Biomedical subjects

E Seow

Publications and source records attributed to E Seow.

21 records · Page 2Linked to original sources

PubMed1995

Battered women: presentation at A&E departments in Singapore.

This study was undertaken to assess the characteristics of battered women seen at the A&E department in Singapore. The first part was conducted at the A&E department of a general hospital in Singapore from July 4, 1992 to November 9, 1992. Ninety-six victims were interviewed using a standard questionnaire. Information was obtained about the characteristics of victims, assailants and the assaults as well as the cause of presentation. In order to verify the universality of the findings, battered women seen at A&E departments of the four main general hospitals on the island from November 1, 1993 to January 31, 1994 were interviewed using a similar questionnaire. We found that the majority of the women were beaten by someone they knew and, for most, it was not a first-time assault. Most times, no weapon was used. Injuries were sustained mainly to the face and extremities. The majority of the victims were at the A&E department either because of the medical examination required in conjunction with a police report or because of the severity of their injuries.

Adolescent↗

PubMed1993

Ambulance response time to emergency departments.

The study was conducted to ascertain the time it takes an ambulance team to reach a patient and transport the patient to an emergency department after a 995 call. One hundred and sixty-two cases brought to two emergency departments (Singapore General Hospital and Tan Tock Seng Hospital) between 11 March 1992 and 16 March 1992 were studied. The information was obtained from ambulance officers of the Singapore Civil Defence Force. It took an average of 11.40 +/- 4.88 minutes for an ambulance team to reach a patient and 30.50 +/- 10.62 minutes for the patient to reach an emergency department after a 995 call. With the present level of staff in Singapore, basic life support care starts 11.40 minutes and advanced life support care 30.50 minutes after a 995 call. These times are unacceptable if it involves a cardiac arrest or a trauma patient. Factors which cause these long time intervals include traffic congestion, inadequate public education, location of patient (whether on ground level or highrise) and distance from the emergency departments.

Ambulances↗

PubMedDate not supplied

The Ottawa Ankle Rules in Asia: validating a clinical decision rule for requesting X-rays in twisting ankle and foot injuries.

This was a study to determine if the Ottawa Ankle Rules (OAR) for requesting x-ray studies in twisting ankle and foot injuries are applicable in our Asian population. Four hundred ninety-four consecutive eligible patients presenting to the emergency department with twisting injuries about the ankle were examined by emergency physicians for clinical criteria requiring ankle and foot x-ray studies according to the OAR. Four hundred eighty-eight of these patients underwent x-ray studies that were interpreted by a radiologist. The sensitivity and specificity of the OAR for predicting the presence of fracture were calculated to be 0.9 and 0.34, respectively. When the rules were modified to cast a wider screening net, sensitivity improved to 0.99. We conclude that the OAR are not applicable to our population because of inadequate sensitivity, but when modified become acceptable and can reduce the number of x-ray studies requested by 28%.

Adolescent↗