A safe and cost-effective method of removal of obstructed pharyngeal foreign body in the accident and emergency department

2004 ◽  
Vol 262 (3) ◽  
pp. 192-193 ◽  
Author(s):  
Aneesh Kumar ◽  
S. Singh ◽  
C. Low ◽  
R. Shahab
Keyword(s):  
Emergency Department ◽  
Foreign Body ◽  
Cost Effective ◽  
Accident And Emergency ◽  
Cost Effective Method ◽  
Accident And Emergency Department

Randomized trial on the treatment of oedematous acute otitis externa using ear wicks or ribbon gauze: clinical outcome and cost

2002 ◽  
Vol 116 (6) ◽  
pp. 415-419 ◽  
Author(s):  
Franklin Pond ◽  
Dan McCarty ◽  
Stephen O’Leary
Keyword(s):  
Emergency Department ◽  
Clinical Outcome ◽  
Randomized Trial ◽  
Otitis Externa ◽  
Cost Effective ◽  
Common Condition ◽  
Labour Costs ◽  
Accident And Emergency ◽  
Cost Effective Method ◽  
Accident And Emergency Department

Acute otitis externa is a common condition that can be extremely painful. When there is considerable canal oedema, packing is necessary to facilitate the passage of medication. The experience at the Royal Victoria Eye and Ear Hospital is that ear wicks generally require removal in two to three days by medical staff and can be labour intensive as they often involve serial removals following re-insertions. Alternatively, medicated ribbon gauze is cheap and can be removed by the patient at home. Ear wick and mediated ribbon gauze were investigated by a prospective randomized trial involving 94 patients.Fewer out-patient visits were required for the ribbon gauze group (two vs. three, p<0.0001) with considerably less material and labour costs than the wick group. Similar resolution rates were achieved (70 per cent vs. 64 per cent, p = 0.58). Following development of guidelines, theproportion of otitis externa patient reviews in the accident and emergency department declined from 49 per cent to 36 per cent.Compared with the ear wick, medicated ribbon gauze is a cost-effective method of treating oedematous acute otitis externa.

scholarly journals Management of penetrating injury with retained intraocular lead foreign body from a writing instrument: surgical video with implications for paediatric public health and safety

2019 ◽  
Vol 12 (11) ◽  
pp. e231634
Author(s):  
Amreen Qureshi ◽  
Simon P Kelly ◽  
Fiona Carley ◽  
Assad Jalil
Keyword(s):  
Public Health ◽  
Emergency Department ◽  
Foreign Body ◽  
Health And Safety ◽  
Surgical Video ◽  
Accident And Emergency ◽  
Accident And Emergency Department ◽  
Ocular Injuries ◽  
Ocular Morbidity ◽  
Public Health And Safety

Penetrating ocular injuries from writing instruments that are thrown, especially by children, in the community can result in significant ocular morbidity. Often these cases present to the accident and emergency department. Accurate and prompt assessment is key in saving sight. We present a case of one such injury and how it was surgically managed.

Addition of a general practitioner to the accident and emergency department: a cost-effective innovation in emergency care

2011 ◽  
Vol 29 (3) ◽  
pp. 192-196 ◽  
Author(s):  
Judith E Bosmans ◽  
A Joan Boeke ◽  
Marguerite E van Randwijck-Jacobze ◽  
Sietske M Grol ◽  
Mark H Kramer ◽  
...  
Keyword(s):  
Emergency Department ◽  
General Practitioner ◽  
Emergency Care ◽  
Cost Effective ◽  
Accident And Emergency ◽  
Accident And Emergency Department

Ingested foreign bodies – a contemporary management approach

1995 ◽  
Vol 109 (10) ◽  
pp. 965-970 ◽  
Author(s):  
Michael Chi Fai Tong ◽  
John Kong Sang Woo ◽  
Cheuk Lun Sham ◽  
Charles Andrew Van Hasselt
Keyword(s):  
Emergency Department ◽  
Foreign Body ◽  
Prospective Study ◽  
Foreign Bodies ◽  
Management Approach ◽  
Modern Equipment ◽  
Accident And Emergency ◽  
Accident And Emergency Department ◽  
Contemporary Management ◽  
A Prospective Study

AbstractA prospective study of all foreign body complaints presenting through our Accident and Emergency Department was conducted in a population where the condition is endemic. All patients were managed by otolaryngologists. Six hundred and eight patients were attended to yielding 179 foreign bodies. Making use of modern equipment and a practical approach, the requirement for examination under general anaesthesia was 6.3 per cent. In this series there was a complication rate of 0.5 per cent.

scholarly journals How We Do It: A DIY Smart Phone based ENT Endoscopy

2017 ◽  
Vol 25 (3) ◽  
pp. 176-179
Author(s):  
Shyam Duvvi ◽  
P Neelapala ◽  
A S Duvvi ◽  
B Nirmal Kumar
Keyword(s):  
Emergency Department ◽  
Visual Inspection ◽  
Smart Phone ◽  
Cost Effective ◽  
Easy Access ◽  
Effective Solution ◽  
Simple Method ◽  
Treatment Room ◽  
Accident And Emergency ◽  
Accident And Emergency Department

We present a simple method of preparing a smart phone based ENT endoscopy for OPD clinic and for on call ENT to provide emergency ENT care in Accident and Emergency department when required. In our experience, this method is efficient, economical and ensures mobility and flexibility of remote visual inspection and documentation. This aids in better care for patients especially where there is no easy access to traditional ENT treatment room facility. This provides a fast and cost-effective solution to simultaneously view capture and save photos and videos with a smartphone and, if required, send these pictures to oncall Consultant. This enables quicker identification, documentation and support regardless of location.

