developed in the 1950s, they re-emerged in illicit drug supplies ...

It is with great interest that we have read the article from Schinkel et al in which the Netherlands Triage System (NTS) was compared with the Modified Early Warning Score (MEWS) to predict hospital ...

Background Sepsis is a major cause of morbidity and mortality and many tools exist to facilitate early recognition. This review compares two tools: the quick Sequential Organ Failure Assessment (qSOFA ...