A comparison of base deficit and vital signs in the early assessment of patients with penetrating trauma in a high burden setting.

Introduction: An assessment of physiological status is a key step in the early assessment of trauma patients with implications for triage, investigation and management. This has traditionally been done using vital signs. Previous work from large European trauma datasets has suggested that base deficit (BD) predicts clinically important outcomes better than vital signs (VS).

Spatially resolved surface valence gradient and structural transformation of lithium transition metal oxides in lithium-ion batteries.

Layered lithium transition metal oxides are one of the most important types of cathode materials in lithium-ion batteries (LIBs) that possess high capacity and relatively low cost. Nevertheless, these layered cathode materials suffer structural changes during electrochemical cycling that could adversely affect the battery performance. Clear explanations of the cathode degradation process and its initiation, however, are still under debate and not yet fully understood.

Risk stratification of patients with acute chest pain without a rise in troponin: current practice in England.

Background: Patients presenting with acute chest pain without a rise in cardiac troponins are considered to be at low risk of adverse cardiac events and are often considered for early discharge without further inpatient investigation. However, there is evidence that this commonly encountered patient group has a significant rate of early acute myocardial infarction and death.

Objective: To assess current practice in the risk stratification of patients presenting with acute chest pain to emergency departments (EDs) in England who do not develop a rise in cardiac markers.