scholarly journals Use of the Emergency Ambulance Service to an Inner City Accident and Emergency Department – a Comparison of General Practitioner and ‘999’ Calls

1991 ◽  
Vol 84 (12) ◽  
pp. 726-727 ◽  
Author(s):  
A G Pennycook ◽  
R M Makower ◽  
W G Morrison
Keyword(s):  
Emergency Department ◽  
Inner City ◽  
Hospital Setting ◽  
Ambulance Service ◽  
Inappropriate Use ◽  
Accident And Emergency ◽  
Emergency Ambulance ◽  
Accident And Emergency Department ◽  
A Prospective Study ◽  
Effective Use

Over a 2-week period a prospective study was undertaken of patients brought to an inner city accident and emergency department by the emergency ambulance service. Criteria for assessing the appropriateness of use of the emergency ambulance service are not well defined and at worst entirely subjective. The author's finding that, of patients attending after a ‘999’ call, 49.8% were discharged with no follow-up suggests that many of these journeys represented inappropriate use of the emergency ambulance service. Close liaison between senior medical staff and the emergency ambulance service may allow more appropriate and effective use of the service, improving patient care in the pre-hospital setting.

scholarly journals The cost of overseas visitors to an inner city accident and emergency department.

1996 ◽  
Vol 13 (1) ◽  
pp. 16-17 ◽  
Author(s):  
J Colville ◽  
A Burgess ◽  
C Kermani ◽  
R Touquet ◽  
J Fothergill
Keyword(s):  
Emergency Department ◽  
Inner City ◽  
Accident And Emergency ◽  
Accident And Emergency Department ◽  
The Cost

Who should treat epistaxis?

1987 ◽  
Vol 101 (2) ◽  
pp. 139-142 ◽  
Author(s):  
D. G. John ◽  
A. I. Alison ◽  
D. J. A. Scott ◽  
A. R. McRae ◽  
M. J. Allen
Keyword(s):  
Emergency Department ◽  
General Practitioner ◽  
Prospective Study ◽  
Successful Treatment ◽  
Successful Management ◽  
Bleeding Point ◽  
Accident And Emergency ◽  
Accident And Emergency Department ◽  
A Prospective Study

AbstractA prospective study was undertaken of 75 patients complaining of epistaxis who presented to an Accident and Emergency Department.The patients were placed into four groups according to their presenting features, and various forms of appropriate management applied.It was found that in the group that had ceased bleeding on presentation, whether or not a bleeding point was visible, there was no benefit obtained by treatment. If the nose was still bleeding on presentation, and the bleeding point was visible, successful management could be obtained by cauterising the bleeding point. This is a treatment that could be carried out by either the General Practitioner or the Accident Department. If the nose was actively bleeding, and the bleeding point could not be seen, then even initially successful treatment by the Accident Department was usually found to be ineffective within forty-eight hours. It is suggested that this group should be referred to an ENT unit on presentation.

scholarly journals Deliberate self-harm and antidepressant drugs

2000 ◽  
Vol 177 (6) ◽  
pp. 551-556 ◽  
Author(s):  
Stuart Donovan ◽  
Andrew Clayton ◽  
Min Beeharry ◽  
Sheron Jones ◽  
Chris Kirk ◽  
...  
Keyword(s):  
Emergency Department ◽  
Prospective Study ◽  
Serotonin Reuptake ◽  
Antidepressant Drugs ◽  
Tricyclic Antidepressant ◽  
Deliberate Self Harm ◽  
Accident And Emergency ◽  
Self Harm ◽  
Accident And Emergency Department ◽  
A Prospective Study

BackgroundIt is not clear if the frequency of deliberate self-harm (DSH) is the same in patients taking different pharmacological classes of antidepressant drugs.AimsTo compare the frequency of DSH in patients who had been prescribed a tricyclic antidepressant (TCA) or a selective serotonin reuptake inhibitor (SSRI) prior to the DSH event.MethodThis was a prospective study in 2776 consecutive DSH cases attending an accident and emergency department. The incidence of DSH in TCA-treated cases and SSRI-treated cases is expressed as number of DSH events per 10 000 prescriptions of each antidepressant.ResultsSignificantly more DSH events occurred following the prescription of an SSRI than that of a TCA (P < 0.001). The occurrence of DSH was highest with fluoxetine and lowest with amitriptyline.ConclusionsMerely prescribing safer-in-overdose antidepressants is unlikely to reduce the overall morbidity from DSH.

Hand Problems in an Accident and Emergency Department

1985 ◽  
Vol 10 (3) ◽  
pp. 297-299
Author(s):  
D. P. CLARK ◽  
R. N. SCOTT ◽  
I. W. R. ANDERSON
Keyword(s):  
Emergency Department ◽  
Prospective Study ◽  
Accident And Emergency ◽  
Accident And Emergency Department ◽  
A Prospective Study

We present a prospective study of 1,074 consecutive hand problems which were presented to our Accident and Emergency Department over an eight week period. This number accounted for 1 in 5 of all accident attendances. Over 40% of these patients were males aged 12–29 years. Nearly half of the hand patients presented within two hours of injury. Over half the patients needed only reassurance or a simple dressing but 55 patients (5%) had to be admitted for surgery.

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