PRIMARY SURVEY
Primary survey
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This month there is something for everybody; new clinical options and reconsideration of old ones, attempts to quantify and assess recent developments, both Political and political, and a challenge to remain at the cutting edge and "move with the times"!
Just because you can doesn’t mean you should
Weatherall and colleagues (see page 144) describe a laboratory urinary test that could help determine the causative agent, and so, direct antimicrobial therapy in community acquired pneumonia. Recruitment was difficult, the numbers were small, and the authors recognise that the test may be more appropriate on a medical assessment unit. As a result, there is no discussion or suggestion about the place of urinary pneumococcal antigen testing alongside physiological scoring systems or mortality prediction tools in the ED but it does show that Point-of-Care testing is becoming increasingly sophisticated and that we may become more focused and refined in our treatment selection in the future.
Compartments and their pathophysiology
Harrisson and colleagues
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