Subjects -> MEDICAL SCIENCES (Total: 8196 journals)
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    - DERMATOLOGY AND VENEREOLOGY (162 journals)
    - EMERGENCY AND INTENSIVE CRITICAL CARE (121 journals)
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    - UROLOGY, NEPHROLOGY AND ANDROLOGY (151 journals)

EMERGENCY AND INTENSIVE CRITICAL CARE (121 journals)                     

Showing 1 - 124 of 124 Journals sorted alphabetically
AACN Advanced Critical Care     Full-text available via subscription   (Followers: 36)
Academic Emergency Medicine     Hybrid Journal   (Followers: 90)
Acta Colombiana de Cuidado Intensivo     Full-text available via subscription   (Followers: 1)
Acute and Critical Care     Open Access   (Followers: 9)
Acute Cardiac Care     Hybrid Journal   (Followers: 11)
Acute Medicine     Full-text available via subscription   (Followers: 8)
Advances in Emergency Medicine     Open Access   (Followers: 16)
Advances in Neonatal Care     Hybrid Journal   (Followers: 43)
African Journal of Anaesthesia and Intensive Care     Full-text available via subscription   (Followers: 7)
African Journal of Emergency Medicine     Open Access   (Followers: 7)
AINS - Anasthesiologie - Intensivmedizin - Notfallmedizin - Schmerztherapie     Hybrid Journal   (Followers: 5)
American Journal of Emergency Medicine     Hybrid Journal   (Followers: 54)
Annals of Emergency Medicine     Hybrid Journal   (Followers: 126)
Annals of Intensive Care     Open Access   (Followers: 37)
Annals of the American Thoracic Society     Full-text available via subscription   (Followers: 15)
Archives of Academic Emergency Medicine     Open Access   (Followers: 6)
Archives of Trauma Research     Open Access   (Followers: 4)
ASAIO Journal     Hybrid Journal   (Followers: 2)
Australasian Journal of Paramedicine     Open Access   (Followers: 7)
Australian Critical Care     Full-text available via subscription   (Followers: 21)
Bangladesh Critical Care Journal     Open Access   (Followers: 1)
BMC Emergency Medicine     Open Access   (Followers: 25)
BMJ Quality & Safety     Hybrid Journal   (Followers: 65)
Burns Open     Open Access  
Canadian Journal of Respiratory, Critical Care, and Sleep Medicine     Hybrid Journal   (Followers: 2)
Case Reports in Acute Medicine     Open Access   (Followers: 3)
Case Reports in Critical Care     Open Access   (Followers: 13)
Case Reports in Emergency Medicine     Open Access   (Followers: 19)
Chronic Wound Care Management and Research     Open Access   (Followers: 7)
Clinical and Applied Thrombosis/Hemostasis     Open Access   (Followers: 32)
Clinical Intensive Care     Hybrid Journal   (Followers: 6)
Clinical Medicine Insights : Trauma and Intensive Medicine     Open Access   (Followers: 3)
Clinical Risk     Hybrid Journal   (Followers: 5)
Crisis: The Journal of Crisis Intervention and Suicide Prevention     Hybrid Journal   (Followers: 15)
Critical Care     Open Access   (Followers: 74)
Critical Care and Resuscitation     Full-text available via subscription   (Followers: 29)
Critical Care Clinics     Full-text available via subscription   (Followers: 34)
Critical Care Explorations     Open Access   (Followers: 3)
Critical Care Medicine     Hybrid Journal   (Followers: 279)
Critical Care Research and Practice     Open Access   (Followers: 13)
Current Emergency and Hospital Medicine Reports     Hybrid Journal   (Followers: 5)
Current Opinion in Critical Care     Hybrid Journal   (Followers: 73)
Disaster and Emergency Medicine Journal     Open Access   (Followers: 12)
Egyptian Journal of Critical Care Medicine     Open Access   (Followers: 2)
EMC - Urgenze     Full-text available via subscription  
Emergency Care Journal     Open Access   (Followers: 7)
Emergency Medicine (Medicina neotložnyh sostoânij)     Open Access  
Emergency Medicine Australasia     Hybrid Journal   (Followers: 17)
Emergency Medicine Clinics of North America     Full-text available via subscription   (Followers: 19)
Emergency Medicine International     Open Access   (Followers: 8)
Emergency Medicine Journal     Hybrid Journal   (Followers: 53)
Emergency Medicine News     Full-text available via subscription   (Followers: 7)
Emergency Nurse     Full-text available via subscription   (Followers: 17)
Enfermería Intensiva (English ed.)     Full-text available via subscription  
European Burn Journal     Open Access   (Followers: 10)
European Journal of Emergency Medicine     Hybrid Journal   (Followers: 23)
Frontiers in Emergency Medicine     Open Access   (Followers: 8)
Global Journal of Transfusion Medicine     Open Access   (Followers: 1)
Hong Kong Journal of Emergency Medicine     Full-text available via subscription   (Followers: 5)
