VOLUME 21 ISSUE 3 NOVEMBER 2021

A dangerously underrated entity? Nonspecific complaints at emergency department presentation are associated with utilisation of less diagnostic resources

Background: Patients presenting with non-specific complaints (NSC), such as generalised weakness, or feeling
unwell, constitute about 20% of emergency care consultations. In contrast to patients presenting with specific
symptoms, these patients…

Association between prehospital arterial hypercapnia and mortality in acute heart failure: a retrospective cohort study

Background: Acute Heart Failure (AHF) is a potentially lethal pathology and is often encountered in the prehospital
setting. Although an association between prehospital arterial hypercapnia in AHF patients and admission in highdependency and…

Comparison of QSOFA and sirs scores for the prediction of adverse outcomes of secondary peritonitis among patients admitted on the adult surgical ward in a tertiary teaching hospital in Uganda: a prospective cohort study

Background: SIRS and qSOFA are two ancillary scoring tools that have been used globally, inside and outside of
ICU to predict adverse outcomes of infections such as secondary peritonitis. A tertiary teaching hospital in Uganda
uses SIRS outside the…

Correction to: Effects of the COVID-19 pandemic on trauma-related emergency medical service calls: a retrospective cohort study

Does the time of the day affect multiple trauma care in hospitals? A retrospective analysis of data from the TraumaRegister DGU®

Background: Optimal multiple trauma care should be continuously provided during the day and night. Several
studies have demonstrated worse outcomes and higher mortality in patients admitted at night. This study involved
the analysis of a population…

Drug-free tracheal intubation by specialist paramedics (critical care) in a United Kingdom ambulance service: a service evaluation

Background: Drug-free tracheal intubation has been a common intervention in the context of out-of-hospital
cardiac arrest for many years, however its use by paramedics has recently been the subject of much debate. Recent
international guidance has…

Electrocardiographic abnormalities in COVID-19 patients visiting the emergency department: a multicenter retrospective study

Background: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) can be associated with myocardial
injury. Identification of at-risk patients and mechanisms underlying cardiac involvement in COVID-19 remains
unclear. During hospitalization…

Impact of the COVID-19 pandemic on emergency department attendances and acute medical admissions

Background: To better understand the impact of the COVID-19 pandemic on hospital healthcare, we studied
activity in the emergency department (ED) and acute medicine department of a major UK hospital.
Methods: Electronic patient records for all…

Learning from diagnostic errors to improve patient safety when GPs work in or alongside emergency departments: incorporating realist methodology into patient safety incident report analysis

Background: Increasing demand on emergency healthcare systems has prompted introduction of new healthcare
service models including the provision of GP services in or alongside emergency departments. In England this led
to a policy proposal and…

Monocyte distribution width (MDW) as a new tool for the prediction of sepsis in critically ill patients: a preliminary investigation in an intensive care unit

Background: Monocyte Distribution Width (MDW), a simple proxy marker of innate monocyte activation, can be
used for the early recognition of sepsis along with Procalcitonin. This study explored the added value of MDW as
an early predictor of…

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