183 e-Letters

published between 2010 and 2013

  • EEG in the ED
    Sarah J Wilson
    Dear Editor, We read with interest the article by Nitzschke et al, and congratulate them on their low rate of artefact in a pre-hospital environment. As part of a larger study into detecting deterioration in ED patients (REC number: 08/H1307/56), we attempted to record EEG on ED patients for the duration of their ED stay, to determine whether there was a correlation between EEG and GCS that could be useful for continuous monitori...
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  • Errors in the nomogram.
    Patrick Laffey

    In the top nomogram the CI curves are missed labelled, there are three of them with the value 0.1.

    In the bottom nomogram; the example line is drawn too low. It is showing the start point at 0.45 rather than the 0.55, thus it points to approximately 490 subjects instead of the 393 indicated in the example.

    Could you please correct these errors. Thank you. Patrick Laffey

    Conflict of Interest:...

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  • Pre-intervention data and paramedic intubation
    Tom Mallinson

    Thank you for this interesting study.

    I am curious whether you are able to provide comparable data from before the introduction of the Standard Operating Procedure (SOP) discussed here. Does the data gathered demonstrate an improvement in complication rates during pre-hospital anaesthesia compared with data from before the introduction of the SOP? In addition, did you analyse data regarding complications apart...

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  • The importance of accurate identification of drugs of abuse in emergency departments
    Daniel N. Polesel

    First, we would like to emphasize the importance of the study published in the EMJ1 and similar studies based in emergency departments, since they provide valuable information on prevalence, trends, and emergence of new drugs of abuse, which produces epidemiological data to support public policies. However, we believe there are some additional considerations regarding the work by Horyniak and colleagues that should be m...

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  • Re:A mnemonic to remember the sepsis six bundle
    Tom Mallinson

    Thank you for sharing your method for remembering the Sepsis Six.

    Being terrible at remembering anything, I developed a method which required me to only remember three things. As long as I remember that for each thing you put "in" to the patient, you take something "out".

    So, for each thing I put in, something related comes out; Fluids in (Urine out), Antibiotics in (Cultures out) & Oxygen in (ABG o...

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  • How about the use of modern technology?
    Janos P Baombe

    There is no doubt that emailing has revolutionised communication in the past 10-15 years and the number of messages received daily (both during working and non-working hours) will be seen as a nightmare by most NHS workers.

    We need to urgently adopt a pragmatic change in the way we deal with the vast amount emails we get inundated with.

    With the rise of smart phones, work emails can often be checked o...

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  • White coat effect: heart rate, blood pressure... and shock index in minimally injured patients
    Pierre Pasquier

    We read with interest the article by Bruijns et al. comparing the relationship between heart rate (HR) and systolic blood pressure (SBP) in non-haemorrhagic, minimally injured patients with that of a non-injured control group.1 There was a statistically significant difference between the groups for both HR and SBP (p<0.001), demonstrating that as far as mild to moderate injury is concerned, HR tends to be higher than...

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  • Learning Ophthalmology in a Hurry
    Vipul Ramjiani

    I am glad to see Eye Know How featured in the Emergency Medicine Journal. As someone who has worked in accident and emergency and now a starter in the ophthalmology world, this book has proved invaluable. I feel the need to reiterate the symptom led approach highlighted in this b...

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  • A mnemonic to remember the sepsis six bundle
    Santosh Bongale

    I am a specialty registrar in Emergency Medicine presently working at CrossHouse Hospital, Kilmarnock, Scotland.

    I have prepared a mnemonic to help remember the sepsis six bundle which I thought, I might share it with you.

    "Give 3, Take 2 and Monitor 1"

    Give 3 ( Oxygen + IV fluids + Antibiotics) Take 2 ( Blood Cultures + Hb/Lactate) Monitor 1 ( urine output)

    I have found the use of thi...

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  • Response to EMJ article comment:
    Fiona Jayne Togher

    We would like to thank Brooks Walsh for his comments and agree that it is important to understand the rich and mostly ignored perspectives of prehospital clinicians and their patients.

    Whilst it is true that patients were drawing upon a singular concrete experience they usually reported this in the context of their broader experiences and expectations of interactions with health services. Similarly, although cl...

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