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.

The Accident and Emergency Department Management of Deliberate Self-Poisoning

1988 ◽  
Vol 152 (6) ◽  
pp. 830-833 ◽  
Author(s):  
David W. Owens ◽  
Susan J. Jones
Keyword(s):  
Emergency Department ◽  
Psychiatric Morbidity ◽  
Patient Characteristics ◽  
Psychiatric Services ◽  
Case Register ◽  
Accident And Emergency ◽  
Emergency Department Management ◽  
Previous Contact ◽  
Accident And Emergency Department

Consecutive attenders (525) presenting at the Nottingham Accident and Emergency (A & E) department with deliberate self-poisoning were identified retrospectively. Their case-notes were examined for patient characteristics and clinical management. The Nottingham Psychiatric Case Register was examined for previous contact and use of psychiatric services over a 2-year follow-up period. Significant differences were found between those patients admitted to a ward and those who returned home from the A & E Department, in respect of likelihood of psychiatric morbidity and use of psychiatric services. One in three self-poisoning patients returns home directly from the accident department, and there seemed to be appropriate selection.

Motives and Intent: A Comparison of Views of Overdose Patients and Their Key Relatives/Friends

1986 ◽  
Vol 31 (7) ◽  
pp. 621-624 ◽  
Author(s):  
R. Varadaraj ◽  
J.D. Mendonca ◽  
P.M. Rauchenberg
Keyword(s):  
Emergency Department ◽  
General Hospital ◽  
District General Hospital ◽  
Suicidal Intent ◽  
Accident And Emergency ◽  
Accident And Emergency Department ◽  
Selection Of

The purpose of the study was to compare the perceptions of patients with those of key relatives or friends as regards motives for self-poisoning and intent to die, in ninety-eight overdose cases. Patients admitted to the accident and emergency department of a district general hospital in the county of Warwickshire, England, were interviewed following their recovery, Their key relatives/friends were also interviewed concerning their views of the emergency. Analysis of the responses of patients and key persons indicated that there was a significant association between the perceptions of the two classes of subjects as regards selection of escape/relief motives, warning prior to the attempt and intention to die. There was also a significant association between patient and relative perceptions of suicidal intent and relief at being alive. The implication of these findings as regards follow-up therapy is discussed.

Psychiatric Morbidity in an Accident and Emergency Department

1990 ◽  
Vol 156 (4) ◽  
pp. 483-487 ◽  
Author(s):  
Paul M. Salkovskis ◽  
David Storer ◽  
Chris Atha ◽  
Hilary M. C. Warwick
Keyword(s):  
Emergency Department ◽  
Psychiatric Morbidity ◽  
Psychological Problems ◽  
Self Report ◽  
Psychiatric Disturbance ◽  
Psychological Disturbance ◽  
Accident And Emergency ◽  
Psychiatric Intervention ◽  
Accident And Emergency Department

In order to evaluate how many patients presenting at accident and emergency (A&E) departments show signs of psychiatric disturbance, 140 consecutive medical presentations to an A&E department were evaluated using a range of simple self-report and rater measures, then followed up a month later. High levels of reported psychological problems were detected at screening, and these persisted at follow-up. Correlates of psychological disturbance and repeated attendance at A&E were investigated, indicating the relevance and feasibility of psychiatric intervention related to simple predictors.

A protocol for telemedical consultation

1997 ◽  
Vol 3 (3) ◽  
pp. 163-168 ◽  
Author(s):  
S Tachakra ◽  
A Sivakumar ◽  
J Hayes ◽  
M Dawood
Keyword(s):  
Emergency Department ◽  
Nurse Practitioners ◽  
Depth Perception ◽  
Record Keeping ◽  
Face To Face ◽  
Main Hospital ◽  
Accident And Emergency ◽  
Specialist Referral ◽  
Accident And Emergency Department

We have developed a protocol for telemedical consultations. This has been used by emergency nurse practitioners to consult doctors in a main hospital accident and emergency department, using videoconferencing at 384kbit s. A telemedical consultation should simulate a face-to-face one. The protocol starts with an explanation for the patient of what will happen, followed by the necessary introductions. After relaying the history, the generalist should show the abnormal part to the specialist. Attention should be paid to colour. Depth perception is often enhanced by rotating the camera through 180 . The diagnosis and management, together with their implications, should be discussed with the patient by the specialist. Referral and follow-up should also be discussed. Proper clinical record-keeping is essential. In the first 15 months of using the protocol, we completed more than 300 teleconsultations. An analysis of the first 50 teleconsultations showed that about half were for discussing a radiograph and about half were for examining a patient.

scholarly journals Psychiatric presentations to an accident and emergency department

1989 ◽  
Vol 13 (12) ◽  
pp. 672-674 ◽  
Author(s):  
John Dunn ◽  
Renuka Fernando
Keyword(s):  
Emergency Department ◽  
Nature Management ◽  
Psychiatric Diagnoses ◽  
Accident And Emergency ◽  
Scant Attention ◽  
Psychiatric Intervention ◽  
Accident And Emergency Department

The nature, management and disposal of patients who present to casualty departments and receive psychiatric diagnoses by the assessing doctor are areas that have received scant attention by psychiatric researchers. The aim of this study was to analyse the records of such patients to see how they had been managed, in particular to document the degree of psychiatric intervention provided or offered, and to see what follow-up arrangements, if any, had been made.

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