eLetters

169 e-Letters

published between 2011 and 2014

  • Early warning score evaluated was not ViEWS
    Gary Smith
    The article "Modified early warning score with rapid lactate level in critically ill medical patients: the ViEWS-L score"1 by Jo et al. states that the researchers evaluated the predictive value of the VitalPAC Early Warning Score (ViEWS)2 using the area under the receiver operating characteristic (AUROC) curve. They also present the AUROC value for a new EWS, the ViEWS-L score, which they state is the combination of ViEWS with th...
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  • The Emergency Department in China: Status and Challenges
    Haijiang Zhou

    To the editor,

    2013 marks the 30th anniversary of the founding of the first emergency department(ED) in China. Since its naissance in 1983 in Peking Union Medical College Hospital, after continuous enrichment and development, ED has been a relatively young and burgeoning department and now playing an ever more significant role in China's hospitals. Meanwhile, emergency medicine (EM) has emerged as a trans-specia...

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  • The Emergency Department in China: Status and Challenges
    Haijiang Zhou

    2013 marks the 30th anniversary of the founding of the first emergency department(ED) in China. Since its naissance in 1983 in Peking Union Medical College Hospital, after continuous enrichment and development, ED has been a relatively young and burgeoning department and now playing an ever more significant role in China's hospitals. Meanwhile, emergency medicine (EM) has emerged as a trans-specialty discipline and treme...

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  • Autoerotic Intracerebral Haemorrhage
    Josef G. Heckmann

    Dear Editor:

    We read with great interest the article "Sexual activity-related emergency department admissions: eleven years of experience at a Swiss university hospital" by Pfortmueller et al (2013).[1] The authors present an important and impressive observational study on a presumably underestimated clinical condition. By describing an elderly patient who experienced thalamic haemorrhage during masturbation, w...

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  • Tranexamic acid generates thrombin via contact activation
    Thomas Stief

    A bleeding stop within 10 min this can only be explained by the action of tranexamic acid on intrinsic coagulation. Kaolin would have stopped the bleeding within 1 minute. Fibrinolysis is usually not a system that acts within minutes, it acts within hours or days.

    Conflict of Interest:

    None declared

  • Department of Emergency: on the Frontlines Against H7N9 Virus
    Haijiang Zhou

    Haijiang Zhou,1Chunsheng Li,1 Yong Yan2 1Department of Emergency, Beijing Chao-yang Hospital, Capital Medical University NO.8 of Gongti South Street, Chao-yang District, Beijing, 100020, China odyssey0808@sina.cn 2Department of Urology, Beijing Shijitan Hospital, Capital Medical University NO.10 of Tieyi Road, Hai-dian District, Beijing, 100038, China

    To the editor, As more cases of patients infected by a novel in...

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  • The elephant in the room
    Kate F Clayton

    Dear Editor,

    Professor Hughes' article is certaininly an eloquent summary of the current staffing crisis in UK emergency medicine. Furthermore it is encouraging to know that the taskforce has a grip on the challenges facing the speciality and an awareness of some of the strategies that could, indeed already have, been tried to address the problem of staffing emergency departements. However, insightful the Profes...

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  • Facebook pages about junior doctors in the UK.
    Mohammed A. Rashid

    Lulic and Kovic are to be congratulated for an innovative and captivating article exploring the use of Twitter in emergency physicians1.

    As they mention, Facebook is another popular social media site that highly engages all members of the public, including doctors. A number of pages have emerged on the site that represent quintessential figures in UK hospitals. Popular pages include 'The Medical Registrar', 'The...

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  • Improper Use of Troponin Assay
    Nancy Lutwak

    The publication authored by Macdonald, et al. focused on the accuracy of a 2 hour serial multiple biomarker protocol for exclusion of myocardial infarction in the Emergency Department1. Correct use of biomarkers to exclude MI is essential.

    I recently observed a case in the emergency department which demonstrated improper use of the troponin assay.

    The patient, a man in his 60's with history of diabete...

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  • Re:Pre-intervention data and paramedic intubation
    Adam Chesters

    Mr Mallinson makes three pertinent points. A doctor-paramedic team attends all patients. Each member of the team has a specific role to play and while some of these skills are theoretically interchangeable, it is local policy that the doctor performs the intubation. This is because we recognise that these patients are a high-risk group who should have intubation carried out with the maximum chance of success at the first...

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