Wissenschaftliches Journal · EZB
Rila Publications Ltd
Inhaltsverzeichnis
01.10.2025
Sophie Voase, Jonathan Underwood, Elin Foden, Mae Upcott, Robert Stroud, Sian Thomas, Danja Schulenburg-BrandWe thank Dr Gyan and colleagues for their thoughtful critique of our paper and welcome the opportunity to clarify the intended interpretation of our findings. We acknowledge that there are a number of limitations to this service evaluation highlighted in your letter, which are al …
01.10.2025
Obaidullah Ahmadzai, Büşra Demirci Samedov, Elif Sena GüvençIntroduction: Anti-fouling marine paints contain toxic components such as copper-based biocides, organotin compounds, and volatile organic solvents. Acute occupational exposure may result in respiratory, gastrointestinal, hepatic, and neurological manifestations; however, clinica …
01.10.2025
Alexander Russell, Mohamed Salama, Raumesha Biladiwala, Weipu Gao, Pratheek Maligaiah, Alaa Osman, Omar Shaaban, Jasandra Sutanto, Suhani Talwar, Stephen C Bourke, Anna MushiPulmonary embolism (PE) is a common and potentially life-threatening condition encountered in acute medicine. Clinical prediction rules (CPRs), including PERC, Wells, Revised Geneva, YEARS and LEGEND, have been developed to support rational use of computed tomography pulmonary an …
01.10.2025
Chris Gyan, Monica Monaghan, Shiva SreenivasanWe read with interest the service evaluation by Voase and colleagues examining the diagnostic yield of lumbar puncture (LP) in patients presenting with acute severe headache1. The authors address an important subject in a time of increasingly sensitive neuroimaging and evolving m …
01.10.2025
Ascanio TridenteIssue 4 of the Acute Medicine Journal (AMJ) reports an interesting exchange between the authors of a service evaluation investigating the prevalence of subarachnoid haemorrhage (SAH) in patients undergoing a lumbar puncture (LP), and readership colleagues evaluating its merit, in …
01.10.2025
Adam Darnley, Thomas Knight, Jecko ThachilBackground: Deep vein thrombosis (DVT) is commonly managed in ambulatory care. Guidelines recommend reassessment at three months to review anticoagulation duration, but no structured follow-up pathway exists within our Trust. Aim: To evaluate anticoagulation duration, follow-up p …
01.10.2025
John Teijido, Jeffrey Yochum, Austin Tubbs, Matthew Treat, Beth AdamsBackground: Angioedema is the development of non-pitting edema of the skin and mucosal tissues of the oropharynx, upper respiratory tract, and the gastrointestinal tract.1 Given the potential for airway compromise, the treatment strategy usually involves a broad approach by addre …
01.07.2025
Ascanio TridenteThe current issue of the journal includes an article providing unique insight into the experiences of international medical graduates (IMGs) new to the NHS, offering a unique perspective on their views, feelings and struggles. An important, connected and often underestimated matt …
01.07.2025
Bernice Ng, Jonathan McGuigan, Kathryn Allen, Tara Brennan-Finucane, Oisín Toner, Aaron Brady, Philip TonerBackground: Penicillin allergy labels affect 6-10% of the UK population, yet over 95% are inaccurate. These labels drive unnecessary broad-spectrum antibiotic use, antimicrobial resistance, healthcare costs, adverse patient outcomes and carbon emissions. Methods: This pilot study …
01.07.2025
Kavitha Sooriyakumar, Sahar Ahmed, Leman Mutlu, Osama MohamedAhmed, Anjali Ekbote, Omar E Mohamed, Mamidipudi Thirumala KrishnaAngioedema refers to a localised area of swelling affecting the subcutaneous and submucosal tissues due to release of vasoactive peptides, such as histamine or bradykinin. Despite being a relatively common presentation in the emergency room, the diagnosis can present a challenge …
01.07.2025
Kai Jones-White, Bethan Griffith, Gordon McKinnon, Nicholas SmallwoodAcute Internal Medicine (AIM) is a dynamic specialty that addresses the urgent medical needs of adult patients. This study analyses data from the RCP 2023 workforce census to understand for the first time how Acute Physicians allocate their clinical working time across key servic …
01.07.2025
Nick Smallwood, Luke S.P. Moore, Matthew D. Jones, Nick Murch, Neil PowellIntroduction: Use of procalcitonin (PCT) across Acute Medical Units (AMUs) in the United Kingdom (UK) post-COVID-19 is not well understood. We aim to explore clinician knowledge and behaviours relating to PCT-guided antimicrobial decision making for patients managed in NHS AMUs a …
01.07.2025
Latif Raiyan Rahman, Nicola CooperIntroduction: International Medical Graduates (IMGs) comprise a large portion of the NHS workforce and within Acute Medicine. There is little research exploring the lived experiences of IMGs in the context of their own socio-cultural background and past experiences. This study ai …
01.07.2025