Indian Journal of Burns     Open Access   (Followers: 2)
Injury     Hybrid Journal   (Followers: 20)
Intensive Care Medicine     Hybrid Journal   (Followers: 82)
Intensive Care Medicine Experimental     Open Access   (Followers: 2)
Intensivmedizin up2date     Hybrid Journal   (Followers: 4)
International Journal of Critical Illness and Injury Science     Open Access   (Followers: 1)
International Journal of Emergency Medicine     Open Access   (Followers: 9)
International Journal of Emergency Mental Health and Human Resilience     Open Access   (Followers: 2)
International Paramedic Practice     Full-text available via subscription   (Followers: 14)
Iranian Journal of Emergency Medicine     Open Access  
Irish Journal of Paramedicine     Open Access   (Followers: 2)
Journal Européen des Urgences et de Réanimation     Hybrid Journal   (Followers: 1)
Journal of Acute Care Physical Therapy     Hybrid Journal   (Followers: 3)
Journal of Cardiac Critical Care TSS     Open Access   (Followers: 1)
Journal Of Cardiovascular Emergencies     Open Access  
Journal of Concussion     Open Access  
Journal of Critical Care     Hybrid Journal   (Followers: 48)
Journal of Critical Care Medicine     Open Access   (Followers: 18)
Journal of Education and Teaching in Emergency Medicine     Open Access   (Followers: 1)
Journal of Emergencies, Trauma and Shock     Open Access   (Followers: 13)
Journal of Emergency Medical Services     Full-text available via subscription   (Followers: 12)
Journal of Emergency Medicine     Hybrid Journal   (Followers: 53)
Journal of Emergency Medicine, Trauma and Acute Care     Open Access   (Followers: 25)
Journal of Emergency Practice and Trauma     Open Access   (Followers: 6)
Journal of Intensive Care     Open Access   (Followers: 9)
Journal of Intensive Care Medicine     Hybrid Journal   (Followers: 22)
Journal of Intensive Medicine     Open Access  
Journal of Neuroanaesthesiology and Critical Care     Open Access   (Followers: 3)
Journal of Stroke Medicine     Hybrid Journal  
Journal of the American College of Emergency Physicians Open     Open Access   (Followers: 1)
Journal of the Intensive Care Society     Hybrid Journal   (Followers: 4)
Journal of the Royal Army Medical Corps     Hybrid Journal   (Followers: 6)
Journal of Thrombosis and Haemostasis     Hybrid Journal   (Followers: 81)
Journal of Translational Critical Care Medicine     Open Access   (Followers: 5)
Journal of Trauma and Acute Care Surgery, The     Hybrid Journal   (Followers: 34)
La Presse Médicale Open     Open Access  
Médecine de Catastrophe - Urgences Collectives     Hybrid Journal  
Medicina Intensiva     Open Access   (Followers: 3)
Medicina Intensiva (English Edition)     Hybrid Journal   (Followers: 1)
Mediterranean Journal of Emergency Medicine & Acute Care : MedJEM     Open Access  
Notfall + Rettungsmedizin     Hybrid Journal   (Followers: 3)
OA Critical Care     Open Access   (Followers: 3)
OA Emergency Medicine     Open Access   (Followers: 2)
Open Access Emergency Medicine     Open Access   (Followers: 6)
Open Journal of Emergency Medicine     Open Access   (Followers: 2)
Palliative Care : Research and Treatment     Open Access   (Followers: 19)
Palliative Medicine     Hybrid Journal   (Followers: 54)
Prehospital Emergency Care     Hybrid Journal   (Followers: 19)
Regulatory Toxicology and Pharmacology     Hybrid Journal   (Followers: 41)
Research and Opinion in Anesthesia and Intensive Care     Open Access   (Followers: 3)
Resuscitation     Hybrid Journal   (Followers: 54)
Resuscitation Plus     Open Access   (Followers: 2)
Saudi Critical Care Journal     Open Access   (Followers: 2)
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine     Open Access   (Followers: 11)
Seminars in Thrombosis and Hemostasis     Hybrid Journal   (Followers: 46)
Shock : Injury, Inflammation, and Sepsis : Laboratory and Clinical Approaches     Hybrid Journal   (Followers: 10)
Sklifosovsky Journal Emergency Medical Care     Open Access  
The Journal of Trauma Injury Infection and Critical Care     Full-text available via subscription   (Followers: 24)
Therapeutics and Clinical Risk Management     Open Access   (Followers: 2)
Transplant Research and Risk Management     Open Access  
Trauma Case Reports     Open Access   (Followers: 1)
Trauma Monthly     Open Access   (Followers: 3)
Visual Journal of Emergency Medicine     Full-text available via subscription   (Followers: 1)
Western Journal of Emergency Medicine     Open Access   (Followers: 11)
 AEM Education and Training : A Global Journal of Emergency Care     Open Access   (Followers: 1)

