Emergency care and referral among isolated island populations in the Bahamas.

Background: Isolated island populations face unique health challenges. In the Bahamas, the islands of Mayaguana, Inagua, Crooked Island, Acklins, and Long Cay-referred to as the MICAL Constituency-are among the most isolated.

Objectives: Our objective was to better understand regional emergency care needs and capabilities, and determine how emergency care can be optimized among island populations.

The Denver Seizure Score: anion gap metabolic acidosis predicts generalized seizure.

Objectives: Anion gap (AG) and serum bicarbonate concentration (BICARB) may help confirm a diagnosis of seizure in an unwitnessed collapse; however, little data exist to support this practice. Our objective was to assess the association between AG metabolic acidosis and generalized seizure and to derive a simple score to predict seizure.

Methods: This was a case-control study at an urban teaching hospital.