Subjects -> MEDICAL SCIENCES (Total: 8803 journals)
    - ALLERGOLOGY AND IMMUNOLOGY (225 journals)
    - ANAESTHESIOLOGY (121 journals)
    - CARDIOVASCULAR DISEASES (350 journals)
    - CHIROPRACTIC, HOMEOPATHY, OSTEOPATHY (21 journals)
    - COMMUNICABLE DISEASES, EPIDEMIOLOGY (234 journals)
    - DENTISTRY (292 journals)
    - DERMATOLOGY AND VENEREOLOGY (167 journals)
    - EMERGENCY AND INTENSIVE CRITICAL CARE (127 journals)
    - ENDOCRINOLOGY (151 journals)
    - FORENSIC SCIENCES (44 journals)
    - GASTROENTEROLOGY AND HEPATOLOGY (191 journals)
    - GERONTOLOGY AND GERIATRICS (142 journals)
    - HEMATOLOGY (159 journals)
    - HYPNOSIS (4 journals)
    - INTERNAL MEDICINE (178 journals)
    - LABORATORY AND EXPERIMENTAL MEDICINE (98 journals)
    - MEDICAL GENETICS (58 journals)
    - MEDICAL SCIENCES (2446 journals)
    - NURSES AND NURSING (372 journals)
    - OBSTETRICS AND GYNECOLOGY (211 journals)
    - ONCOLOGY (395 journals)
    - OPHTHALMOLOGY AND OPTOMETRY (143 journals)
    - ORTHOPEDICS AND TRAUMATOLOGY (172 journals)
    - OTORHINOLARYNGOLOGY (84 journals)
    - PATHOLOGY (100 journals)
    - PEDIATRICS (277 journals)
    - PHYSICAL MEDICINE AND REHABILITATION (161 journals)
    - PSYCHIATRY AND NEUROLOGY (844 journals)
    - RADIOLOGY AND NUCLEAR MEDICINE (195 journals)
    - RESPIRATORY DISEASES (108 journals)
    - RHEUMATOLOGY (79 journals)
    - SPORTS MEDICINE (83 journals)
    - SURGERY (412 journals)
    - UROLOGY, NEPHROLOGY AND ANDROLOGY (159 journals)

INTERNAL MEDICINE (178 journals)                     