Use of an accident and emergency department observation ward in the management of head injury

1993 ◽  
Vol 80 (8) ◽  
pp. 1079-1079 ◽  
Author(s):  
A. F. T. Brown ◽  
G. J. Wilkes ◽  
C. T. Myers ◽  
R. E. Maclaren
Keyword(s):  
Emergency Department ◽  
Head Injury ◽  
Accident And Emergency ◽  
Accident And Emergency Department

Hand Infections: An Audit of 160 Infections Treated in an Accident and Emergency Department

1993 ◽  
Vol 18 (1) ◽  
pp. 115-118 ◽  
Author(s):  
J. STEVENSON ◽  
I. W. R. ANDERSON
Keyword(s):  
Emergency Department ◽  
Complete Resolution ◽  
Wound Care ◽  
Duration Of Treatment ◽  
Mean Delay ◽  
Accident And Emergency ◽  
Accident And Emergency Department ◽  
The Mean ◽  
Careful Assessment

160 consecutive hand infections presented to an Accident and Emergency department over a four-month period. All but one were treated solely on an out-patient basis. The mean delay to presentation was three days, the mean duration of treatment was six days. Follow-up to complete resolution was achieved in 89% of cases. No patients were treated with parenteral antibiotics. The need for careful assessment, early aggressive surgery, and meticulous attention to the principles of wound care by experienced clinicians is emphasized.

scholarly journals Radiological features of body packers: An experience from a regional accident and emergency department in close proximity to the Hong Kong International Airport

2018 ◽  
Vol 25 (4) ◽  
pp. 202-210
Author(s):  
Ho Kai Patrick Tsang ◽  
Cheuk Kei Kathy Wong ◽  
Oi Fung Wong ◽  
Wing Lun William Chan ◽  
Hing Man Ma ◽  
...  
Keyword(s):  
Emergency Department ◽  
Hong Kong ◽  
Body Packing ◽  
Radiological Features ◽  
International Airport ◽  
Accident And Emergency ◽  
Accident And Emergency Department ◽  
Body Packers ◽  
Solid Form ◽  
Hong Kong International Airport

Background: Body packing is a frequently used method for drug trafficking. Local information about the clinical and radiological features of body packing is lacking. Objectives: To evaluate the radiological features of body packers presenting to a hospital near to the Hong Kong International Airport and to compare the radiological features of solid form versus liquid cocaine. Methods: This was a retrospective cohort study. Medical notes of 269 suspected body packers, presenting to the Accident and Emergency Department of North Lantau Hospital under the detention by the law enforcement personnel from 1st January 2015 to 28th February 2017, were reviewed. The radiological features of body packing were retrospectively evaluated. Results: Sixty-nine cases were confirmed body packers radiographically. Majority of them (81%, 56/69) were cocaine packers. Powder form cocaine (67%, 49/69) was the most popular drug packed, followed by liquid cocaine (15%, 10/69). There was a trend of increasing incidence of liquid cocaine packers. The classical ‘double condom’, ‘tic tac’ and ‘halo’ signs were present in 94%, 72.5% and 42% of cases with radiologically confirmed body packing respectively. The ‘rosette’ sign was only identified in 1 case. Three new radiological signs, the ‘bag of eggs’, ‘lucent triangle’ and ‘black crescent’ sign, were suggested to aid identification of drug packets. The classical ‘tic tac’ sign was absent in all liquid cocaine packing cases (p<0.05). The liquid cocaine packets appeared irregular with indistinct border in majority of cases (p<0.05). The solid form packets were mostly opaque to faeces while liquid cocaine had variable density (p<0.05). Most solid form packets had homogeneous content which was in contrast to the heterogeneous content in liquid cocaine (p<0.05). Conclusion: Failure in detecting drug body packing may result in medicolegal consequences. Emergency physicians need to be aware of subtle radiological signs of liquid cocaine packets in the plain abdominal radiography.

scholarly journals A Retrospective Review of Patients with Radiological Missed Fractures in an Emergency Department in Hong Kong

2003 ◽  
Vol 10 (4) ◽  
pp. 215-222 ◽  
Author(s):  
VCH Ng ◽  
FL Lau
Keyword(s):  
Emergency Department ◽  
Management Plan ◽  
Lower Limbs ◽  
X Rays ◽  
Accident And Emergency ◽  
Assessment And Treatment ◽  
Spinal Region ◽  
Accident And Emergency Department ◽  
Clinical Records ◽  
Christian Hospital

Aim To review the clinical spectrum and outcome of radiological missed fractures in the Accident and Emergency Department of United Christian Hospital (UCH) in 2002. Method In UCH, radiologists report all X-Rays taken in the Accident and Emergency Department (AED) within 48 hours. The study period was from 1st January 2002 to 31st December 2002. AED notes, relevant clinical records and all X-rays of patients with suspected missed fractures as reported by radiologists were reviewed for information on clinical features, treatments and outcomes. Results A total of 286 cases of missed fractures were found. Fourteen (4.9%) involved the skull and maxillofacial region, 83 (29.0%) involved the chest region, 53 (18.5%) involved the spinal region, 72 (25.2%) involved the upper limbs and 64 (22.4%) involved the lower limbs. Of these 286 cases, 137 (47.9%) were followed up in AED, 90 (31.5%) were referred to specialist clinics for further management, 26 (9.1%) required admission to hospital for further assessment and treatment, and 33 (11.5%) defaulted follow up. Furthermore, 87 (30.4%) of these 286 missed fractures required a change in management plan: 3 missed fractures required operative intervention (internal fixation) and 84 missed fractures required some form of external immobilisation. This group of patient did not lodge any complaint or claim. Conclusion A&E doctors missed quite a number of fractures that might result in significant morbidity. However, a reporting system by radiologists within 48 hours from discharge can pick up all these missed fractures, and may prevent complaints and litigations.

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