           

Similar Journals
Journal Cover
Acute Medicine
Journal Prestige (SJR): 0.239
Number of Followers: 8  
 
  Full-text available via subscription Subscription journal
ISSN (Print) 1747-4884 - ISSN (Online) 1747-4892
Published by RILA Publications Homepage  [1 journal]
  • Antimicrobial neurotoxicity: an under-recognised cause of delirium

    • Free pre-print version: Loading...

      Authors: D Moynan, E Maqbool, E de Barra
      Abstract: Antimicrobial associated encephalopathy (AAE) is a well-documented, though under recognised, adverse event associated with antimicrobial use. Clinical manifestations of AAE are varied, ranging from myoclonus and seizure to an encephalopathy with cerebellar signs. The phenotypic presentation of the encephalopathy syndrome is, in general, governed by the antimicrobial in question. Given its apparent rarity in everyday clinical practice, awareness of AAE is crucial for physicians. We describe a...
      Citation: Acute medicine
      PubDate: 2022-06-10
      DOI: 10.52964/AMJA.0908
       
  • Acute abdominal pain: chameleon presentations of acute myelitis

    • Free pre-print version: Loading...

      Authors: S W Mackrill, M E Reschen
      Abstract: Patients with acute abdominal pain typically undergo urgent clinical assessment to exclude serious underlying surgical diagnoses. However, a diverse range of less common medical conditions may also present with abdominal pain and their severity can range from benign to life threatening. Here we present a case of myelitis (inflammation of the spinal cord) presenting with acute abdominal pain that was initially diagnosed clinically as biliary pathology. We review the canonical differential...
      Citation: Acute medicine
      PubDate: 2022-06-10
      DOI: 10.52964/AMJA.0907
       
  • 'Just another asthma attack'' - point of care ultrasound as a game
           changer in respiratory failure

    • Free pre-print version: Loading...

      Authors: L Boella, S Norman, G Rajasekar, N Smallwood
      Abstract: Wheeze and shortness of breath are a common reason for admission to hospital but the cause of which is not always immediately apparent. We present a case of a patient with respiratory distress, wheeze and chest tightness on a background of well controlled asthma and androgen deprivation therapy for prostate cancer. The patient was provisionally treated as an asthma exacerbation but point of care ultrasound (POCUS) performed soon after admission revealed severe LV impairment and 'wet lungs' in...
      Citation: Acute medicine
      PubDate: 2022-06-10
      DOI: 10.52964/AMJA.0906
       
  • Shock first, ask questions later…

    • Free pre-print version: Loading...