Showing 1 - 180 of 180 Journals sorted alphabetically
Abdomen     Open Access  
ACP Hospitalist     Full-text available via subscription   (Followers: 9)
ACP Internist     Full-text available via subscription   (Followers: 10)
ACP Journal Club     Full-text available via subscription   (Followers: 11)
Acta Clinica Belgica     Hybrid Journal   (Followers: 1)
Acute and Critical Care     Open Access   (Followers: 11)
Acute Medicine     Full-text available via subscription   (Followers: 9)
Advances in Hepatology     Open Access   (Followers: 4)
Advances in Integrative Medicine     Hybrid Journal   (Followers: 6)
African Journal of Primary Health Care & Family Medicine     Open Access   (Followers: 6)
African Journal of Thoracic and Critical Care Medicine     Open Access  
American Family Physician     Full-text available via subscription   (Followers: 38)
American Journal of Hypertension     Hybrid Journal   (Followers: 31)
Anales de Medicina Interna     Open Access   (Followers: 1)
Anatomy & Physiology : Current Research     Open Access   (Followers: 9)
Angiology     Hybrid Journal   (Followers: 5)
Annals of Colorectal Research     Open Access   (Followers: 1)
Annals of Internal Medicine     Full-text available via subscription   (Followers: 392)
AORN Journal     Hybrid Journal   (Followers: 27)
Apollo Medicine     Open Access  
Archives of Drug Information     Hybrid Journal   (Followers: 5)
Archivos de Medicina Interna     Open Access   (Followers: 1)
Asia Oceania Journal of Nuclear Medicine & Biology     Open Access   (Followers: 4)
Asian Pacific Journal of Tropical Disease     Full-text available via subscription   (Followers: 3)
Australasian Physical & Engineering Sciences in Medicine     Hybrid Journal   (Followers: 1)
BMI Journal : Bariátrica & Metabólica Iberoamericana     Open Access   (Followers: 1)
BMJ Open Diabetes Research & Care     Open Access   (Followers: 35)
BMJ Quality & Safety     Hybrid Journal   (Followers: 69)
Bone & Joint Journal     Hybrid Journal   (Followers: 139)
Brain Communications     Open Access   (Followers: 4)
Brain Science Advances     Open Access  
Canadian Journal of General Internal Medicine     Open Access   (Followers: 2)
Cardiovascular Medicine in General Practice     Full-text available via subscription   (Followers: 7)
Case Reports in Internal Medicine     Open Access   (Followers: 1)
Cell Death & Disease     Open Access   (Followers: 3)
Cellular and Molecular Gastroenterology and Hepatology     Open Access   (Followers: 3)
Cephalalgia     Hybrid Journal   (Followers: 8)
Cephalalgia Reports     Open Access   (Followers: 4)
Chronic Diseases and Injuries in Canada     Free   (Followers: 1)
Clinical Ethics     Hybrid Journal   (Followers: 13)
Clinical Liver Disease     Open Access   (Followers: 5)
Clinical Nutrition     Hybrid Journal   (Followers: 98)
Clinical Thyroidology     Full-text available via subscription   (Followers: 1)
CNE Pflegemanagement     Hybrid Journal  
Communication Law and Policy     Hybrid Journal   (Followers: 5)
Current Diabetes Reports     Hybrid Journal   (Followers: 30)
Current Hepatology Reports     Hybrid Journal  
Current Research: Integrative Medicine     Open Access  
CVIR Endovascular     Open Access   (Followers: 1)
Der Internist     Hybrid Journal   (Followers: 12)
Diabetes     Full-text available via subscription   (Followers: 603)
Diabetes Care     Full-text available via subscription   (Followers: 577)
Diabetes Internacional     Open Access  
Diabetes Spectrum     Full-text available via subscription   (Followers: 17)
Diagnosis     Hybrid Journal   (Followers: 1)
Egyptian Journal of Bronchology     Open Access  
Egyptian Journal of Internal Medicine     Open Access   (Followers: 1)
Egyptian Journal of Neurosurgery     Open Access  
Egyptian Liver Journal     Open Access   (Followers: 2)
Egyptian Spine Journal     Open Access  
EMC - Aparato Locomotor     Hybrid Journal  
Endovascular Neuroradiology / Ендоваскулярна нейрорентгенохірургія     Open Access   (Followers: 1)
eNeuro     Open Access   (Followers: 3)
Ergonomics     Hybrid Journal   (Followers: 24)
European Journal of Inflammation     Open Access   (Followers: 2)
European Journal of Internal Medicine     Full-text available via subscription   (Followers: 10)
European Journal of Translational Myology     Open Access  
European Radiology Experimental     Open Access   (Followers: 2)
Head and Neck Tumors     Open Access   (Followers: 1)
Health Sociology Review     Hybrid Journal   (Followers: 14)
HemaSphere     Open Access   (Followers: 2)
Hepatology Communications     Open Access  
Hepatoma Research     Open Access   (Followers: 3)
Human Physiology     Hybrid Journal   (Followers: 5)
ImmunoHorizons     Open Access  
Immunological Medicine     Open Access  
Infectious Diseases: Research and Treatment     Open Access   (Followers: 5)
Inflammation and Regeneration     Open Access   (Followers: 2)
Inflammatory Intestinal Diseases     Open Access  
Innere Medizin up2date     Hybrid Journal   (Followers: 1)
Internal and Emergency Medicine     Hybrid Journal   (Followers: 5)
Internal Medicine Journal     Hybrid Journal   (Followers: 9)
International Journal of Abdominal Wall and Hernia Surgery     Open Access   (Followers: 1)
International Journal of Anatomy and Research     Open Access   (Followers: 2)
International Journal of Angiology     Hybrid Journal  
International Journal of Artificial Organs     Hybrid Journal   (Followers: 3)
International Journal of Hyperthermia     Open Access  
International Journal of Internal Medicine     Open Access   (Followers: 3)
International Journal of Noncommunicable Diseases     Open Access  
International Journal of Psychiatry in Clinical Practice     Hybrid Journal   (Followers: 6)
Iranian Journal of Neurosurgery     Open Access   (Followers: 1)
Italian Journal of Anatomy and Embryology     Open Access   (Followers: 1)
JAC-Antimicrobial Resistance     Open Access   (Followers: 4)
JAMA Internal Medicine     Full-text available via subscription   (Followers: 363)
JCSM Clinical Reports     Open Access   (Followers: 3)
JHEP Reports     Open Access  
JIMD Reports     Open Access  
JMV - Journal de Médecine Vasculaire     Hybrid Journal   (Followers: 1)
Joint Commission Journal on Quality and Patient Safety     Hybrid Journal   (Followers: 41)
JOP. Journal of the Pancreas     Open Access   (Followers: 2)
Journal of Basic & Clinical Physiology & Pharmacology     Hybrid Journal   (Followers: 1)
Journal of Bone Oncology     Open Access   (Followers: 1)
Journal of Cancer & Allied Specialties     Open Access  
Journal of Clinical and Experimental Hepatology     Full-text available via subscription   (Followers: 3)
Journal of Clinical Movement Disorders     Open Access   (Followers: 3)
Journal of Community Hospital Internal Medicine Perspectives     Open Access  
Journal of Cutaneous Immunology and Allergy     Open Access  
Journal of Developmental Origins of Health and Disease     Hybrid Journal   (Followers: 2)
Journal of Endoluminal Endourology     Open Access  
Journal of Gastroenterology and Hepatology Research     Open Access   (Followers: 4)
Journal of General Internal Medicine     Hybrid Journal   (Followers: 23)
Journal of Hypertension     Hybrid Journal   (Followers: 14)
Journal of Infectious Diseases     Hybrid Journal   (Followers: 48)
Journal of Interdisciplinary Medicine     Open Access  
Journal of Internal Medicine     Hybrid Journal   (Followers: 11)
Journal of Liver : Disease & Transplantation     Hybrid Journal   (Followers: 7)
Journal of Medical Internet Research     Open Access   (Followers: 24)
Journal of Movement Disorders     Open Access   (Followers: 2)
Journal of Pain and Symptom Management     Hybrid Journal   (Followers: 46)
Journal of Pancreatic Cancer     Open Access  
Journal of Renal and Hepatic Disorders     Open Access  
Journal of Solid Tumors     Open Access   (Followers: 1)
Journal of Sports Medicine and Allied Health Sciences : Official Journal of the Ohio Athletic Trainers Association     Open Access   (Followers: 1)
Journal of the American Board of Family Medicine     Open Access   (Followers: 11)
Journal of the European Mosquito Control Association     Open Access  
Journal of Translational Internal Medicine     Open Access  
Jurnal Vektor Penyakit     Open Access  
La Revue de Medecine Interne     Full-text available via subscription   (Followers: 3)
Lege artis - Das Magazin zur ärztlichen Weiterbildung     Hybrid Journal   (Followers: 1)
Liver Cancer International     Open Access  
Liver Research     Open Access  
Molecular Diagnosis & Therapy     Hybrid Journal   (Followers: 3)
Molecular Therapy - Oncolytics     Open Access  
Multiple Sclerosis and Demyelinating Disorders     Open Access   (Followers: 7)
MYOPAIN. A journal of myofascial pain and fibromyalgia     Hybrid Journal   (Followers: 18)
Neuro-Oncology Advances     Open Access   (Followers: 1)
Neurobiology of Pain     Open Access   (Followers: 2)
Neurointervention     Open Access   (Followers: 6)
Neuromuscular Diseases     Open Access  
Nigerian Journal of Gastroenterology and Hepatology     Full-text available via subscription  
OA Alcohol     Open Access   (Followers: 5)
Oncological Coloproctology     Open Access  
Open Journal of Internal Medicine     Open Access  
Pleura and Peritoneum     Open Access  
Pneumo News     Full-text available via subscription  
Polish Archives of Internal Medicine     Full-text available via subscription   (Followers: 2)
Preventing Chronic Disease     Free   (Followers: 2)
Progress in Transplantation     Hybrid Journal   (Followers: 1)
Prostate International     Open Access   (Followers: 2)
Psychiatry and Clinical Psychopharmacology     Open Access   (Followers: 1)
Pulmonary Therapy     Open Access   (Followers: 2)
Quality of Life Research     Hybrid Journal   (Followers: 20)
Research and Practice in Thrombosis and Haemostasis     Open Access  
Revista Chilena de Fonoaudiología     Open Access   (Followers: 1)
Revista de la Sociedad Peruana de Medicina Interna     Open Access   (Followers: 4)
Revista del Instituto de Medicina Tropical     Open Access  
Revista Hispanoamericana de Hernia     Open Access   (Followers: 1)
Revista Médica Internacional sobre el Síndrome de Down     Full-text available via subscription   (Followers: 1)
Revista Virtual de la Sociedad Paraguaya de Medicina Interna     Open Access   (Followers: 1)
Romanian Journal of Diabetes Nutrition and Metabolic Diseases     Open Access   (Followers: 1)
Romanian Journal of Internal Medicine     Open Access  
Russian Journal of Child Neurology     Open Access   (Followers: 1)
Scandinavian Journal of Primary Health Care     Open Access   (Followers: 8)
Schlaf     Hybrid Journal  
Schmerzmedizin     Hybrid Journal  
Scientific Journal of the Foot & Ankle     Open Access   (Followers: 1)
SciMedicine Journal     Open Access   (Followers: 3)
SEMERGEN - Medicina de Familia     Full-text available via subscription   (Followers: 1)
The Journal of Critical Care Medicine     Open Access   (Followers: 9)
Therapeutic Advances in Chronic Disease     Open Access   (Followers: 8)
Therapeutic Advances in Musculoskeletal Disease     Hybrid Journal   (Followers: 6)
Thieme Case Report     Hybrid Journal   (Followers: 1)
Tijdschrift voor Urologie     Hybrid Journal  
Tissue Barriers     Hybrid Journal   (Followers: 1)
Transactions of the Royal Society of Tropical Medicine and Hygiene     Hybrid Journal   (Followers: 3)
Transgender Health     Open Access   (Followers: 3)
Trends in Anaesthesia and Critical Care     Full-text available via subscription   (Followers: 23)
US Cardiology Review     Open Access  
Vascular and Endovascular Review     Open Access   (Followers: 1)
Ожирение и метаболизм     Open Access  

