An Assessment of the Potential Benefits of Video Consultation in the Emergency Department: Mixed Methods Study.

Background: District general hospital emergency departments may refer patients to a tertiary center depending on the information available to a generalist clinician in discussion with a specialist team. If there is uncertainty, the lowest-risk strategy is often to transfer the patient. Video consultation allowing the specialist team to see and talk to the patient and local clinician while still in the emergency department could improve decision-making for patient transfer.

How do emergency departments in England process the results of laboratory investigations?

Aims: To determine how emergency departments in England process laboratory investigation results, to identify risk, and to note examples of good practice.

Methods: A telephone survey was conducted, and data were entered anonymously into Excel spreadsheets. Fisher's exact test was used to test the independence of pairs of variables.

Fatal non-cardiogenic pulmonary oedema after intravenous non-ionic radiographic contrast.

Life-threatening reactions to radiographic contrast media are rare. We describe a case of fatal non-cardiogenic pulmonary oedema, after use of iopamidol, a widely used, low osmolar, non-ionic, radiographic contrast medium. A woman with a history of bladder tumour who had haematuria was referred for an intravenous urogram.