We investigated the epidemiology, assessment and outcome of acute atraumatic limp in 243 children under the age of 14 years presenting to a paediatric accident and emergency department (AED) over a period of six months. Data were collected at presentation and medical notes were re-examined after 18 to 21 months. The incidence of limp was 1.8 per thousand. The male:female ratio was 1.7:1 and the...

OBJECTIVE Illness management and recovery is a structured program that helps consumers with severe mental illness learn effective ways to manage illness and pursue recovery goals. This study examined the impact of the program on health service utilization. METHODS This was a retrospective cohort study of five assertive community treatment (ACT) teams in Indiana that implemented illness manage...

Prader-Willi syndrome (PWS) is a rare genetic disorder reported rarely in dentistry. Dental practitioners should know the features of PWS because affected patients have a variety of dental symptoms. The current report describes a case of PWS. An 18-year-old male patient presented with traumatic injuries. Initial emergency treatments were performed under sedation, and further treatments were con...

Severe sepsis is a clinical emergency. Despite the nationwide recognition of the sepsis six treatment bundle as the first line emergency treatment for this presentation, compliance in sepsis six provision remains inadequately low. The project goals were to improve compliance with the implementation of the Sepsis Six in patients with severe sepsis and/or septic shock. In improving timely care de...

Targeting Stroke Awareness Public Campaigns To the Editor: We read with great interest the article by Mosley et al1 as well as the letter by Chiti et al2 on the role of information campaigns in improving people awareness about stroke, and we wish to enter the debate by briefly reporting some of our unpublished data. In order to evaluate whether having experienced a stroke improves the recogniti...

Ingestion of foreign bodies is a common presenting complaint in the pediatric emergency department. We present a case of a child in whom disc battery ingestion was suspected initially. The immobility of the foreign body on few days of conservative management raised the suspicion of two magnets. At operation, two magnets were found in the bowel causing a transmesenteric entero-enteric fistula.

INTRODUCTION Emergency departments (EDs) are replacing acute specialised wards in Denmark. The aim was to compare time to a treatment plan for patients with acute abdomen at a surgical assessment unit (SAU) and at an ED, respectively. MATERIAL AND METHODS A comparative prospective observational study was performed. The data collected included time to a doctor, a surgeon, a plan for treatment,...

This article argues that Assertive Community Treatment (ACT) is fundamentally and historically based on the uncritical, but societally well-accepted view, that medically justified coercion (punishment or unwanted treatment) is therapeutic. It documents this claim by reviewing the early professional history and the resultant publications of the inventors of ACT (originally known as Training in C...

The history of medicine is characterized by innovation, through the application of the latest in biomedical science and technology to the bedside. In many ways, using approved medical devices for off-label indications exemplifies this spirit of innovation. Yet there are clear drawbacks to this practice, which include the safety to the patients themselves, the entrepreneurial nature of industry ...

What can you do if you learn you have a life-threatening illness but there is no Food and Drug Administration-approved medicine to treat it? Sometimes, there is nothing to do but hope. Very often, though, your doctor will be able to prescribe a drug or medical device that has been approved by the Food and Drug Administration (FDA) for a different condition. This practice, called “off-label” pre...