© 2003 BMJ Publishing Group, British Association for Accident & Emergency Medicine, & Faculty of Accident & Emergency Medicine
Primary Survey
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Airway management, in particular rapid sequence intubation (RSI), is a core skill in emergency medicine. The RSI debate continues between UK emergency physicians and anaesthetists. This large prospective, multicentre Scottish urban study aimed to examine emergency intubation practice, whether performed by emergency physicians or anaesthetists. Anaesthetists obtained better views at laryngoscopy and achieved higher initial success rates, but emergency physicians intubated a higher proportion of unstable patients and a higher proportion within 15 minutes of admission. Complications were fewer in the anaesthetists group, but this may be related to differences in patient populations. See page 3
Seizure is a very common presenting complaint of children attending an accident and emergency department. Once the seizure is under control there are wide variations across the country in investigations and management, including admission decisions. This paper describes a systematic literature review to find the best evidence for correct management from presentation to discharge.
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