Diagnostic errors in an accident and emergency department

HR Guly - Emergency Medicine Journal, 2001 - emj.bmj.com
Objectives—To describe the diagnostic errors occurring in a busy district general hospital
accident and emergency (A&E) department over four years. Method—All diagnostic errors …

The value of traditional vital signs, shock index, and age-based markers in predicting trauma mortality

SR Bruijns, HR Guly, O Bouamra… - Journal of Trauma and …, 2013 - journals.lww.com
… that the difference between the maximum HR and the actual HR should be a … HR and the
HR, which we called minpulse (MP), and the HR expressed as a proportion of the maximum HR

Vital signs and estimated blood loss in patients with major trauma: testing the validity of the ATLS classification of hypovolaemic shock

HR Guly, O Bouamra, M Spiers, P Dark, T Coats… - Resuscitation, 2011 - Elsevier
AIM: The Advanced Trauma Life Support (ATLS) system classifies the severity of shock. The
aim of this study is to test the validity of this classification. METHODS: Admission physiology, …

The incidence of neurogenic shock in patients with isolated spinal cord injury in the emergency department

HR Guly, O Bouamra, FE Lecky - Resuscitation, 2008 - Elsevier
… The heart rate (HR) and systolic blood pressure (SBP) on arrival at the ED were determined
as was the number and percentage of patients who had both a SBP<100mm Hg and a HR<…

Ocular injuries in patients with major trauma

CM Guly, HR Guly, O Bouamra, RH Gray… - Emergency medicine …, 2006 - emj.bmj.com
Aim: To study the epidemiology of ocular injuries in patients with major trauma in the UK,
determining the incidence and causes of ocular injuries, and their association with facial …

Testing the validity of the ATLS classification of hypovolaemic shock

HR Guly, O Bouamra, R Little, P Dark, T Coats… - Resuscitation, 2010 - Elsevier
AIM: The Advanced Trauma Life Support system classifies the severity of shock. The aim of
this study is to test the validity of this classification. METHODS: Admission physiology, injury …

The need for better pre-hospital analgesia.

JA Chambers, HR Guly - Emergency Medicine Journal, 1993 - emj.bmj.com
Many patients arrive at the accident and emergency (A&E) department in pain. To quantify
this problem a retrospective analysis was performed of the clinical records of 502 consecutive …

Interpretation of trauma radiographs by junior doctors in accident and emergency departments: a cause for concern?

CA McLauchlan, K Jones, HR Guly - Emergency Medicine Journal, 1997 - emj.bmj.com
OBJECTIVES: To investigate how well junior doctors in accident and emergency (A&E) were
able to diagnose significant x ray abnormalities after trauma and to compare their results …

The value of the difference between ED and prehospital vital signs in predicting outcome in trauma

SR Bruijns, HR Guly, O Bouamra, F Lecky… - Emergency Medicine …, 2014 - emj.bmj.com
… The aim of this study was to evaluate whether the difference between SBP, HR, respiratory
rate (RR) and SI taken in the ED and prehospital can predict 48 h mortality postadmission …

Effect of spinal immobilization on heart rate, blood pressure and respiratory rate

SR Bruijns, HR Guly, LA Wallis - Prehospital and disaster medicine, 2013 - cambridge.org
… immobilization on heart rate (HR) or systolic blood pressure (… (eg, log roll) affect the HR, BP
and RR. The null hypothesis … hypothesis if the mean differences in HR, RR and SBP were 10 …