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Pulse medic is health and health is research. Case reports (Clinical Vignette) represent the oldest and most familiar form of medical communication. Far from a “second-class” publication, many original observations are first presented as case reports. Like scientific abstracts, the case report abstract is governed by rules that dictate its format and length. This article will outline the features of a well-written case report abstract and provide an example to emphasize the main features.

Scientific forums have specific rules regarding how the abstract should appear. For ACP, the rules are available on the electronic abstracts portal. Organizers of scientific meetings set explicit limits on the length of abstracts.

The most difficult decision to make is whether your case report is worth submitting as an abstract. Of course, rarity of a condition almost always meets the criterion of worthiness, but few of us have the opportunity to describe something that is completely new. Another reason to report a case is the lesson that it teaches. With this in mind, consider presenting a case if it increases awareness of a condition, suggests the proper diagnostic strategy, or demonstrates a more cost-effective approach to management. Alternatively, a case can be presented because it represents an unusual presentation of a relatively common condition. Other twists include an unusual complication of a disease and its management. Again, it’s important to think about the message or lesson that the case can deliver.

Before you begin writing the abstract, present a quick summary of your case to colleagues or mentors to determine if they agree that the case is worthy of presentation. It is important to contribute something unique, but not if it depends on some trivial variation from previously presented cases. For example, if it is known that a certain cancer widely metastasizes, it is not worthwhile to report each new site. Similarly, drug reactions often merit a case report, but not if it is simply a report of a drug in a class whose other members are known to cause the same reaction.

Once you have decided to submit a case report abstract, describe it in such a way as to make it interesting, yet conform to the accepted format. The following paragraphs provide suggestions on both style and format.

Title and Author Information: The title is a summary of the abstract itself and should convince the reader that the topic is important, relevant, and innovative. However, don’t tell everything about the case in the title, otherwise the reader’s interest might lag. Make the title short, descriptive, and interesting. Some organizations require a special format for the title, such as all uppercase letters. Be sure to check the instructions. Following the title, include the names of authors followed by their institutional affiliations. Deciding upon the authorship of a case report can be tricky. In the past, it was acceptable to include as authors those contributing to the management of the patient, but this is no longer true. Currently, it is expected that the authors contribute significantly to the intellectual content of the case report. It is assumed that the first author will present the work if the abstract is accepted. The first author may need to meet certain eligibility requirements in order to present the abstract, for example, be a member of the professional society sponsoring the research meeting. This information is always included with the abstract instructions.

Introduction: Most case report abstracts begin with a short introduction. This typically describes the context of the case and explains its relevance and importance. However, it is perfectly acceptable to begin directly with the description of the case.

Case Description: When reporting the case, follow the basic rules of medical communication; describe in sequence the history, physical examination, investigative studies, and the patient’s progress and outcome. The trick is to be complete without obscuring the essence of the case with irrelevant details.

Discussion: The main purpose of the discussion is to review why decisions were made and extract the lesson from the case. Not uncommonly, reports from the literature, or their absence, are cited that either directly support or contradict the findings of the case. Be wary of boasting that your case is the “first” to describe a particular phenomenon, since even the most thorough searches often fail to reveal all instances of similar cases. Keep in mind that the best case report abstracts are those that make a small number of teaching points (even just one) in clear and succinct language.

When writing the abstract, avoid the use of medical jargon and excessive reliance on abbreviations. Limit abbreviations to no more than three, and favor commonly used abbreviations. Always spell out the abbreviations the first time they are mentioned unless they are commonly recognized (e.g., CBC).

It typically takes several days to write a good abstract, and the process should not be undertaken alone. Get help from a mentor who is not familiar with the case; such mentors can quickly point out areas that are unclear or demand more detail. Make revisions based upon the feedback. Finally, have others read your draft in order to check for technical errors, such as spelling and grammar mistakes. Reading the abstract out loud is another good way to catch awkward phrasing and word omissions.

Noise pollution in a hospital.

Many have never  taught that noise can be critical to patients care, more so the thought of noise in a hospital to be problem in a modern hospital. As we develop the hospital industrial units this concept must not be ignored any longer. As a charge nurse in a busy London hospital in the UK a online poll was created to ascertain patient views on the topic of noise in a hospital or clinical setting.

H.S.E Quarterly Issue 5, Anderson M (2013)

The Use of Hydrogen Peroxide a Chemical Derider

The A&E nurse encounters many types of wounds within the A&E setting. Hydrogen peroxide in by chemical debridement is one of the oldest and still the most used method of chemical debridement. This article reevaluated this and reaffirms its use using a case study in which hydrogen Peroxide is used a a chemical debridement.
H.S.E Quarterly Issue 5, Anderson M (2010)

The Management of Facial Burns


Research is one of our fundamental principles. #cpr #firstaid #essex #london #medical #diffrence

The human face is the most important entity in a human life. It comprises the characteristics of expression: happy, sad, anger and even sorrow. this article is proposed for nurses within the A&E department. The management of facial burns can be complex and the article a resource for the A&E practitioner in dealing with a facial burn.
H.S.E Quarterly Issue 1, Anderson M (2009)
H.S.E Quarterly Issue 18, Anderson M (2012)

The Properties of Aminophylline

Martin Anderson uses a case study to describe the pharmacokinetic and pharmacodynamic properties of aminophylline. this article examines the pharmcokienetics and pharmacodynamic properties of aminophylline and uses a case study to describe its use for patients who present at the emergency department (ED) at Queens Hospital, Romford, Essex.
Emergency Nurse : The Journal of the RCN accident and emergency nursing association
Vol. 15 Issue 7 Nov (2007)


Where is the line between more harm than good? Cervical spine care:

Clinical Vignette :Michael Barns. FdSc, MCPara, PHTC Paramedic

The management of suspected cervical spinal injury in the prehospital setting has remained unaltered for more than 30 years; however there is a growing consensus in current literature to suggest against the application of cervical spinal collars as a standardised immobilisation technique, such as the statement on behalf of The Royal College of Surgeons of Edinburgh (Connor et al, 2013). This case study highlights one such case, where the application of a cervical spinal collar would have been of greater detriment to the patient (both short term and long term) than utilising alternative techniques.

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ILS went really well thank you. Just to give some feedback, Martin the course trainer was brilliant. I have been on ILS courses before and have found the trainers to be a little full on and not really understand care giving and emergencies outside of acute NHS Hospital trusts. Martin understood the skills (and resources available) of nursing staff working in primary care in independent sectors and the situations that they may face.
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Martin was so nice and lovely he was the best