      Authors: B Brown, M Jackson
      Abstract: A 39-year-old man presented to the Emergency Department following a sudden onset of palpitations an hour earlier. He was clammy and felt generally unwell. He was normally fit and active with no history of cardiac symptoms including palpitations - he mentioned as a teenager he was told that he had an 'extra bit of wiring in his heart' but nothing further was done. His only regular medication was Sertraline. He drank alcohol to excess. On examination, he was hypotensive but pain free. Bloods...
      Citation: Acute medicine
      PubDate: 2022-06-10
      DOI: 10.52964/AMJA.0905
       
  • Isolated paracetamol-induced acute kidney injury: a systematic review

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      Authors: M Williams, J Coulson
      Abstract: CONCLUSIONS: Isolated paracetamol-induced AKI appears commoner in younger patients. Paracetamol-induced AKI occurs late and may go undetected by current treatment guidelines.
      Citation: Acute medicine
      PubDate: 2022-06-10
      DOI: 10.52964/AMJA.0904
       
  • Potential therapies for sodium azide intoxication; a case report and
           review of the literature

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      Authors: Nta Groeneveld, L van Hoeven, R S van der Crabben, C A den Uil, C Bethlehem, J Alsma
      Abstract: Intoxications with sodium azide are rare and in almost all cases lethal in doses above 700 mg or 10mg/kg. We report a case of a patient who ingested 2 grams of sodium azide as a suicide attempt. Sodium azide irreversible blocks cytochrome C oxidase by inhibiting oxidative phosphorylation leading to cell death. There is currently no antidote available. Our patient was treated with a range of therapies, on site, in the emergency department and in the intensive care unit, such as sodium...
      Citation: Acute medicine
      PubDate: 2022-06-10
      DOI: 10.52964/AMJA.0903
       
  • Improving care for patients in the outlying wards: Lessons from patients'
           care experience

    • Free pre-print version: Loading...

      Authors: V Sobolewska, H Duff, F Craighead, I Macpherson, A Veiraiah, S Dummer, K A Lockman
      Abstract: CONCLUSIONS AND RELEVANCE: Patient experience of the outlying ward is positive, and this can provide a foundation for improvement. Our findings suggest that better care processes and improved communication are needed to promote equity and quality of care. However, this should be complemented with efforts to overcome wider challenges that affect the entire continuum of flow within the healthcare system.
      Citation: Acute medicine
      PubDate: 2022-06-10
      DOI: 10.52964/AMJA.0902
       
  • Developing priorities for quality improvement in acute medicine using a
           modified Delphi method A consensus process hosted by the Society for Acute
           Medicine Quality Improvement Committee (SAM-QI)

    • Free pre-print version: Loading...

      Authors: A Kennedy, M Holland, P Sullivan, A Gebril, N Arora, V Vijayakumar, A Hoole, C Nickel, C Hodcroft, L Harrington, M Wheble, J Soong, N Scriven, J Kellett, K Slinger, V Price, J Alsma, S Astbury, R Varia, A Rigby, C Subbe
      Abstract: CONCLUSION: The SAM-QI group settled on SDEC being the priority topic for Acute Medicine QI development. Throughout the Delphi process SAM-QI has also developed proposals for QI training that will help Acute Medicine professionals deliver coordinated meaningful improvements in care.
      Citation: Acute medicine
      PubDate: 2022-06-10
      DOI: 10.52964/AMJA.0901
       
  • The prediction of early mortality by the ROX index of oxygenation and
           respiratory rate in diverse Canadian and Ugandan cohorts of unselected
           

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      Authors: J Kellett, F K Sikakulya, C H Nickel
      Abstract: AIM: To investigate the association between in-hospital mortality and the ROX index of respiratory rate and oxygenation in diverse cohorts of unselected patient at different prediction windows.
      Citation: Acute medicine
      PubDate: 2022-06-10
      DOI: 10.52964/AMJA.0900
       
  • Guest Editorial - A personal journey in Acute Medicine

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      Authors: M Schinkel
      Abstract: The Nobel-winning physicist Niels Bohr famously said that "prediction is very difficult, especially if it's about the future." Nevertheless, the prediction of rapid clinical deterioration has acquired its place in Acute Medicine. Time-urgent medical emergencies can benefit significantly from early detection when treatment delays increase the risk of death. Many Early Warning Systems (EWS) have thus been developed to stratify those at high risk of deterioration. It has been demonstrated that...
      Citation: Acute medicine
      PubDate: 2022-06-10
      DOI: 10.52964/AMJA.0899
       
