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Sophia

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FOOLED BY THE PACKAGING?

Delays in door to needle or door to catheterisation laboratory times are carefully scrutinised, so it is interesting to note that three independent predictors of delay are: not arriving in hospital by ambulance, direct admission to the medical ward (bypassing the emergency department) and absence of diaphoresis (

) . It seems that unless patients arrive in the emergency department on an ambulance trolley looking unwell, healthcare professionals do not maintain a high enough index of suspicion for myocardial infarction.

EMERGENCY PHYSICIANS DO IT WITH THEIR FINGERS

Emergency physicians and related practitioners worldwide will be used to a degree of scepticism from anaesthetic colleagues regarding their airway management skills. Sophia suggests that next time it goes quiet in the resuscitation room, it might be interesting to discuss a study published in the

. The results show that endotracheal intubation performed by emergency physicians without equipment and using nothing more than the index and middle fingers to guide the tube was successful 91% of the time, after …

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