           

Similar Journals
Journal Cover
Acute Medicine
Journal Prestige (SJR): 0.239
Number of Followers: 9  
 
  Full-text available via subscription Subscription journal
ISSN (Print) 1747-4884 - ISSN (Online) 1747-4892
Published by RILA Publications Homepage  [1 journal]
  • Safer communication and clinical evaluation using mobile devices for COVID
           19 patients could reduce post acute care stress and prevent burnout in
           patients and teams
    • Authors: A Reper, B Guinotte, P Reper
      Abstract: Mobile App based ultrasound is very useful in the setting of the current coronavirus pandemic in all hospital wards. We have used this for videoconference (we called videovisit) between severely ill patients and family and for clinical ultrasound evaluation during the Covid 19 outbreak.
      Citation: Acute medicine
      PubDate: 2021-03-22
       
  • Work Based Assessments (WBAs) amongst UK medical trainees during the
           COVID-19 pandemic: How have we adapted'
    • Authors: S Sheik Ali, S Sheik Ali, A O'Connor, J Abbas
      Abstract: Severe Acute Respiratory Syndrome Coronavirus type 2 (SARS-CoV-2) was recently identified as the RNA virus resulting in the Coronavirus disease (COVID-19). This was following cases of pneumonia identified in Hubei Province in China. The World Health Organisation (WHO) recently declared COVID-19 as a pandemic in March 2020. The COVID-19 pandemic has resulted in medical, financial and social disruption on an international scale. Such disruption has additionally impacted postgraduate medical...
      Citation: Acute medicine
      PubDate: 2021-03-22
       
