Acute chest pain in hypertensive patients presenting to the emergency room constitute a wide spectrum of life threatening conditions including an acute aortic dissection. Acute Aortic syndromes constitute uncommon but lethal identities, with high morbidity and mortality requiring a high index of suspicion, appropriate diagnostic tools and urgent line of management. The authors are reporting a c...

An indicator for emergency room performance is the ability to establish the correct diagnosis within the emergency room over the years. The authors chose to examine the non-congruence of Emergency Room diagnoses to that established after hospital stay for three selected years. A total of 8488 records were reviewed and all disparate diagnosis were recorded and categorized. Retrospective chart re...

The paper describes a methodology used for selecting the most relevant clinical features and for generating decision rules based on selected attributes from a medical data set with missing values. These rules will help emergency room (ER) medical personnel in triage (initial assessment) of children with an abdominal pain. Presented approach is based on rough set theory extended with the ability...

OBJECTIVE To evaluate the management of asthma attacks in children up to five years of age treated in the pediatric emergency room of a hospital in the metropolitan area of the city of Recife, Brazil, as well as to determine whether the way in which asthma attacks are managed can influence the duration of emergency room visits for such children. METHODS A descriptive, exploratory study employ...

Computed tomography (CT) embedded in the emergency room has gained importance in the early diagnostic phase of trauma care. In 2011, we implemented a new trauma workflow concept with a sliding CT scanner system with interventional radiology features (IVR-CT) that allows CT examination and emergency therapeutic intervention without relocating the patient, which we call the Hybrid emergency room ...

Data were collected on all psychiatric referrals to 10 emergency rooms in New York State during a 72-hour period in early December 1988. Overall, 30 percent of the 362 cases were brought by the police while the 10 emergency room percentages referrals varied from 10 to 53 percent. As compared with nonpolice referrals, police cases were as likely to be rated by clinicians as currently having psyc...

A one month study of the surgical and psychiatric service of a university hospital emergency room identified thirty-seven women coming for treatment as a result of physical abuse. Thirty-three of the thirty-seven women presented at the surgical services are represented 3.8 per cent of surgical admissions in the emergency room. These women came from all ages, social and ethnic groups. They usua...

Aims and method We aimed to estimate the proportion of UK emergency departments with a psychiatric assessment room and to determine whether such rooms met criteria for conducting high-risk assessments. Liaison psychiatry services were asked whether their hospital had such a room, whether it met the criteria and whether respondents judged it to be sufficiently safe and private. Results Of the 60...

Salcman's book concludes with a two-chapter section on pediatric neurologic and neurosurgical emergencies. Both chapters review the similarities and differences in early management of pediatric and adult patients; both provide a useful, albeit very brief, review of these fields. Clearly, this is a book to be enthusiastic about, and I recommend it highly to all who deal with neuro-emergencies. O...

BACKGROUND Management of suicide attempters accounts for 10% of the psychiatric activity in the emergency room. In this population, the prevalence of borderline personality disorder (BPD) is high (10 - 55%). These patients present poorer psychosocial outcome and more frequent suicide attempts repetitions. However, the utility of the assessment of BPD in the referral to a specific treatment plan...