Exploring barriers and enablers to simulation-based training in emergency departments: an international qualitative study (BEST-ED Study).

Introduction: Simulation-based training (SBT) has gained significant traction within emergency medicine. The growing body of evidence describes the benefits that SBT can bring. However, identifying barriers and enablers when establishing successful SBT programmes in busy emergency departments (EDs), and ensuring longevity of such programmes, can be difficult.

No rest for the weary: a cross-sectional study comparing patients' sleep in the emergency department to those on the ward.

Background: Boarding in emergency departments (EDs) is a persistent problem worldwide. We hypothesised that patients sleeping while being boarded in EDs have worse self-rated sleep than those admitted from EDs who sleep on the ward.

Methods: Prospective cross-sectional study conducted at the University College Hospital, Galway between October and November 2016.

Inhaled methoxyflurane for the reduction of acute anterior shoulder dislocation in the emergency department.

Objectives: Methoxyflurane is an inhalation analgesic used in the emergency department (ED) but also has minimal sedative properties. The major aim of this study was to evaluate the success rate of methoxyflurane for acute anterior shoulder dislocation (ASD) reduction. The secondary aim was to assess the impact of methoxyflurane on ED patient flow compared to propofol.

Alcohol-related presentations to emergency departments in Ireland: a descriptive prevalence study.

Objectives: To determine the prevalence of alcohol-related presentations in all 29 emergency departments (EDs) in Ireland and compare with non-alcohol-related presentations in order to identify opportunities for improvements in the quality of patient care and related data collection.

Design And Setting: Descriptive prevalence study reviewing all records in the same four 6-hour periods in every 24-hour ED in the country.

Participants: 3194 persons who attended EDs over four specified 6-hour periods.

Needlestick and infection with horse vaccine.

This report describes a case of accidental needlestick injury involving a live equine vaccination, Equilis StrepE. A vet presented herself to the Emergency Department having accidentally injected herself with an equine vaccination. Her left thumb (injury site) was inflamed and had lymphangitis progressing proximally along her left arm.

Long term outcomes 12 years after major trauma.

Aim: To provide long term population-based follow up on major trauma patients 12 years after injury.

Methods: This cohort study was based on a stratified random sample of patients with an injury severity score greater than 15 who reached hospital alive in 1990-1991. The patient details were used to trace them and to assess the patients' recovery, using endpoints of current employment status and any current physical or mental health problems.