Emergency medicine

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Article • Mobile cMyC analysis

The future POCT heart attack test

Experts report that a new blood test to diagnose heart attacks could be carried out on a hand-held device in the not-too-distant future. The test, devised by a team at Kings College London, uses similar technology to the troponin test, but instead analyses cardiac myosin-binding protein C (cMyC). In research presented at the British Cardiovascular Society conference in Manchester, UK, this June,…

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News • Terror protection

Promising vaccines against anthrax, plague and tularemia

Anthrax, plague and tularemia are three potent agents terrorists would be likely to use in an attack, according to the Centers for Disease Control and Prevention. Each is highly and quickly lethal to humans. But there are no licensed vaccines for tularemia and plague, and although there is an anthrax vaccine, it requires a burdensome immunization schedule and has severe side effects. Now, a…

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News • Defibrillator use

Italian law must change to improve survival from cardiac arrest

An Italian law requiring citizens to hold a certificate to use a defibrillator must change to improve survival from cardiac arrest, researchers argued today at Acute Cardiovascular Care 2018, a European Society of Cardiology congress. “Automated external defibrillator (AED) use before the arrival of the emergency medical services (EMS) plays a key role in improving victim survival from…

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Interview • Challenging, but rewarding

Emergency radiology advances – despite shortages and low recognition

Emergency radiology is no longer a babbling field; professionalisation will bring more recognition to this young subspecialty, according to Elizabeth Dick, a London-based consultant, who will coordinate part of the new European Diploma in Emergency Radiology (EDER), the European Society of Radiology’s new tool. We interviewed the radiologist, who spoke of her daily practice and why she loves…

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News • Medical equipment

Lightweight tourniquets to save lives after a terrorist attack

SP Services (UK) is ready to supply thousands of newly designed lightweight tourniquets for use in public places in the event of a bomb, shooting or knife attack. The medical equipment has been specifically designed for people without medical experience by Brigadier Tim Hodgetts CBE, a UK surgeon who has worked in multiple war zones and is renowned for his innovations in dealing with combat…

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News • TV vs reality

Grey’s Anatomy may be distorting public expectations of trauma care

The television drama, Grey’s Anatomy, may be giving viewers a false impression of the realities of trauma care, including the speed at which patients recover after sustaining serious injuries, finds research published in the online journal Trauma Surgery & Acute Care Open. Unrealistic expectations of healthcare may be important in an era in which patient satisfaction is a key component of…

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News • Stroke campaign

If you suspect a stroke, act F.A.S.T.!

Newcastle stroke experts are backing a regional campaign launched by Public Health England (PHE). The Act F.A.S.T. stroke campaign launched in the North East urges the public to call 999 if they notice even one of the signs of a stroke in themselves, or in others. Current figures show there are over 64,500 people on GP registers in the North East who have had a stroke, and in 2016 1,765 people…

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Video • Emergency care

Point-of-care ultrasound helps save time and lives

Time is of the essence in an emergency situation, and may be the difference between life and death. Ambulance crews on the front line must decide rapidly whether or not a patient is suffering from a life-threatening condition requiring specialist treatment, and point-of-care ultrasound can provide vital guidance. Geert-Jan Deddens, a nurse practitioner in emergency care with the Rotterdam…

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News • De-fragmenting efforts

Coordinated emergency care improves heart attack survival

Coordinating the response to heart attacks among emergency responders and hospitals reduces the time to treatment and saves lives - even on a large, regional scale, according to a study led by the Duke Clinical Research Institute with support from the American Heart Association. In the largest demonstration of the coordinated approach - 132 hospitals and 946 EMS agencies in 12 U.S. regions -…

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News • New study reveals

Treatment window for strokes might be larger than previously thought

Treating stroke has long been governed by the clock. If it has been less than three hours since the onset of symptoms, the clot-busting drug t-PA will likely work. If it has been four and a half hours, some selected patients might benefit. However, if it has been more than six hours, treatment options have been few. Now that conventional wisdom has been turned on its head. The final results of…

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Article • Smart phone sized ultrasound

Emergency ultrasound training

Training was at the heart of the biggest annual fair in the world, thanks to the newly introduced Medica Academy sessions, i.e. full-day seminars that dealt with practical questions, current techniques and advances in medicine. One of the hot topics tackled by the new format was emergency ultrasound, as renowned experts such as Dr Wolfgang Heinz from Stuttgart gave hands-on training on this…

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Article • Emergency medicine

Ultrasound can save lives

‘Ultrasound plays a key role in diagnosis and monitoring of treatment in the A&E department,’ emphasises Professor Joseph Osterwalder, Medical Director of the Cantonal Hospital in Appenzell, Switzerland. ‘I cannot imagine emergency medicine without ultrasound.’

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Article • Cardiology, quick!

New blood test speeds up heart attack diagnosis

A new blood test to detect heart attacks has been developed by a team of researchers at King’s College, London, which could speed up diagnosis, according to results from pan-European trials. The test is quicker than the standard test, which combines an ECG with a blood test to measure the levels of troponin. Under current guidelines, suspected heart attack cases are tested for high blood…

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Video • Annual event

International Day of Radiology 2017 to focus on emergency radiology

The International Day of Radiology (IDoR) will be celebrated for the sixth time on November 8, this year focusing on emergency radiology. As in previous years, more than 150 radiology-related professional societies from around the world will participate in the International Day of Radiology, holding a range of different events to celebrate, such as public lectures, department open days, national…

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Article • 'Black alert' in hospitals

Overcrowding rises as winter looms

Overcrowding in healthcare systems has become a worldwide phenomenon with regional influences related to the different healthcare structures in different countries. A recent BBC analysis (February 2017) showed that overcrowding afflicted 9 out of 10 NHS hospitals this winter, with 23 declaring ‘black alerts’, as other European hospitals face similar ‘care crises’, especially member states…

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News • Medical training

Supporting the next generation of doctors

Fujifilm SonoSite maintains its focus on supporting medical training and education, and recently supplied instruments for a series of ultrasound workshops at the Doctors Academy International Medical Summer School. On the 31st of July 2017, over 160 medical students from across Europe and the Middle East congregated in Manchester for the summer school, a five-day programme of workshops, lectures…

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Sponsored • Emergency medicine

Streamlining management of cardiac arrest with the aid of point-of-care ultrasound

Point-of-care ultrasound plays an important role in the emergency sector, enabling hospital clinicians and paramedics responding to an urgent call for medical assistance to assess a patient’s condition. Dr Matthew Reed, an Emergency Medicine consultant at the Royal Infirmary of Edinburgh, explained how ultrasound contributes to the management of cardiac arrest.

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Sponsored • Resuscitation

EASY PULSE® – latest generation of automatic CPR devices

The EASY PULSE® is an unbelievably small and light mechanical chest compression device. Performing manual chest compressions well for an extended period of time is almost impossible. Not only is it physically demanding, but other actions, such as vital signs monitoring, are also required simultaneously. SCHILLER’s EASY PULSE® is the solution for more efficient resuscitation: this portable,…

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Article • Physicians protest

Overworked family doctors sound the alarm

Three quarters of Dutch general practitioners (GPs: family doctors) experience an increasing work pressure, according to a recent survey of the National Association of General Practitioners (LHV). Especially evening, night and weekend services at GP Emergency Posts (Dutch: HAP) are found to be heavy duty, in addition to their daily practice.

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