  • Metrics are required for diagnostic accuracy in acute medicine

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      Authors: M B Whyte, P Kelly
      Abstract: The article by Subbe et al raise important considerations as to what is deemed quality care in medicine. Throughput in acute medicine is highly prized. Prompt decision making, and action, is certainly required for several groups of unwell patients, but there is system-wide pressure to maintain this fast pace for all patients. It does not automatically follow that quicker medicine benefits all patients to some degree. 'Productivity' may come at the cost of too much medicine - characterised by...
      Citation: Acute medicine
      PubDate: 2022-03-28
      DOI: 10.52964/AMJA.0898
       
  • The One Minute Preceptor: A Vital Tool During COVID-19

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      Authors: A O'Connor, J R Abbas, H McNeill
      Abstract: The One Minute Preceptor (OMP) model of teaching has an important role to play during the COVID-19 pandemic. It's quick and easy to learn and can be applied to any clinical setting. By responding directly to a student's needs, and building on the knowledge they already hold, the OMP is able to offer relevant and opportunistic teaching that the learner can immediately apply. Finally, the OMP can be taught in under two hours meaning medical staff not used to regularly teaching can develop the...
      Citation: Acute medicine
      PubDate: 2022-03-28
      DOI: 10.52964/AMJA.0897
       
  • The Diagnostic Accuracy and Prognostic Value of Lung ultrasound in
           Suspected COVID-19 a retrospective service evaluation

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      Authors: F D Lesser, M Dachsel, N Smallwood
      Abstract: We read with interest the paper from Knight et al in Acute Medicine1 in particular the use of a lung ultrasound (LUS) score to predict outcome in patients with suspected COVID-19. LUS has been shown to be useful in the diagnosis and prognosis for COVID-19 by other authors. We have carried out a service evaluation project on our data from East Surrey Hospital looking into prognostic and diagnostic performance of LUS in suspected COVID-19. In contrast to the data used by Knight et al we had...
      Citation: Acute medicine
      PubDate: 2022-03-28
      DOI: 10.52964/AMJA.0895
       
  • Tocilizumab for treatment of SARS-CoV-2 infection at home: A case report

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      Authors: S E McGlen, N Stoesser, C Woodrow, J Dudley, D Newton, D Lasserson
      Abstract: SARS-CoV-2 virtual wards have successfully developed to monitor and escalate patients to hospital throughout the pandemic. Here we describe the case of an 84 year old man who received his complete care for severe SARS-CoV-2 pneumonitis at home, including the administration of oxygen, dexamethasone and tocilizumab.
      Citation: Acute medicine
      PubDate: 2022-03-28
      DOI: 10.52964/AMJA.0894
       
  • Case Report: Congenital Methaemoglobinaemia Type 1: Benign Cyanosis'

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      Authors: J R Fleming, M I Maycock
      Abstract: Type 1 congenital methaemoglobinaemia is a rare cause of cyanosis which may manifest in affected individuals during concomitant illness. Treatment indications and aims differ from that of acquired methaemoglobinaemia. Type 1 methaemoglobinaemia is a distinct condition from the type 2 form which has a high mortality rate in infancy. A 25 year old male with known type 1 congential methaemoglobinaemia presented with cyanosis in the context of Influenza A with raised methaemoglobin levels on...
      Citation: Acute medicine
      PubDate: 2022-03-28
      DOI: 10.52964/AMJA.0893
       
  • 5-Oxoproline acidosis caused by acetaminophen and flucloxacillin treatment
           - a case report

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      Authors: P van Montfort, F Helmich, Gjm Mostard, Djl van Twist
      Abstract: High anion gap metabolic acidosis (HAGMA) is a common diagnosis in the emergency department, which requires a systematic work-up in order to identify and treat the underlying cause. We present an unusual case of HAGMA due to 5-oxoproline accumulation caused by prolonged treatment with both acetaminophen (paracetamol) and flucloxacillin. This paper describes the diagnostic work-up of HAGMA and emphasizes on the approach and initial treatment in case the underlying etiology is unclear.
      Citation: Acute medicine
      PubDate: 2022-03-28
      DOI: 10.52964/AMJA.0892
       
