University Hospital of North Staffordshire NHS Trust, City General Hospital, Stoke on Trent, Staffordshire, UK Correspondence to Dr Ruth Kinston, University Hospital of North Staffordshire NHS Trust, ...

A 67 year old woman taking a monoamine oxidase inhibitor (MAOI) presented to the accident and emergency department with an anaphylactic reaction to flucloxacillin. This case highlights the uncertainty ...

Aims: To describe the nature, frequency, and characteristics of adult critical care transfers originating from the emergency department (ED). Methods: A one year prospective regional descriptive study ...

Background Diagnosing pulmonary embolism (PE) can be a difficult process for junior doctors, because it relies on clinical probability scoring and knowledge of how to apply and interpret D-dimer, VQ ...

Background Diagnosis of venous thromboembolism (VTE) requires chest CT angiography for pulmonary embolism and venous ultrasound for deep vein thrombosis. To reduce imaging, guidelines recommend ...

Correspondence to: H R Guly Department of Accident and Emergency Medicine, Derriford Hospital, Plymouth PL6 8DH, UK; henry.guly{at}phnt.swest.nhs.uk We describe five cases of scombroid that presented ...

A new clinic was set up to deal with all toenail problems referred to a large general hospital. Ingrowing toenails were the commonest problem dealt with and phenol cauterization, either partial or ...

2 Southampton Statistical Sciences Research Institute, University of Southampton, Southampton, UK Background A new pre-triage screening tool, Nature of Call (NoC), has been introduced into the ...

Aims/Objectives/Background In Manchester Royal Infirmary, a major trauma centre, there are many patient presentations which require fast acting analgesia. Often these ...

Glucose and Pulmonary Infection Group, St George’s, University of London, London, UK Correspondence to: Dr Emma Baker Reader in Clinical Pharmacology, Cardiac and Vascular Sciences, Physiological ...