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Biomedical subjects

K Mackway-Jones

Publications and source records attributed to K Mackway-Jones.

67 records · Page 4Linked to original sources
PubMed1998

Major incidents in Britain over the past 28 years: the case for the centralised reporting of major incidents.

STUDY OBJECTIVES: To describe the incidence and epidemiology of major incidents occurring in Britain over the past 28 years. METHODS: Major incidents were identified through a MEDLINE search, a hand search of journals and government reports at the Home Office Emergency Planning College, newspaper reports, a postal survey of ambulance emergency planning officers, and through requests for information posted on the internet. MAIN RESULTS: Brief incidents profiles from 108 British major incidents are presented. Most major incidents pass unreported in the medical literature. On average three to four major incidents occur in Britain each year (range 0-11). Sixty three of 108 (59.2%) of incidents involve public transportation. The next two largest groups are civil disturbance 22 of 108 (20.3%) and industrial accidents 16 of 108 (14.8%). Although incidents at sports stadiums are rare they produce large numbers of casualties. The data currently available on major incidents are difficult to find and of questionable accuracy. CONCLUSIONS: The lack of data makes planning for major incidents and exercising major incident plans difficult. Casualty incident profiles (CIPs) may assist major incidents exercises and planning. CIPs from future major incidents should be collated and made available to all major incident planners.

Accidents, Occupational↗
PubMed1998

Emergency unit care of sexually transmitted infections.

The aim of the study was to assess provisions for management of sexually transmitted infections (STIs), emergency contraception and pregnancy test in UK emergency departments. Postal questionnaires were sent to all consultant-led emergency departments in the UK in January 1996. The response rate was 64%. Most departments made direct referrals to genitourinary medicine (GUM) clinics and most had access to appropriate clinics. While 55% had facilities for diagnosis of at least one of the 3 common STIs (Chlamydia trachomatis, Neisseria gonorrhoeae and herpes simplex), only 6.25% had facilities for all 3. A minority of units provided training in the management of STIs. Emergency physicians should be trained in the early management of STIs and a coordinated working relationship should be developed between emergency and GUM departments to provide optimal sexual health care.

Emergency Medical Services↗
PubMed1997

The casualty profile from the Manchester bombing 1996: a proposal for the construction and dissemination of casualty profiles from major incidents.

OBJECTIVE: To produce a casualty profile for the Manchester bombing and to illustrate the potential uses of such templates in major incident planning. METHODS: A retrospective review of casualty notes from the Manchester bombing. RESULTS: A complete anonymous casualty profile for the Manchester bombing is given with AIS90 coded injuries. The majority (129, 62%) of casualties sustained minor injuries from flying glass. A significant number of casualties (36, 18%) presented with emotional distress or medical problems. A wide age range of casualties was involved. Few patients (19, 9%) required admission to hospital. There were no deaths and no casualties sustained major trauma. CONCLUSIONS: Casualty profiles may be useful in the planning and testing of health service major incident plans. Such information should be easily accessible to all emergency planners.

Adolescent↗
PubMed1992

Diagnostic peritoneal lavage: it's red but is it positive?

The aim of this study was to ascertain whether qualitative assessment could accurately determine a concentration of 100,000 RBC/mm3 in simulated peritoneal lavage fluid. The results show that the qualitative methods used are inaccurate and do not reliably predict a red cell concentration of 100,000 per mm3. We therefore recommend that the red cell concentration of peritoneal lavage fluid is always measured before the result is considered 'positive'.

Abdominal Injuries↗
PubMed1987

Prophylactic aluminium hydroxide and hyperaluminaemia in intensive care.

Prophylactic antacid therapy is widely used in intensive care units. We show that significant hyperaluminaemia may occur during the course of prophylaxis with aluminium hydroxide in patients with compromised renal function. Since a significant proportion of patients in intensive care have, or are at risk of developing, renal failure we suggest that the routine use of aluminium hydroxide should be avoided.

Acute Kidney Injury↗