Sandwell and West Birmingham NHS Trust, Birmingham, UK, Simon C Williams, Oliver Topping, Queen Elizabeth Hospital Birmingham, Birmingham, UK, Georgios Tsermoulas, James Scriven, Ghaniah Hassan-SmithObjective: This retrospective study analysed clinical characteristics, diagnosis, and management of infective meningitis in the UK, aiming to identify emerging trends and pitfalls in the patient pathway. Methods: A ten-year review of meningitis patients at a UK tertiary centre wa …
01.07.2025
M.D., Emergency Department, Cliniques Universitaire Saint-Luc (CUSL), Université Catholique de Louvain (UCL), avenue Hippocrate 10, 1200 Brussels, Belgium, Aude Mahaux, Camille Desender, Alexander Niset, Andrea Penaloza, M.D., Ph.D., Emergency Department, Cliniques Universitaire Saint-Luc (CUSL), Université Catholique de Louvain (UCL), avenue Hippocrate 10, 1200 Brussels, Belgium, Florence Dupriez, Alix Collard, Statistician, Statistical Department, Cliniques Universitaire Saint-Luc (CUSL), Université Catholique de Louvain (UCL), avenue Hippocrate 10, 1200 Brussels, Belgium, Maud Vanderhofstadt, M.D., Geriatric Department, Clinique Saint-Pierre Ottignies (CSPO), avenue Reine Fabiola 9, 1340 Ottignies Louvain la Neuve, Belgium, Françoise SteenebruggenBackground: Emergency departments (EDs) are increasingly managing elderly patients who present unique clinical challenges. This study explores the current management practices for patients aged 75 years and older in Belgian EDs. Methods: An electronic survey was sent to 105 heads …
01.07.2025
MBChB, MRCP Consultant Physician in Acute Medicine Royal Alexandra Hospital, Paisley, Gordon McKinnon, Michael Wheble, FRCP, MSc in Medical Leadership (Birkbeck) Consultant Acute Physician, University Hospitals of Dorset NHS Trust General Internal Medicine Training Programme Director for HEE Wessex Clinical Director for Older Peoples Services and Acute Care Treasurer of Society for Acute Medicine, Nick Murch, Consultant Physician in Acute Medicine Trust Lead for Simulation The Royal Free Hospital, Hampstead Honorary Clinical Associate Professor, UCL Medical School President, Society for Acute MedicineBackground: Specialist skills are central to the AIM curriculum, supporting both service delivery and portfolio careers. Methods: We surveyed UK Acute Medicine consultants and registrars via the Society for Acute Medicine to assess specialist skills selected, perceived value in o …
01.07.2025
MBBCh, Department of Neurology, University Hospital of Wales, Cardiff, UK, Sophie Voase, Robert Stroud, MBChB, Department of Critical Care Medicine, University Hospital of Wales, Cardiff, UK, Mae Upcott, Elin Foden, Sian Thomas, MBBCh, Department of Acute Medicine, University Hospital of Wales, Cardiff, UK, Danja Schulenburg-Brand, MBChB, FRCPath, Department of Medical Biochemistry and Immunology, University Hospital of Wales, Cardiff, UK, Jonathan Underwood, PhD, FRCP, Department of Infectious Diseases, University Hospital of Wales, Cardiff, UK, Division of Infection and Immunity, Cardiff UniversitySubarachnoid haemorrhage (SAH) is a potentially life-threatening cause of acute severe headache. This service evaluation aimed to investigate the prevalence of SAH in patients referred to acute medicine with acute severe headache who underwent a lumbar puncture (LP) at a tertiary …
01.07.2025
Assistant Professor of Medicine College of Medicine and Health Sciences National University of science and Technology, Sultanate of Oman, Anoopkumar Kunnummal, Heather Angus-Leppan, Consultant Neurologist and Professor of Medical Education University of East London; Royal Free London NHS Foundation Trust; University College LondonFrontal lobe epilepsy is an episodic neurological disorder characterised by recurrent seizures arising from one or both frontal lobes. Seizures may appear atypical and are easily misdiagnosed in the emergency department as nonepileptic attacks (psychological episodes) or parasomn …
01.07.2025
Editor-in-Chief Professor Consultant in Intensive Care Medicine and General Internal Medicine Mersey and West Lancashire Teaching Hospitals NHS Trust Liverpool, Ascanio TridenteOver the current and subsequent few financial years, a set of significant changes will be implemented affecting the research landscape in the United Kingdom. On the 22nd of September 2025 NHS England released the paper “Increasing research activity in the NHS”. This paper highlig …
01.07.2025
The George Washington University School of Medicine and Health Sciences, Washington, DC, USA, Renxi Li, Department of Surgery, University of Minnesota Medical School, Minneapolis, MN, USABackground: Stevens-Johnson syndrome/toxic epidermal necrolysis (SJS/TEN) is a spectrum of high-mortality severe drug reactions. This study aimed to develop an in-hospital mortality risk calculator for SJS based on comorbidities for early risk prediction. Methods: SJS/TEN patient …
01.01.2025
