EMA Vol 20, Number 4, August 2008
Review article: Hypertonic saline use in the ED
hypertonic saline is recommended as an alternative to mannitol in Rx of raised intracranial pressure in traumatic brain injury.
it is also recommended for Rx of severe and symptomatic hyponatraemia & is worth considering for both recalcitrant tricyclic antidepressant toxicity and for cerebral odema complicating paediatric DKA.
it is NOT recommended for hypovolaemic resuscitation.
Review article: Leaving the ED without being seen (LWBS or DNW = did not wait)
review of literature but unable to draw firm conclusions but there are suggestive patterns of behaviour.
ideally requires cross-sectoral data mapping (comparing attendance data at regional EDs) to truly detect re-attendance and admission rates.
Research: Re-presentation and suicide rates in ED patients who present as self-harm