Overdosing the Overdosed

2020 ◽  
pp. 211-218
Author(s):  
Pat Croskerry
Keyword(s):  
Emergency Department ◽  
Head Injury ◽  
Medication Error ◽  
General Hospital ◽  
Middle Aged ◽  
Fundamental Attribution Error ◽  
Inappropriate Use ◽  
Laboratory Error ◽  
Toxic Drug ◽  
History Of

In this case, a middle-aged male presents to the emergency department (ED) of a general hospital with dizziness and weakness and a history of falling the previous day associated with seizures. There is also a possibility of head injury. He is well known to the department and has been seen previously by the head of the department regarding inappropriate use of the ED. Some difficulty ensues in terms of whether he has been having seizures or not, which, combined with a medication error and a laboratory error, results in him being overdosed with a significantly toxic drug. The case is an example of groupthink as well as fundamental attribution error.

scholarly journals Temporising an extradural haematoma by intraosseous needle craniostomy in the District General Hospital by non-neurosurgical doctors – A case report

2017 ◽  
Vol 19 (1) ◽  
pp. 76-79 ◽  
Author(s):  
Sahra Durnford ◽  
Harry Bulstrode ◽  
Andrew Durnford ◽  
Aabir Chakraborty ◽  
Nicholas T Tarmey
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Head Injury ◽  
General Hospital ◽  
Closed Head Injury ◽  
District General Hospital ◽  
Extradural Haematoma ◽  
Closed Head

We report the case of a 69-year-old man admitted to the emergency department of a UK district general hospital with an extradural haematoma following closed head injury. He deteriorated rapidly before transfer to the regional neurosurgical centre and was treated with decompression of the extradural haematoma through an EZ-IO™ intraosseous needle in our department, with telephone guidance from the neurosurgeon. We believe this to be the first reported use of this technique in a district general hospital.

A Head Injury Record Form for an Accident Unit

1987 ◽  
Vol 3 (1) ◽  
pp. 46-48 ◽  
Author(s):  
Andrew K. Marsden ◽  
David J. Price
Keyword(s):  
Emergency Department ◽  
Head Injury ◽  
Glasgow Coma Scale ◽  
General Hospital ◽  
Royal Infirmary ◽  
Emergency Unit ◽  
Coma Scale ◽  
Accident And Emergency ◽  
Head Injured ◽  
Injured Patients

In 1981 we described the introduction and development of a coma scale for use in Head Injured patients. The scale has become adopted for routine use in the Accident and Emergency Unit at Pinderfields General Hospital, Wakefield, and at other centers, for example the Emergency Department at the Glasgow Royal Infirmary finds the scale more sensitive than its own Glasgow Coma Scale in monitoring the course of accident victims.

scholarly journals GCS AS PREDICTOR LENGTH OF STAY THE MILD HEAD INJURY PATIENTS IN PIRNGADI GENERAL HOSPITAL MEDAN

2018 ◽  
Vol 2 (2) ◽  
pp. 280
Author(s):  
Normi Parida Sipayung ◽  
Henny Syapitri
Keyword(s):  
Emergency Department ◽  
Head Injury ◽  
Length Of Stay ◽  
General Hospital ◽  
Primary Data ◽  
Mild Head Injury ◽  
Cross Sectional ◽  
Early Management ◽  
Injury Patient ◽  
Spearman Test

Introduction. Early management of head injury patient in Emergency Department will affect the outcome and Length of Stay mild head injury patient in the hospital. The research aimed to analyze GCS as predictor factors associated Length of Stay patient in the hospital. Methods. This study was correlational analytic approach with cross sectional. Technique sampling in this study used purposive sampling. The number of samples used 41 patient were taken from the primary data which doing the observations on the mild head injury patients who come to emergency department from April until June 2014 at Pirngadi General Hospital Medan. Data was collected by observation and questionnaire. Result. The results of the analysis used Spearman test showed that there was correlation between GCS with Length of Stay of mild head injury patients p 0.00, r -0,637. Discussion. Higher value of GCS So length of stay a mild head injury patients in Pirngadi General Hospital Medan also shorter .Keywords: Mild head injury, outcome head injury, predictor Length of Stay, Emergency Department

scholarly journals HUBUNGAN SKOR GLASGOW COMA SCALE (GCS) DENGAN JUMLAH TROMBOSIT PADA PASIEN CEDERA KEPALA DI IGD RSUD ULIN BANJARMASIN

2016 ◽  
Vol 12 (2) ◽  
pp. 289
Author(s):  
Annisa Yutami ◽  
Kenanga Marwan Sikumbang ◽  
Asnawati Asnawati
Keyword(s):  
Emergency Department ◽  
Platelet Count ◽  
Head Injury ◽  
Glasgow Coma Scale ◽  
General Hospital ◽  
Severe Head Injury ◽  
Cross Sectional ◽  
Coma Scale ◽  
Consumptive Coagulopathy ◽  
Gcs Score

