Leading article
Accessing electronic information for clinical decisions
| The first 150 words of the full text of this article appear below. |
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The setting |
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It's early on a Friday evening, and you're working as registrar in A&E. A 6 year old girl is rushed in as an emergency, complaining of headache; she is febrile with convincing nuchal rigidity. Your colleague performs a lumbar puncture, then you attempt to achieve intravenous access, and by the time the anaesthetic cream has cooked the microbiologist rings from the lab. The CSF contains 50 polymorphs, two red cells and is "teeming with Gram positive diplococci".
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The question |
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Before you give an antibiotic though, you wonder about the
steroids in meningitis debate. Should this girl get dexamethasone prior
to antibiotics? Will it reduce her chance of hearing loss
or just
increase her chance of continued infection? You reckon the five minutes
it will take to draw up the antibiotic is enough time to try to find
some information to help.
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The problem |
|---|
In the setting of acute paediatrics, information needs to be
delivered to those
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This article has been cited by other articles:
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[Abstract] [Full Text]
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- Accessing electronic information for clinical decisions
- Martin Richardson
- ADC Online, 17 Nov 2000 [Full text]
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