Use of STONE Score to Predict Urolithiasis in an Asian Emergency Department.

Background: The STONE score was developed to predict uncomplicated ureteral stones in patients so that they can be managed without imaging. Validation studies had been conducted previously but the results were varied. This study aims to investigate the utility of the STONE score in an emergency department in Singapore.

Risk prediction models to guide antibiotic prescribing: a study on adult patients with uncomplicated upper respiratory tract infections in an emergency department.

Background: Appropriate antibiotic prescribing is key to combating antimicrobial resistance. Upper respiratory tract infections (URTIs) are common reasons for emergency department (ED) visits and antibiotic use. Differentiating between bacterial and viral infections is not straightforward.

Utility of Spatial Point-Pattern Analysis Using Residential and Workplace Geospatial Information to Localize Potential Outbreak Sources.

Identifying the source of an outbreak facilitates its control. Spatial methods are not optimally used in outbreak investigation, due to a mix of the complexities involved (e.g.

Role of outpatient parenteral antibiotic therapy in the treatment of community acquired skin and soft tissue infections in Singapore.

Background: Treatment of community acquired skin and soft tissue infections (SSTIs) is a common indication for outpatient parenteral antibiotic therapy (OPAT) in USA, UK and Australasia, however data from Asia are lacking. OPAT is well established within the Singapore healthcare since 2002, however, systematic use of OPAT for the treatment of SSTIs remains infrequent. In this report, we describe the treatment and outcome of patients with SSTIs referred directly from Emergency Department (ED) to OPAT for continuation of intravenous (IV) antibiotics in Singapore, thus avoiding potential hospital admission.

Post-Traumatic Raynaud's Phenomenon: A Case Report.

Background: Raynaud's phenomenon has multiple etiologies, ranging from occupational causes to systemic disease. Most occupational causes of Raynaud's phenomenon usually present with vascular compromise.

Case Report: A 41-year-old Chinese woman presented to the emergency department with progressive pain and bluish discoloration over her right index finger after minor trauma.

Transient Coagulopathy Due to Wasp Sting: A Case Report.

Background: Insect venom anaphylaxis is a potentially life-threatening disorder. Transient coagulopathy in insect venom anaphylaxis is a rare phenomenon.

Case Report: A 41-year-old man presented to the Emergency Department (ED) with hypotension after a run in a park.

The Little India riot: experience of an emergency department in Singapore.

Introduction: Singapore experienced its second riot in 40 years on 8 December 2013, in the area known as Little India. A retrospective review of 36 casualties treated at the emergency department was conducted to evaluate injury patterns.

Methods: Characteristics including the rate of arrival, injury severity, type and location, and disposition of the casualties were analysed.

Risk stratification and rapid geriatric screening in an emergency department - a quasi-randomised controlled trial.

Background: To determine if risk stratification followed by rapid geriatric screening in an emergency department (ED) reduced functional decline, ED reattendance and hospitalisation.

Method: This was a quasi-randomised controlled trial. Patients were randomised by the last digit of their national registration identity card (NRIC).

Real-time prediction of waiting time in the emergency department, using quantile regression.

Study Objective: Emergency department (ED) waiting times can affect patient satisfaction and quality of care. We develop and validate a model that predicts an individual patient's median and 95th percentile waiting time by using only data available at triage.

Methods: From the existing ED information system, we extracted date and time of triage completion, start time of emergency physician consultation, and patient acuity category (1=most urgent, 3=least urgent).

Patients with pelvic fracture: what factors are associated with mortality?

Background: Pelvic fracture is one of the major injuries that lead to death in patients who sustain high-impact injuries such as road traffic accidents and falls from height.

Aims: This study aims to look at the epidemiology and the significant predictors of mortality in victims with pelvic fracture presenting to the emergency department (ED) of an urban Asian city.

Methods: This was a retrospective data analysis of all trauma patients with pelvic fracture who were treated at the ED of an urban adult hospital in Singapore from April 2001 to December 2004.