Does the Clinical Frailty Scale at Triage Predict Outcomes From Emergency Care for Older People?

Study Objective: We determine whether the Clinical Frailty Scale applied at emergency department (ED) triage is associated with important service- and patient-related outcomes.

Methods: We undertook a single-center, retrospective cohort study examining hospital-related outcomes and their associations with frailty scores assessed at ED triage. Participants were aged 65 years or older, registered on their first ED presentation during the study period at a single, centralized ED in the United Kingdom.

Cough syncope whilst driving - An unusual yet serious presentation.

Cough is a common symptom of cardiorespiratory pathology, yet its vasomotor effects are underappreciated. We report a case of a 45-year-old male who had a Cough Syncopal event resulting in a road traffic collision. Although he was unhurt and fully recovered, we believe there is need for greater understanding of this unusual sequence of events.

Mesenteric angina through superior mesenteric venous thrombosis.

We present the case of a 67-year-old male with mesenteric venous thrombosis resulting in mesenteric angina, where early diagnosis made a favourable outcome possible through prompt anticoagulation and bowel rest. Mesenteric venous thrombosis is a relatively rare but important cause of bowel ischaemia, as a delay in diagnosis is associated with high morbidity and mortality. Early diagnosis through computed tomography scanning and subsequent treatment resulted in resolution of the thrombus with no long term sequelae.