This paper demonstrates the impact of closure of a local mental health center on patients who suffer from severe mental illness. The authors analyze electronic health record data to show that these patients not only use emergency department services more than the general medical population, but also experience an increased length of stay in the emergency department.

This is a report of a non-collapsed patient with nonfatal, extreme hyperkalaemia of 10.7 mmol/L. The patient's hyperkalaemia was initially treated in the Emergency Department and then transferred to the Department of Renal Medicine of another hospital for further stabilisation. There have only been a few reported cases of successful management of extreme hyperkalaemia in excess of 10.0 mmol/L. (Hong Kong j.