  • Valproate-Associated Hyperammonaemic Encephalopathy

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      Authors: P Anthonipillai, G Sharp, J Kimber, V Ziauddin
      Abstract: We present the case of a 55 year old who presented multiple times with altered conscious levels. He was often treated as being post-ictal, when in fact, he had Sodium Valproate induced hyperammonaemic encephalopathy. Sodium Valproate can frequently increase ammonia levels, and in some patient lead to hyperammonaemic encephalopathy.
      Citation: Acute medicine
      PubDate: 2022-03-28
      DOI: 10.52964/AMJA.0891
       
  • Gastric bypass surgery contributing to hyperammonaemic encephalopathy: an
           under-reported cause of severe nutritional deficiency and significant
           patient mortality

    • Free pre-print version: Loading...

      Authors: W Dace, A Srivastava, D Milne, A Howden, H Kemp, N Cantley
      Abstract: Gastric-bypass associated hyperammonaemia (GaBHA) is an under-recognised cause of non-hepatic encephalopathy that is associated with significant mortality and has limited reporting in published literature. GaBHA has been reported predominately in middle-aged females with a past surgical history of Roux-En-Y surgical procedure. Individuals may present at any stage post-surgery and an important minority may have an undiagnosed inherited metabolic disorder. We report a case of a 49 year old woman...
      Citation: Acute medicine
      PubDate: 2022-03-28
      DOI: 10.52964/AMJA.0890
       
  • Length of stay in Acute Medical Admissions: Analysis from the Society for
           Acute Medicine Benchmarking Audit

    • Free pre-print version: Loading...

      Authors: C Atkin, T Knight, T Cooksley, M Holland, C Subbe, A Kennedy, R Varia, D Lasserson
      Abstract: CONCLUSION: The proportion of acute medical attendances receiving overnight admission varies between hospitals. Length of stay is impacted by patient factors and illness acuity. Strategies to reduce inpatient service pressures must ensure effective care for older patients and those with frailty.
      Citation: Acute medicine
      PubDate: 2022-03-28
      DOI: 10.52964/AMJA.0889
       
  • Society for Acute Medicine Benchmarking Audit 2021 (SAMBA21): assessing
           national performance of acute medicine services

    • Free pre-print version: Loading...

      Authors: C Atkin, T Knight, T Cooksley, M Holland, C Subbe, A Kennedy, R Varia, D Lasserson
      Abstract: CONCLUSION: Performance against the CQIs for acute medicine was maintained in comparison to previous rounds of SAMBA, despite increased admissions. There remains considerable variation in unit structure and performance within acute medical services.
      Citation: Acute medicine
      PubDate: 2022-03-28
      DOI: 10.52964/AMJA.0888
       
  • The 'Unwell' clinical presentation- an opportunity for admission
           avoidance'

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      Authors: R Conway, D Byrne, D O'Riordan, B Silke
      Abstract: CONCLUSION: A diagnosis of 'unwell' applied to a heterogenous group; clinical trajectories and outcomes were sufficiently different to preclude targeted admission avoidance as a strategy.
      Citation: Acute medicine
      PubDate: 2022-03-28
      DOI: 10.52964/AMJA.0887
       
  • Number, nature & impact of incoming telephone calls on residents and
           their work during evening shifts

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      Authors: Mwl van Geffen, K M van der Waaij, P M Stassen
      Abstract: BACKGROUND: Internal medicine residents are frequently interrupted by phone calls, which may compromise workflow, work quality and job satisfaction.
      Citation: Acute medicine
      PubDate: 2022-03-28
      DOI: 10.52964/AMJA.0886
       
  • Guest Editorial - A personal journey in Acute Medicine

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      Authors: D Bell
      Abstract: This article describes my personal journey through Acute Medicine from the late 1980's and incorporates the development of Acute Medical Units (AMU's), co-establishing the Society for Acute Medicine (SAM), as well as involvement in the development of training curricula, research and audit. I am deeply indebted to a great number of professional colleagues over the last three decades, who have been pivotal to the development of the Acute Medicine specialism, and many of whom in turn became...
      Citation: Acute medicine
      PubDate: 2022-03-28
      DOI: 10.52964/AMJA.0885
       
