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Emergency Medicine Journal 2005;22:837
© 2005 BMJ Publishing Group Ltd, and British Association for Accident and Emergency Medicine

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Primary Survey

Geoff Hughes, Editor

The first 150 words of the full text of this article appear below.


HEAD INJURIES
This month we publish four papers on head injuries, two of them an analysis of the impact of the NICE head injury guidelines issued in 2003. Hassan and colleagues report that implementation of the guidelines led to a significant increase in CT usage and a reduction in skull x-ray and admission rates. Qureshi et al look at the human resource (nurse) implications of performing head injury observations. Clinical decision rules are increasingly used to help clinicians treat patients. The team from Portland Oregon describe a new rule to help identify patients with blunt traumatic brain injury who need urgent ‘trauma centre’ care. Finally Kerr and his colleagues from Scotland audited head injury management after the Scottish Intercollegiate Guidelines Network guidelines were introduced in 2000.
See p 845, 861, 874, and 850


JEHOVAH’S WITNESSES
Do you really have a clear understanding of the rights of a Jehovah‘s Witness patient in . . . [Full text of this article]


Relevant Articles

Detection of coins ingested by children using a handheld metal detector: a systematic review
J B Lee, S Ahmad, and C P Gale
Emerg. Med. J. 2005 22: 839-844. [Abstract] [Full Text] [PDF]

Head injuries: a study evaluating the impact of the NICE head injury guidelines
Z Hassan, M Smith, S Littlewood, O Bouamra, D Hughes, C Biggin, K Amos, A D Mendelow, and F Lecky
Emerg. Med. J. 2005 22: 845-849. [Abstract] [Full Text] [PDF]

An audit of clinical practice in the management of head injured patients following the introduction of the Scottish Intercollegiate Guidelines Network (SIGN) recommendations
J Kerr, R Smith, S Gray, D Beard, and C E Robertson
Emerg. Med. J. 2005 22: 850-854. [Abstract] [Full Text] [PDF]

Are we able to comply with the NICE head injury guidelines?
A A Qureshi, V Mulleady, A Patel, and K M Porter
Emerg. Med. J. 2005 22: 861-862. [Abstract] [Full Text] [PDF]

Relationship between Trendelenburg tilt and internal jugular vein diameter
S Clenaghan, R E McLaughlin, C Martyn, S McGovern, and J Bowra
Emerg. Med. J. 2005 22: 867-868. [Abstract] [Full Text] [PDF]

Jehovah’s Witnesses in the emergency department: what are their rights?
S Woolley
Emerg. Med. J. 2005 22: 869-871. [Abstract] [Full Text] [PDF]

Prevalence and healthcare burden of illegal drug use among emergency department patients
S Binks, R Hoskins, D Salmon, and J Benger
Emerg. Med. J. 2005 22: 872-873. [Abstract] [Full Text] [PDF]

The effect of blunt abdominal trauma on appendix vermiformis
B Etensel, M Yazici, H Gürsoy, S Özkisacik, and M Erkus
Emerg. Med. J. 2005 22: 874-877. [Abstract] [Full Text] [PDF]

Prospective audit of 106 consecutive human bite injuries: the importance of history taking
C G Wallace and C E Robertson
Emerg. Med. J. 2005 22: 883-884. [Abstract] [Full Text] [PDF]






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© 2005 BMJ Publishing Group Ltd, and British Association for Accident and Emergency Medicine