Transfusion Laboratory, Pathology Department, Mersey and West Lancashire Teaching Hospitals NHS Trust, Merseyside, UK, Samantha C Bonney, Patrick A Nee, Departments of Emergency and Critical Care Medicine, Whiston Hospital, Mersey and West Lancashire Teaching Hospitals NHS Trust, Merseyside, UK, Faculty of Education and Health, Liverpool John Moores University, Liverpool. UK, Ascanio Tridente, Departments of Acute and Critical Care Medicine, Whiston Hospital, Mersey and West Lancashire Teaching Hospitals NHS Trust, Merseyside, UK, Edge Hill University, Merseyside, UKTransfusion of red blood cells is routine in acute care settings and adverse events are not uncommon. While bleeding protocols are familiar to acute physicians, guidance is less clear for non-bleeding patients. This review offers consolidated guidance on transfusion in the adult …
01.01.2025
School of Health, Science and Society, University of Greater Manchester, Bolton, BL3 5AB, UK, Mark Holland, John Kellett, Visiting Professor, University of Greater Manchester, Bolton, BL3 5AB, UK, Gareth Hughes, Darren Green, Department of Renal Medicine, Northern Care Alliance, Salford Royal Hospital, Salford, M6 8HDAim: To determine the in-hospital mortality of eight physiological categories based on shock index, pulse pressure and ROX index, and to compare each category according to admission level of consciousness and National Early Warning Score. Method: A non-interventional observationa …
01.01.2025
Department of Acute General Medicine, John Radcliffe Hospital, Oxford University Hospitals NHS Foundation Trust, Headley Way, OX3 9DU, Oxford, UK, Ojoma Emeje, Rand Alkaissy, Richard De Butts, FRCP Department of Acute General Medicine, John Radcliffe Hospital, Oxford University Hospitals NHS Foundation Trust, Headley Way, OX3 9DU, Oxford, UK, Mridula Rajwani, Christopher A O’Callaghan, FRCP Nuffield Department of Medicine, Centre for Human Genetics, University of Oxford, Roosevelt Drive, Oxford, OX3 7BN, United Kingdom, Michael E ReschenIntroduction: Patients with respiratory infection-associated changes on chest X-ray often have follow-up chest X-rays (CXRs) to exclude malignancy. In the UK, same day emergency care (SDEC) units have been developed to manage patients needing urgent hospital care on an ambulatory …
01.01.2025
Quality and Safety Improvement Directorate, St James’s Hospital, Dublin, Ireland, Marie E Ward, Centre for Innovative Human Systems, School of Psychology, Trinity College, The University of Dublin, Ireland, Barry Kennedy, MED Directorate, St James’s Hospital, Dublin, Ireland, Sharon O’Hara, Susie O’Callaghan, Una Geary, Fiona Keogan, Lean Transformation Office, St James’s Hospital, Dublin, Ireland, Declan Byrne, Bláthnaid Mealy, Ricardo Paco, Joe Deegan, Shadan Kahatab, Jennifer Sheerin, John Drought, Conor MacDonnchadha, Cormac Kennedy, Department of Therapeutics and Clinical Pharmacology, St James’s Hospital, Dublin, Ireland, Clinical Research Facility, St James’s Hospital, Dublin, IrelandBackground: Medical ward rounds are essential to support care delivery, however a lack of multi-disciplinary team rounding may have a knock-on effect on care coordination and may lead to delayed discharges and increased length of stays. Methods: The aim of this study was to impro …
01.01.2025
MBBS, Junior Resident, Division of Acute Care and Emergency Medicine, Department of Internal Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh, India, Ch Adrees Rashid, Mohan Kumar H, MD, Associate Professor, Division of Acute Care and Emergency Medicine, Department of Internal Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh, India, Mandip Singh Bhatia, Atul Saroch, MD, Additional Professor, Division of Acute Care and Emergency Medicine, Department of Internal Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh, India, Navneet Sharma, MD, Professor, Division of Acute Care and Emergency Medicine, Department of Internal Medicine, Post Graduate Institute of Medical Education and Research, Chandigarh, India, Saurabh Chandrabhan ShardaBackground: Sepsis, a devastating syndrome of organ dysfunction triggered by a dysregulated host response to infection, remains a leading cause of global mortality. Statins, renowned for lipid-lowering, also exhibit potent anti-inflammatory and endothelial-stabilizing properties, …
01.01.2025
Editor-in-Chief Professor Consultant in Intensive Care Medicine and General Internal Medicine Mersey and West Lancashire Teaching Hospitals NHS Trust Liverpool, Ascanio TridenteAcute Medicine Journal is evolving, in a move to prioritize the publication of more randomized controlled trials (RCTs) and large prospective cohort studies, therefore accepting fewer case reports and retrospective studies. This trend reflects a fundamental shift towards stronger …
01.01.2025
West Hertfordshire Teaching Hospitals NHS Trust, Maria Karavassilis, Sumin Youn, Dmitriy Chernov, Esh Tatla, Iftikhar Ahmed, Suhyun Youn, Devasenan DevendraBackground: Efficient documentation is essential in Same Day Emergency Care (SDEC) settings to maintain smooth patient flow. Manual typing, although reliable, is time-consuming and can negatively impact clinical efficiency. Objectives: This Service Improvement Pilot study evaluat …
