OBJECTIVE To determine practice and attitudes of emergency physicians regarding procedural anaesthesia for nasogastric tube insertion (NGT). METHODS Survey of resident/attending emergency physicians working in a tertiary care medical centre. RESULTS Of 68 physicians, 46 responded: 98% believed that awake and alert patients find NGT insertion uncomfortable/painful; 93% used measures to reduc...

From the published evidence there is no doubt that emergency physicians in America can undertake focused ultrasound examinations and that, by extrapolation, this would also be the case for UK emergency physicians. If this skill is to become part of the diagnostic armamentarium of the emergency physician, however, it needs to be demonstrated to be cost effective compared with the alternatives al...

Despite their appearance for over 20 years, high-pressure injection injuries to the hand are often grossly undertreated or mistreated, resulting in usually avoidable permanent impairment--often with amputation. Primary care physicians, and especially emergency room physicians, must be aware of the serious nature of this usually innocuous-appearing injury and immediately refer such patients for ...

Patients and methods The WESTLAW database is a repository of case law, state and federal statues, public records and other information sources used by legal professionals. The database was retrospectively reviewed for cases involving emergency physicians and US exams which fall under the ACEP core emergency US applications from January 2008 to August 2012. Cases were reviewed by emergency physi...

Background In a recent study, it was shown that cost-awareness among physicians working at the Swedish emergency department is very low. In another study, it could be shown that price lists can reduce the costs of laboratory and radiological investigations ordered. However, cost-cutting projects can result in irritation among physicians feeling themselves to be forced to implement cost-cutting ...

EM initiatives are gaining global acceptance as a result of emergency physicians; local advocates; national, transnational, and international EM organizations; and governmental leadership, organizations, and agencies involved in international health and an evolving global health agenda. Spanning the spectrum from basic initiatives to improve acute care services to mature EM specialty developmen...

Acute abdominal pain in childhood is a common but diagnostically challenging problem facing Emergency Department personnel. Experienced physicians use a combination of key clinical attributes to assess and triage a child, but residents and inexperienced physicians may lack this ability. In order to assist them, we used knowledge discovery techniques based on rough set theory to develop a clinic...