We included 685 consecutive previously healthy well appearing infants younger than 3 months with fever without known source admitted to an Emergency Department without routinely performing lumbar punctures (LP). LP was performed in 198 infants. Of these, 36 (18.1%) showed pleocytosis. Two infants less than 15 days were diagnosed with bacterial meningitis and 47 with aseptic meningitis (6.8%). L...

In recent years, training in emergency obstetric skills has moved from the traditional clinical teaching in the labour ward to specific, targeted skills and scenario-based courses utilising mannequins and simulators. Such changes have been necessary, largely as a result of the limitations of traditional clinical teaching when it comes to genuine patient encounters in an emergency situation. The...

No published information is available about myocardial infarction management in Spanish emergency departments. The EVICURE is a prospective, multicenter, observational study involving 35 hospitals that for a 3-week period collected all the cases of patients requiring care in which the final diagnosis of the cause of symptoms was ischemic heart disease. The study included 2,216 patients, of whic...

We briefly report the case of a female patient 46 y.o. affected by Myotonic muscular dystrophy (Steinert Disease) who underwent a laparotomic hysterectomy. A 46-year-old female (height 165 cm, weight 67 kg) presented to emergency department for metrorrhagia and anemization due to the presence of unknown multiple uterine myomas. She has hemoglobin level of 6, 6g/ dl and she was admitted to Gynec...

A 16-year-old schoolgirl presented to the emergency ward after ingestion of 1 fresh tablet of aluminum phosphide (celphos) mixed with water. According to the attendant, she vomited 8-10 times and had profuse sweating after ingestion of celphos tablet. There was no history of fever, headache, chest pain, breathlessness, convulsion, drug intake or loss of consciousness after ingestion of celphos ...

OBJECTIVE To train medical residents and nurses to work together as a patient-centered care (PCC) team on a medical ward and test its feasibility, nurses' learning, and patient outcomes. METHOD Working with administrative leadership, we consolidated residents' patients on one 32-bed ward. Already training residents in an evidence-based patient-centered method, we now trained 5 nurse leaders s...

Respiratory obstruction has been reported as a complication of carotid endarterectomy; the causes include traumatic mucosal oedema, direct tracheal compression by haematoma and oedema secondary to lymphatic and venous congestion. We report four cases of acute respiratory obstruction complicating carotid endarterectomy. Two of these cases suffered respiratory arrest in the postoperative ward and...