Finn Coulter

Dictated electronic discharges in the emergency department

Tammy Storrier, Finn Coulter

Background: ED discharges are a vital part of a patient�s journey through the ED. They provide important feedback to a patient�s General Practitioner (GP). They need to be reliable, legible and informative. They need to have a reliable delivery pathway feeding back …

#162 Reimagining unscheduled care: initial evaluation of an urgent virtual care centre at Cork university hospital

Seán Underwood, M. O’Connor, Aideen O’Riordan, Finn Coulter et autres

Introduction Emergency Departments (EDs) across Ireland are experiencing sustained and escalating demand, compounded by access challenges to primary care, community diagnostics, and outpatient services. In response, Cork University Hospital established the Urgent Virtual Care (UVC) Centre in November 2024 — an integrated, …

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The Y ‐score: A modern emergency department coma scale

Finn Coulter, Peter Jones

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Ketofol Dosing Simulations for Procedural Sedation

Finn Coulter, Jacqueline A. Hannam, Brian J. Anderson

BACKGROUND: Propofol mixed with racemic ketamine (or "ketofol") is popular for short procedural sedation and analgesia, yet the optimal combination is unknown. We aimed to determine a ketofol dosing regimen for short procedural sedation and analgesia of 5- to 20-minute duration in …

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Severe Lactic Acidosis in an Amnesic Child

Jon Lillie, Finn Coulter, Anusha Ganeshalingham

An 8-year-old boy presented to the emergency department after he was found unconscious outside his church on a rainy day. He had been seen by his mother 1 hour earlier and was previously fit and well and up to date with immunizations.

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Ketofol simulations for dosing in pediatric anesthesia

Finn Coulter, Jacqueline A. Hannam, Brian J. Anderson

BACKGROUND: Propofol mixed with racemic ketamine (or 'ketofol') is popular for short procedural sedation and analgesia. Use is creeping into anesthesia, yet neither the optimal combination nor infusion rate is known. The EC(50) of propofol's antiemetic effect is reported to be 0.343 …

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Coma and impaired consciousness in a trauma centre: Figure 1

Finn Coulter, Géraldine McCarthy, I O'Sullivan

We read with interest the article in EMJ describing the presentations of different coma aetiologies in two Swedish non-surgical emergency departments (EDs).1 Here we present our equivalent data from a single ED in Ireland, which accepts adults and children of all presentations, …

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