  • Letters to Editor

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      Authors: Mercy Ariyo, Nick Murch, Adil Al-Lawati
      Abstract: Huntington and Pennington's recent article1 on a case of Fatal Methaeglobinaemia Due To Intentional Sodium Nitrate Poisoning was very interesting, is a useful overview of initial diagnosis and management, and has helped remind the readers of this potentially life-threatening condition.
      Citation: Acute medicine
      PubDate: 2022-01-24
      DOI: 10.52964/AMJA.0884
       
  • Correspondence - A Proposal to Establish Acute Medicine Units in Sudan's
           Hospitals

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      Authors: Haifa Eldew
      Abstract: This proposal is the first to suggest the establishment of the new specialty of acute medicine in Sudan. Introducing this specialty will ensure that patients receive the best care in a timely fashion from a well-trained workforce and will aid in delivering optimum care to critically ill medical patients and securing faster, safer, and more effective services. It will provide a comprehensive training program for senior and junior doctors and attract employees by creating more jobs for different...
      Citation: Acute medicine
      PubDate: 2022-01-24
      DOI: 10.52964/AMJA.0883
       
  • A progressive and severe rash - Answers

    • Free pre-print version: Loading...

      Authors: M McCormack, C McDonagh, M Ali
      Abstract: A 73-year-old female patient with epilepsy presented to hospital with a progressive, diffuse macular rash over the trunk and limbs with associated mucosal blistering and discharge. Ocular symptoms initially predominated and she was treated for presumed bacterial conjunctivitis by her General Practitioner the previous day. On the acute medical unit supportive management was initiated for suspected adverse drug reaction (ADR) to a recent lamotrigine dose increase. Skin biopsy confirmed a diagnosis...
      Citation: Acute medicine
      PubDate: 2022-01-24
       
  • Ventricular tachycardia and raised troponin: "What if it's a
           pheochromocytoma"' Some lessons from a crisis

    • Free pre-print version: Loading...

      Authors: J Lazari, N Jolapara, C Whelan
      Abstract: A 63-year-old female with cardiovascular risk factors presented with tremor, sweating, lower back discomfort, nausea and dyspnoea. Electrocardiogram showed sinus tachycardia with lateral ST-depression. High-sensitivity troponin-T was dynamically elevated (72ng/L to 112ng/L on one-hour repeat). Overnight, there was an episode of ventricular tachycardia with further troponin rise to 364ng/L. Coronary angiogram demonstrated non-obstructive coronary artery disease. Post-procedure, the patient...
      Citation: Acute medicine
      PubDate: 2022-01-24
      DOI: 10.52964/AMJA.0882
       
  • Ischaemic stroke caused by Group B Streptococcus associated
           meningoencephalitis in young, immunocompetent adults - a case series and
           systematic review of literature

    • Free pre-print version: Loading...

      Authors: E Haire, E Whitehouse, I Baker, A Beale, L Gonzalez, A Khan, Gsc Yiin
      Abstract: A 51-year-old man presented with mild headache followed by sudden onset of right sided weakness and dysarthria on the background of one week history of right sided sciatica and malaise. He was apparently immunocompetent with only past medical history being hypertension. There was no consumption of tobacco or excess alcohol and he previously had normal liver and renal function.
      Citation: Acute medicine
      PubDate: 2022-01-24
      DOI: 10.52964/AMJA.0881
       
  • Fatal pulmonary toxicity following Carfilzomib administration

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      Authors: A Marschall, J C de la Flor Merino, T Linares Gravalos
      Abstract: Carfilzomib has shown excellent outcomes for relapsed Multiple Myeloma. There have been increasing reports on cardiovascular adverse events. However, reports on severe pulmonary adverse events are rare. Our patient was a 79-year-old female, undergoing fourth-line therapy with Carfilzomib. At 24h after first administration, the patient was admitted to the emergency room complaining of dyspnoea. After a full recovery, the patient was re-evaluated. Since echocardiography showed normal cardiac...
      Citation: Acute medicine
      PubDate: 2022-01-24
      DOI: 10.52964/AMJA.0880
       
  • Eosinophilic fasciitis: experience with a patient and review of the
           potential mimics