  • A rare, but life-threatening sore throat: A case of Lemierre's syndrome
    • Authors: A McCleane, M Hunter, P C Johnston, M Trimble, J Malloy, I R Wallace
      Abstract: We present the case of a previously healthy, immunocompetent male with Lemierre's Syndrome. He presented with headache, sore throat and pyrexia. Initial blood tests revealed raised inflammatory markers and electrolyte abnormalities. Blood cultured Fusobacterium necrophorum. He developed respiratory distress and imaging confirmed lung abscess and empyema due to septic emboli. He required surgical drainage and a prolonged course of antibiotics. This case highlights the rare, but life-threatening...
      Citation: Acute medicine
      PubDate: 2021-03-22
       
  • Idiopathic systemic capillary leak syndrome (Clarkson's disease)
           presenting with recurrent hypovolemic shock
    • Authors: K Davies, K Thomas, L Barton, C Williams, A Aujayeb, N Premchand
      Abstract: A 49-year old male with a past medical history of myocardial infarction and compartment syndromes requiring fasciotomies presented on five occasions with hypovolemic shock. We describe his admissions and presumptive diagnoses which required large volumes of intravenous fluids, admission to intensive care for vasopressors and renal replacement therapy. The presentations were always precipitated by a prodrome of fatigue and pre-syncopal episodes. On his last admission, a diagnosis of Idiopathic...
      Citation: Acute medicine
      PubDate: 2021-03-22
       
  • Heart failure from thyrotoxicosis due to Graves' disease
    • Authors: A Aujayeb, J Dundas
      Abstract: A 30-year-old female patient with a past medical history of pernicious anaemia presented with pleuritic chest pain, palpitations, fatigue, coryzal symptoms and a high temperature. She was hypoxic and tachycardic and was extensively investigated as well as aggressively treated. A type 1 'gut feeling' assessment by the admitting medical registrar made the diagnosis possible as thyroid function tests were grossly deranged and pointed to Graves' disease causing heart failure, complicated by...
      Citation: Acute medicine
      PubDate: 2021-03-22
       
  • The evidence for assessing frailty and sarcopenia in an acute medical
           unit: a systematic review
    • Authors: V Kamwa, A Seccombe, E Sapey
      Abstract: CONCLUSION: Current evidence suggests some benefit in screening older adults admitted to an AMU for frailty and sarcopenia. However, further studies are required before clinical adoption.
      Citation: Acute medicine
      PubDate: 2021-03-22
       
  • Evaluating quality in acute care using patient reported outcome measures:
           a scoping review
    • Authors: E M Mols, Mgam van der Velde, Pwb Nanayakkara, H R Haak, Mnt Kremers
      Abstract: The aim of this scoping review is to identify patient reported outcome measures (PROMs) in acute care settings, assess their psychometric properties and provide recommendations for their use in daily practice. We performed a search in the PubMed database to identify publications concerning PROMs in an acute care setting. The COSMIN checklist was used to assess the psychometric properties of the reported PROMs. We found 1407 publications and included 14 articles, describing 15 measures. Most...
      Citation: Acute medicine
      PubDate: 2021-03-22
       
  • Hospital trainees' worries, perceived sufficiency of information and
           reported psychological health during the COVID-19 pandemic
    • Authors: N Aziminia, A Khani, C Smith, A Bakhai, C Lisk
      Abstract: CONCLUSIONS: A significant proportion of hospital trainees expressed worries about COVID-19, above all with regards to the wellbeing of their loved ones over their own. Confidence in sufficiency of provided information was high and in utilised infection control measures low. A larger proportion of trainees reported psychological as compared with physical health concerns, with a smaller proportion confirming having been infected with COVID-19 although most perceived their risk of infection as...
      Citation: Acute medicine
      PubDate: 2021-03-22
       
  • Diagnoses and mortality in a population without acute myocardial
           infarction, but with elevated high-sensitive troponin I - a retrospective
           register-based single center study
    • Authors: R S Hansen, J Revsholm, D P Henriksen, L C Lund, M Nybo
      Abstract: CONCLUSIONS: A selected number of alternative diagnoses must be considered in individuals with increased hs-TnI. Due to high mortality it is crucial to carefully evaluate these individuals despite the absence of AMI.
      Citation: Acute medicine
      PubDate: 2021-03-22
       
  • Does thrombolysis for pulmonary embolism reduce the risk of chronic
           complications'
    • Authors: C Apsey, M Jawad, M Daschel, D Woosey, C Limb, M Wilde
      Abstract: We assessed the efficacy of thrombolysis in avoiding long-term complications. Notes of patients thrombolysed for PE in the 2-year period were reviewed. The initial CTPA and echocardiogram results before thrombolysis were compared to the results of follow up imaging repeated after 6 months. Twenty-two patients were thrombolysed for PE. 14 patients had sub-massive PE and 8 patients had massive PE. The right ventricle (RV) was dilated on pre-thrombolysis echocardiogram in 16 patients. On follow up...
      Citation: Acute medicine
      PubDate: 2021-03-22
       
  • Predicting poor outcome in patients with suspected COVID-19 presenting to
           the Emergency Department (COVERED) - Development, internal and external
           validation of a prediction model
    • Authors: K Azijli, Awe Lieveld, Sfb van der Horst, N de Graaf, R S Kootte, M W Heijmans, P M van de Ven, Ejg Peters, J Heijmans, P Terragnoli, G Natalini, M Abu Hilal, T de Rooij, Pwb Nanayakkara
      Abstract: CONCLUSION: The COVERED risk score showed excellent discriminatory ability, also in an external validation. It may aid clinical decision making, and improve triage at the ED in health care environments with high patient throughputs.
      Citation: Acute medicine
      PubDate: 2021-03-22
       
