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Emergency Medicine Journal 2007;24:313
© 2007 BMJ Publishing Group Ltd and the College of Emergency Medicine.

Primary Survey

Simon Carley, Associate editor

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

A FADING MEMORY?

It is increasingly common for sedation to be given in the emergency department, and in recent years emergency department physicians have started to use a much greater range of drugs than the slug of 10 mg midazolam that I remember from my early days in the speciality (well they were sedated!). We never considered awareness back then, but it clearly is an important issue for many patients who undergo a painful procedure. Swann et al have specifically looked at the incidence of awareness in patients undergoing emergency department sedation and found a relatively low rate of 7.4% immediate recall and 4.5% delayed recall of events. Many patients remember dreaming, though the nature of the dream is sadly not reported. Overall a high level of satisfaction was reported, which again strengthens the argument for procedural sedation in the emergency department.
See page 322

GONE BUT NOT FORGOTTEN

One of the more challenging aspects of being . . . [Full text of this article]


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