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      Authors: C Dandeniya, M Fifield, C Lebus, N Shenker
      Abstract: Bilateral lower limb swelling is a common clinical scenario with a wide differential diagnosis. We present a young man with gradually worsening bilateral leg swelling, who was diagnosed with eosinophilic fasciitis. A 20 year old Hispanic male presented with a six week history of bilateral lower limb pain and swelling, later involving the upper limbs, but sparing the hands, feet and face. He had initial pitting, followed by non-pitting oedema and had a positive 'groove sign'. With peripheral...
      Citation: Acute medicine
      PubDate: 2022-01-24
      DOI: 10.52964/AMJA.0879
       
  • A progressive and severe rash

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      Authors: M McCormack, C McDonagh, M Ali
      Abstract: A 73-year-old female attended the Emergency Department with a twenty four hour history of a progressive, diffuse macular rash, predominantly affecting limbs and trunk, with associated oral and ocular discharge.
      Citation: Acute medicine
      PubDate: 2022-01-24
      DOI: 10.52964/AMJA.0878
       
  • Point of care ultrasound 3-point compression vs departmental scanning for
           lower limb DVT in ambulatory and internal medicine patients

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      Authors: R Healey, E MacDonagh, N Smallwood
      Abstract: Point of care ultrasound scanning (POCUS) is safe and effective in positively identifying lower limb DVT in emergency departments globally. In the UK, the requisite knowledge and skills are integrated into the FAMUS and FUSIC curricula. Five FAMUS practitioners of varying experience performed 3-point compression POCUS on medical ambulatory and inpatients. Accuracy and timing of POCUS was compared between practitioners and with subsequent departmental scans. 89% sensitivity and 97% specificity...
      Citation: Acute medicine
      PubDate: 2022-01-24
      DOI: 10.52964/AMJA.0877
       
  • Applying a COVID Virtual Ward model, assessing patient outcomes and staff
           workload

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      Authors: S Gallier, C Atkin, V Reddy-Kolanu, D Parekh, X Zou, F Evison, S Ball, E Sapey
      Abstract: A COVID virtual ward (CVW) is recommended by NHS England, but 'usual care' outcomes have not been reported. A retrospective study of all adults with COVID-19 attending Queen Elizabeth Hospital Birmingham between 01/06/2020-31/01/2021, assessed against CVW criteria and followed for 28 days. Of 2301 COVID-19 patients, 571(25%) would have met CVW criteria. Of these, 325(57%) were discharged after review and 246(43%) admitted. Of admitted patients who met CVW criteria, 81% required...
      Citation: Acute medicine
      PubDate: 2022-01-24
      DOI: 10.52964/AMJA.0876
       
  • Seven Day Safety Net Service

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      Authors: D A Lanham, T Khan, M Patel, G Marin, C Baxter-Derrington, T Crissell
      Abstract: A seven day safety net telephone service was developed in an acute medical unit at a university hospital in London. The service attempts to provide all patients discharged from acute medicine with patient activated access to a member of the acute medical team. This allows patients to flag deterioration triggering further review in the ambulatory clinic or to ask for advice on symptoms or medication. Here we evaluate the first sixteen months of the service and report on its benefits and...
      Citation: Acute medicine
      PubDate: 2022-01-24
      DOI: 10.52964/AMJA.0875
       
  • A Qualitative Evaluation of a Simulation Training Initiative for
           Registrars Working in Acute Medicine

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      Authors: L Harrington, J Watmough, B Lovell
      Abstract: CONCLUSION: This evaluation furthered our understanding of the self-reported learning outcomes of our participants. We encourage other institutions to perform similar evaluations to build a collaborative understanding of simulationbased education for medical registrars.
      Citation: Acute medicine
      PubDate: 2022-01-24
      DOI: 10.52964/AMJA.0874
       
  • Editorial - Virtual wards: A key concept that requires careful evaluation
           to ensure success in the real world

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      Authors: T Coksley
      Abstract: Urgent and emergency care services remain under huge pressures with concerns regarding overcrowding, delays in patient care and exhausted staff with increasing unsustainable workforce pressures. Short term mitigation measures are needed alongside the imperative need to ensure long-term innovative and sustainable measures to ensure that the NHS can deliver high quality acute and emergency care.
      Citation: Acute medicine
      PubDate: 2022-01-24
      DOI: 10.52964/AMJA.0873
       
 
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