  • Editorial - Managing Risk in Uncertain Times
    • Authors: B Lovell
      Abstract: In February 2021 Jon Hilton (AIM ST4 doctor) published a tweet asking about how the Acute Medicine community can best address potential applicant's fears of dealing with clinical risk. Appraising and managing risk is at the core of acute medical clinical practice; we treat patients in the first crucial 24 hours of their hospital journey, when the clinical status is changeable, and the clinical trajectory not yet established. We make judgement calls about medical treatment, but also about whether...
      Citation: Acute medicine
      PubDate: 2021-03-22
       
  • What the acute physician needs to know about Anti-NMDA receptor
           encephalitis: two case presentations
    • Authors: S L Gall, S M Healy, B D Michael, V A Price, Rjb Ellis
      Abstract: These case reports look at two patients with anti-N-methyl-D-aspartate receptor (NMDAr) encephalitis presenting to the same acute medical unit within a month of each other. The following covers the characteristic signs, symptoms and timeline associated with this condition and discusses whether we should be sending CSF for anti-NMDAr antibody testing more readily.
      Citation: Acute medicine
      PubDate: 2020-11-20
       
  • Idiopathic Pulmonary Arterial Hypertension Unmasked by Pregnancy
    • Authors: A Maxwell, T Holman, T Novak
      Abstract: A 31-year old woman presented to the acute medical unit 9 days post-partum with shortness of breath and peripheral oedema. Initially suspected to have either a pulmonary embolism or post-partum cardiomyopathy, she proceeded to have imaging including a CT Pulmonary angiogram and echocardiogram, which were suggestive of pulmonary hypertension and severe right heart failure. Her history and other investigations did not reveal any obvious cause for this. She was transferred to a specialist centre...
      Citation: Acute medicine
      PubDate: 2020-11-20
       
  • Biomarker negative pancreatitis caused by InfluenzaB infection. A case
           presentation and review of the literature
    • Authors: P D Zafeiris
      Abstract: CONCLUSION: Influenza B can rarely cause acute pancreatitis. The absence of biochemical confirmation should not exclude the diagnosis of pancreatitis in the appropriate clinical setting.
      Citation: Acute medicine
      PubDate: 2020-11-20
       
  • Approach to dyspnoea in pregnancy in the COVID-19 era
    • Authors: A Banerjee, L A Arrandale, S Sankaran, G W Glover, C Nelson-Piercy
      Abstract: IMPORTANCE: Dyspnoea and hypoxia in pregnant women during the COVID-19 pandemic may be due to causes other than SARS Co-V-2 infection which should not be ignored. Shared decision-making regarding early delivery is paramount.
      Citation: Acute medicine
      PubDate: 2020-11-20
       
  • Acute care service performance during winter: report from the winter SAMBA
           2020 national audit of acute care
    • Authors: C Atkin, T Knight, C Subbe, M Holland, T Cooksley, D Lasserson
      Abstract: The Winter Society for Acute Medicine Benchmarking Audit (SAMBA) provides the first comparison of performance within acute medicine against clinical quality indicators during winter, a time of increased pressure and demand on acute services. 105 hospitals participated in Winter SAMBA, collecting data over 24-hours on 30th January 2020. 5626 patients were included. Participating units saw a median of 48 patients (range 13-131). Comparison between Winter SAMBA and SAMBA19 found less patients had...
      Citation: Acute medicine
      PubDate: 2020-11-20
       
  • Society for Acute Medicine Benchmarking Audit 2019 (SAMBA19): Trends in
           Acute Medical Care
    • Authors: M Holland, C Subbe, C Atkin, T Knight, T Cooksley, D Lasserson
      Abstract: CONCLUSION: SAMBA19 highlighted the evolving complexity of acute medical pathways for patients. The challenge now is to increase sample frequency, assess the impact of SAMBA open a broader debate to define optimal CQIs.
      Citation: Acute medicine
      PubDate: 2020-11-20
       
  • Point-of-Care Screening Echocardiograms and their Potential Utility in the
           Acute Inpatient Medical Setting
    • Authors: H Walker, N Short
      Abstract: Demands on echocardiography services are increasing annually. This Quality Improvement Project aimed to see whether a point of care screening echocardiography (SE) service in the acute inpatient medical setting might help reduce demand on full trans-thoracic echocardiography services (FE). The indication and results of all FE requests on the admission ward were analysed over a three-month period. Following this, it was considered whether a theoretical SE occurring prior, would have changed the...
      Citation: Acute medicine
      PubDate: 2020-11-20
       
  • Point-of-care lung ultrasound in the assessment of suspected COVID-19: a
           retrospective service evaluation with a severity score
    • Authors: T Knight, L Edwards, A Rajasekaran, S Clare, D Lasserson
      Abstract: CONCLUSION: A simple aggregated score formed by the summating the degree of pleural and interstitial change within six anatomical lung zones showed good discriminatory performance in predicting a range of adverse outcomes in patients with suspected COVID-19.
      Citation: Acute medicine
      PubDate: 2020-11-20
       
