This Month's Highlights:

 Management of Epistaxis- A single centre experience and economic considerations: 

Keane et al report that 434 patients were admitted with epistaxis over a 4 year period.  362 were managed conservatively and 15 required surgery.

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Cycling injuries presenting to an Irish emergency department: 

Foley et al documented 534 cycling related injuries in a 12 month period.  40 cyclists needed in-patient admission and 6 were transferred to intensive care.  The common causes of injury were 244 (fall from the bike), 79 (collision with a motor vehicle), 42 (collision with a pedestrian).

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A study of the patients admitted to the clinical decision unit over one year: 

O’Shea et al describe the activity and efficacy of a CDU.  A total of 2,307 patients were assessed.  The mean length of stay was 29 hours.  The authors calculate that the CDU could save as much as €2 million annually.

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