Abstract: Head injuries are a public health and a serious socio-economic problems in the world. Head injury classified quantitatively using the Glasgow Coma Scale (GCS) score. Consumptive coagulopathy that often arises in patients with head injury associated with a tenfold adjusted risk of death. Consumptive coagulopathy marked by a decrease in the number of platelets. The purpose of the study was to analyze the relationship between GCS score with total platelet count in head injury patients at Emergency Department Ulin General Hospital Banjarmasin. This study was an observational analytic cross sectional study. Seventy three samples were obtained according to the inclusions criteria with 28 mild head injury patients, 26 moderate head injury patients, and 19 severe head injury patients. Seven patients had thrombocytopenia, from moderate head injury and severe head injury groups. From statistical test using one way ANOVA with confidence level of 95% was obtained p=0.402. It can be concluded that there is no relationship between GCS score with total platelet count in head injury patients at Emergency Department Ulin General Hospital. Keywords: head injury, GCS, platelet count Abstrak: Cedera kepala merupakan masalah kesehatan masyarakat dan sosial ekonomi yang serius di dunia. Cedera kepala diklasifikasikan secara kuantitatif menggunakan skor Glasgow Coma Scale (GCS). Koagulopati konsumtif yang sering muncul pada pasien cedera kepala dapat meningkatkan risiko kematian menjadi sepuluh kali lipat. Koagulopati konsumtif ditandai dengan penurunan jumlah trombosit. Tujuan penelitian untuk mengetahui apakah terdapat hubungan antara skor GCS dengan jumlah trombosit pada pasien cedera kepala di IGD RSUD Ulin Banjarmasin. Penelitian ini bersifat observasional analitik cross sectional. Didapatkan 73 sampel yang sesuai dengan kriteria inklusi, dengan perincian 28 pasien cedera kepala ringan (CKR), 26 pasien cedera kepala sedang (CKS), dan 19 pasien cedera kepala berat (CKB). Tujuh pasien mengalami trombositopenia, dari kelompok pasien cedera kepala sedang dan cedera kepala berat. Dari uji statistik  menggunakanone-way ANOVA dengan tingkat kepercayaan 95% didapatkan nilai p=0,402. Dapat disimpulkan bahwa tidak terdapat hubungan antara skor GCS dengan jumlah trombosit pada pasien cedera kepala di IGD RSUD Ulin Banjarmasin. Kata-kata Kunci: cedera kepala, GCS, jumlah trombosit

The Vacillated Vagrant

2020 ◽  
pp. 187-192
Author(s):  
Pat Croskerry
Keyword(s):  
Emergency Department ◽  
Tertiary Care Hospital ◽  
Correct Diagnosis ◽  
Tertiary Care ◽  
Care Hospital ◽  
Shortness Of Breath ◽  
Chest Tightness ◽  
Middle Aged ◽  
Fundamental Attribution Error ◽  
Affective Bias

In this case, a middle-aged male is brought to the emergency department of a tertiary care hospital from the airport. He has had an episode of shortness of breath and chest tightness, associated with nausea, paresthesias, and headache. Initially, he undergoes a cardiac workup and is cleared of any problems with his heart. He is discharged to the community and advised to return if there is any recurrence of symptoms. He does return for a further four visits over a 2-week period, during which he is referred to various other disciplines and services before his correct diagnosis is made. The case illustrates how a variety of biases influence the course of his management, notably diagnosis momentum, fundamental attribution error, and affective bias.

scholarly journals Metallic Axe Causing Cranial Injury: A Case Report

2020 ◽  
Vol 2 (1) ◽  
pp. 59-61
Author(s):  
Dipak Kumar Yadav ◽  
Sadaf Saleem Sheikh
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Head Injury ◽  
Male Patient ◽  
Physical Assault ◽  
History Of ◽  
Cranial Injury

 Axe as the weapon holds features of both sharp and blunt forces. Physical assault in our community is generally noticed but with such unique weapon is not frequently heard. Homicidal inflicting injury to the head is common in physical assault. Many cases are being admitted with a history of head injury with blunt objects and sharp objects but very few cases are being documented in literature about the use of axe as a weapon. Here is presented a case of 46-year-old right handed male patient form a village in Siraha was brought to the emergency department with the history of physical assault with sharp edged metallic axe.

scholarly journals Beware of the 3776.24 m peak

2020 ◽  
pp. 102490792098275
Author(s):  
Stephanie Dorothy Pui Ming Yu ◽  
James Siu Ki Lau ◽  
Puisy Yau Ng Chan ◽  
Pui Gay Kan
Keyword(s):  
Emergency Department ◽  
Head Injury ◽  
Early Diagnosis ◽  
Middle Aged ◽  
Radiological Findings ◽  
Threatening Condition ◽  
Life Threatening ◽  
Neurosurgical Intervention

A middle-aged man presented to the emergency department after a seemingly trivial head injury. Recognition of pathognomonic radiological findings allowed early diagnosis of a potentially life-threatening condition. The patient recovered uneventfully after prompt neurosurgical intervention.

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