  • Triage Into the Community for COVID-19 (TICC-19) Patients Pathway -
           Service evaluation of the virtual monitoring of patients with COVID
           pneumonia
    • Authors: J Nunan, D Clarke, A Malakouti, D Tannetta, A Calthrop, X H Xu, N B Chan, R Khalil, W Li, A Walden
      Abstract: CONCLUSION: It is safe, feasible and cost effective to set up a triage system with remote oximetry monitoring for patients with COVID-19 and overwhelmingly patients find it a positive experience.
      Citation: Acute medicine
      PubDate: 2020-11-20
       
  • Acute, non-COVID related medical admissions during the first wave of
           COVID-19: A retrospective comparison of changing patterns of disease
    • Authors: B Riley, M Packer, S Gallier, E Sapey, C Atkin
      Abstract: COVID-19 may have altered the case-mix of non-COVID acute medical admissions. Retrospective analysis of acute medical admissions to University Hospitals Birmingham NHS Foundation Trust, showed that medical admissions decreased in April 2020 compared to April 2019. The proportion of young adults, non-cardiac chest pain, musculoskeletal conditions and self-discharges decreased. The proportion of admissions due to alcohol misuse, psychiatric conditions, overdoses and falls increased. There were a...
      Citation: Acute medicine
      PubDate: 2020-11-20
       
  • Editorial - COVID-19: Exemplifying the importance and challenges of Acute
           Medicine
    • Authors: Tim Cooksley
      Abstract: COVID-19 has challenged healthcare providers and systems. It has dominated the international news agenda for the majority of 2020; arguably opinion becoming more fractured and disparate as the pandemic has evolved. The changing tone of discourse is concerning, although perhaps not surprising.
      Citation: Acute medicine
      PubDate: 2020-11-20
       
  • Letter to the editor
    • Authors: Abigail Ash, Ifor Capel, Bethan Graf
      Abstract: "Inside the word emerging is emerge, from an emergency new things come forth. The old certainties are crumbling first, but danger and possibility are sisters."
      Citation: Acute medicine
      PubDate: 2020-10-06
       
  • Abnormal Lung Point-of-Care Ultrasound (POCUS) in Suspected Cases of
           COVID-19 pneumonia with Normal Plain Chest Radiographs - A Case Series
    • Authors: D O Mort, D Limbu, J Nunan, A Walden
      Abstract: COVID-19 pneumonia produces a heterogeneous array of clinical, biochemical, and radiological findings. Over the last few months of global hurry to optimize a testing strategy, it has been suggested that bedside point-of-care lung ultrasound may have a diagnostic role. We present 3 patients with RT-PCR nasopharyngeal swab-confirmed COVID-19 pneumonia, who had an admission plain chest film reported to be normal by a consultant radiologist, but with significant sonographic abnormalities on bedside...
      Citation: Acute medicine
      PubDate: 2020-10-06
       
  • Total Occlusion of the Left Descending and circumflex Coronary Artery
           without ST Elevation: the De Winter electrocardiographic pattern
    • Authors: A Kalkan, B Cekmen, B Bas, M T Kocer, A Demirel, B D Tayfun
      Abstract: de Winter syndrome, or anterior ST segment elevation myocardial infarction (STEMI), constitutes 2% of acute myocardial infarctions. In contrast to classic ST segment elevation as seen with STEMI, it involves ST depression with precordial derivations and sharp waves. de Winter syndrome indicates critical narrowing of the left ascending coronary artery (LAD). Recognizing this presentation is important in terms of both mortality and morbidity. We present the case of a 71-year old patient presenting...
      Citation: Acute medicine
      PubDate: 2020-10-06
       
  • Pneumomediastinum, subcutaneous emphysema and pneumorrhachis following
           cocaine insufflation: a case report
    • Authors: J Burns, A Roby, T Jaconelli
      Abstract: A case report on a 36-year-old male patient presenting to the emergency department (ED) with chest tightness, nasal sounding voice and subcutaneous emphysema 72 hours after the nasal insufflation of approximately 0.5g of cocaine. A plain radiograph of the chest demonstrated an extensive pneumomediastinum with subcutaneous emphysema extending into his neck. A computerised tomography (CT) scan confirmed the above findings, along with a pneumorrhachis of the thoracic spine. He was admitted locally...
      Citation: Acute medicine
      PubDate: 2020-10-06
       
  • Proteus mirabilis - a rare cause of non-HACEK Gram-negative infective
           endocarditis
    • Authors: A De Wilton, M Margaritis, H Mills, S Logan, J Hatcher, S Morris-Jones
      Abstract: Infective endocarditis caused by Proteus mirabilis is strikingly rare. Here, we describe the case of an 86-year old man with five recurrent septic episodes over a period of three months associated with Proteus mirabilis bacteraemia secondary to underlying Proteus endocarditis. The final diagnosis was made based on clinical findings, blood culture results and transoesophageal echocardiogram. The patient was treated medically with 6 weeks of ceftriaxone and long-term oral ciprofloxacin. On...
      Citation: Acute medicine
      PubDate: 2020-10-06
       
  • Pacemaker Lead Perforation Mimicking Symptoms of Acute Pulmonary Embolism
    • Authors: A Farooqui, T Key, U Ihekwaba, K Hogrefe
      Abstract: Myocardial perforation is a rare yet serious complication following cardiac pacemaker or defibrillator device procedures. In this article, the authors describe a case of right ventricular pacemaker lead perforation presenting to our hospital's medical assessment unit with a clinical presentation suggestive of an acute pulmonary embolism. Treatment dose low molecular weight heparin (LMWH) was commenced while awaiting CT scan. CT images were negative for PE however demonstrated RV lead...
      Citation: Acute medicine
      PubDate: 2020-10-06
       
  • Limited Prognostic Utility of a Simplified Vital Sign Based Risk
           Calculator in Acute Medical Admissions
    • Authors: R Conway, D Byrne, D O'Riordan, B Silke
      Abstract: CONCLUSION: The Vital Sign based Risk Calculator is limited by its simplicity; inclusion of illness severity and comorbidity data improve prediction.
      Citation: Acute medicine
      PubDate: 2020-10-06
       
  • Usability of a Web-based Software Tool for History Taking in the Emergency
           Department
    • Authors: J F Renggli, C Eken, V Siegrist, R N Ortega, C Nickel, C Rosin, R Hertwig, R Bingisser
      Abstract: Medical history taking is an important step within the diagnostic process. This study aims to assess the quality and usability (effectiveness, satisfaction, efficiency) of a web-based medical history taking app in the emergency department. During three weeks, patients and junior physicians filled out study questionnaires about the app. Senior physicians rated the quality of medical histories taken by junior physicians and app. In 241 patients, the studied app showed excellent usability with...
      Citation: Acute medicine
      PubDate: 2020-10-06
       
  • The utility of peripheral venous lactate in emergency department patients
           with normal and higher lactate levels: A prospective observational study
    • Authors: A J Van Tienhoven, Caj Van Beers, Ceh Siegert, Pwb Nanayakkara
      Abstract: CONCLUSION: PVL
      Citation: Acute medicine
      PubDate: 2020-10-06
       
  • Recovery after acute illness after hospital discharge - a prospective
           cohort study
    • Authors: N Ahmed, Keg Olesen, L M Poulsen, I Gøgenur, O Mathiesen, S Estrup
      Abstract: CONCLUSIONS: We found a moderately reduced cognitive function three and twelve months after acute illness.
      Citation: Acute medicine
      PubDate: 2020-10-06
       
  • Who is allowed to read and write'
    • Authors: C P Subbe
      Abstract: What makes us human' In 2015 Jeremy Vine asked this question to a selection of leading British thinkers and writers. The answers were as diverse as the people he interviewed. While you might have your own views about the complexity of being human I would suggest that being able to articulate thoughts and communicate them to others might be one of the characteristics that distinguishes us from other life forms. And if we think more about the achievements of human culture then being able to...
      Citation: Acute medicine
      PubDate: 2020-10-06
       
  • Editorial - We are all story-tellers
    • Authors: Ben Lovell
      Abstract: Story telling is a human universal. It is as old as language. Creating and relating narratives form an integral part of how physicians understand and communicate about our patients and their diseases. We ask our patients to help us develop their story ('tell me about when all of this first started'), and then we tell their story back to them to facilitate our understanding ('let me just check I understood; this is how things have progressed'). We use individual patients to anchor our learning in...
      Citation: Acute medicine
      PubDate: 2020-10-06
       
  • Is fake news contributing to increased Covid-19 BAME deaths'
    • Authors: Tehmeena Khan, Shamim Nassrally
      Abstract: We write this letter as doctors and proud members of the Black, Asian and Minority Ethnic (BAME) community from a South Asian background. Recent Office for National Statistics (ONS) data suggest that the BAME population is disproportionately affected by Covid-19. Observations and experiences from within our family and wider community led us to explore how cultural aspects may account for these figures. Both intrinsic and extrinsic factors are likely to contribute to this unfortunate statistic.
      Citation: Acute medicine
      PubDate: 2020-08-26
       
  • Pericardial Effusion presenting as Cough Syncope
    • Authors: J Evans, S Ullah
      Abstract: Syncope is a common clinical presentation and accounts for 1-3% of Emergency Department (ED) visits. Cough syncope is a rare type of situational syncope, often caused by respiratory conditions like bronchial asthma and chronic obstructive pulmonary disease. Cough syncope due to pericardial effusion is a rare but treatable condition. Delay in diagnosis can lead to fatal complications due to cardiac tamponade. We present a case of recurrent cough syncope caused by large pericardial effusion.
      Citation: Acute medicine
      PubDate: 2020-08-26
       
  • Ferric carboxymaltose (Ferinject®) associated hypophosphataemia: case
           report illustrating the need for increased awareness to minimise incidence
           and risk
    • Authors: S Fisher, L Jonker
      Abstract: Ferric carboxymaltose (Ferinject®) is an infusion administered for the treatment of iron deficiency anaemia. A number of previous case reports have shown the occurrence of hypophosphataemia after Ferinject® treatment, supposedly managed though high dose phosphate therapy. This case report highlights the risk associated with, and futility of, managing this adverse effect through high dose phosphate infusion. A review of the available literature suggests that if hypophosphataemia develops as a...
      Citation: Acute medicine
      PubDate: 2020-08-26
       
  • A change in perspective to see the bigger picture. A thematic analysis of
           Audit and Quality Improvement submissions to the last seven UK based SAM
           Conferences
    • Authors: M Boyle, J Clayton, G Samra
      Abstract: AIMS: To create a profile of Society for Acute Medicine (SAM) Audit and Quality Improvement (A&QI) accepted abstracts from the last seven UK based conferences.
      Citation: Acute medicine
      PubDate: 2020-08-26
       
  • Fentanyl patches: Use and Misuse
    • Authors: N J Langford
      Abstract: Transdermal fentanyl is a well-used and highly effective form of opioid analgesia for patients suffering with severe chronic pain. It is also an opioid that is widely abused. Acute clinicians need to be aware of the methods by which fentanyl patches may be used both therapeutically and illicitly as well as the impact this can have in managing a patient's period of intoxication.
      Citation: Acute medicine
      PubDate: 2020-08-26
       
  • Prognostic Value Of Blood Cultures as an Illness Severity Marker In
           Emergency Medical Admissions
    • Authors: R Conway, B O'Connell, D Byrne, D O'Riordan, B Silke
      Abstract: CONCLUSION: Performance and results of blood cultures are independently associated with increased mortality.
      Citation: Acute medicine
      PubDate: 2020-08-26
       
  • A change from high-flow to titrated oxygen therapy in the prehospital
           setting is associated with lower mortality in COPD patients with acute
           exacerbations: an observational cohort study
    • Authors: L P Bentsen, A T Lassen, I L Titlestad, M Brabrand
      Abstract: CONCLUSION: Change of treatment protocol is associated with a lower 30-day mortality for patients registered with acute exacerbation, but not for all COPD patients.
      Citation: Acute medicine
      PubDate: 2020-08-26
       
  • Correlating pulmonary embolism severity with short term mortality to risk
           stratify for outpatient management
    • Authors: N M Batt, A Radford, K Milinis, S Asha
      Abstract: CONCLUSION: PESI/sPESI could be reliably utilized to risk stratify patients being considered for outpatient investigation of PE.
      Citation: Acute medicine
      PubDate: 2020-08-26
       
  • Gaps in point of care ultrasound provision and the cost of ultrasound
           
    • Authors: T Knight, S Clare, N Smallwood, D Lasserson
      Abstract: CONCLUSION: The equipment to provide PoCUS is not present on all AMUs and appropriately trained clinicians are not distributed evenly across units. This is likely to affect individual AMUs ability to deliver bedside ultrasound to appropriate patients who may benefit. Bridging the gap to ensure all AMUs have the option to use PoCUS will require planning and investment.
      Citation: Acute medicine
      PubDate: 2020-08-26
       
  • Editorial: POCUS in Acute Medicine
    • Authors: J Nunan, A Walden
      Abstract: In this edition of Acute Medicine, Knight et al. demonstrate from SAMBA data that access to ultrasound machines and supervision is geographically heterogeneous. They raise concerns that this may lead to inequity of provision of Point of Care Ultrasound(POCUS) and the benefits it can provide for patients. This point is well made: Since the development of the Focused Acute Medicine Ultrasound (FAMUS) competencies in 2016 there has been a steady increase in the provision of supervisors to 80 and...
      Citation: Acute medicine
      PubDate: 2020-08-26
       
  • Response to Letter to the editor: Acute Medicine Journal
    • Authors: N Murch, C Chadwick, A Wijewardane
      Abstract: Editor- Thank you for giving us the opportunity to respond to the letter received regarding the Joint Royal College of Physicians Training Board (JRCPTB) curriculum for Acute Internal Medicine (AIM) that has previously been circulated for comment and consideration of implementation in August 2022. Dr Williamson is correct in asserting that the proposed curriculum hopes to produce doctors with generic professional and specialty specific capabilities needed to manage patients presenting with a...
      Citation: Acute medicine
      PubDate: 2020-04-01
       
  • Letter to the editor: Acute Medicine Journal
    • Authors: Adam Williamson
      Abstract: Editor- I note with interest that the Joint Royal College of Physicians Training Board curriculum for Acute Internal Medicine (AIM) has been reviewed and circulated for comment and consideration of implementation in August 2022. The proposed curriculum hopes to produce doctors with generic professional and specialty specific capabilities needed to manage patients presenting with a wide range of medical symptoms and conditions. It aims to produce a workforce that reflects the current trends of...
      Citation: Acute medicine
      PubDate: 2020-04-01
       
  • An unusual suspect for heart failure
    • Authors: C Tan, H C Patel, J Mariani
      Abstract: Constrictive pericarditis though an uncommon diagnosis is a potentially reversible form of heart failure (with surgical pericardiectomy) and hence is imperative to diagnose. Diagnosis is dependent on a high index of clinical suspicion and further testing with appropriate cardiac investigations including cardiac imaging with invasive cardiac catheterisation as the gold standard.
      Citation: Acute medicine
      PubDate: 2020-04-01
       
  • Bedside Point-of-Care Ultrasound of an Adult with Diffuse Intermittent
           Abdominal Pain
    • Authors: J C Nwanaji-Enwerem, A Landry
      Abstract: A 29-year-old woman with a history of obesity status post Roux-en-Y gastric bypass greater than five years prior presented to the emergency department with four hours of sudden-onset stabbing left-sided abdominal pain associated with nausea and non-bloody emesis. She denied melaena and hematochezia, but did report two weeks of diarrhoea that was unchanged with this new onset abdominal pain.
      Citation: Acute medicine
      PubDate: 2020-04-01
       
  • Ambulatory drainage and management of a pleural empyema
    • Authors: A Aujayeb, K Jackson, R Johnston
      Abstract: A 61 year old male presented to chest clinic with a lung abscess. This ruptured and resulted in an empyema that required a small bore chest drain. Pus started bypassing the drain, spilling out subcutaneously. This was probably due to the impending formation of an empyema necessitans. To stem the flow, a large bore drain was inserted. An ambulatory bag was connected to the end of that drain which enabled outpatient management through the ambulatory care unit over a ten week period. The chest...
      Citation: Acute medicine
      PubDate: 2020-04-01
       
 
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