322 e-Letters

published between 2004 and 2007

  • E-letter in response to 'They're all superglues'
    L Cascarini


    I thank Dr DaCruz for his interest in my article and I agree it is generally safe to apply standard (short chain) superglues to ones fingers without any significant ill effects. However I think Dr DaCruz is mistaken if he believes that when used to repair wounds, even if properly applied, these adhesives do not come into contact to some extent with broken skin. There is good scientific evidence, referenced i...

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  • The importance of journey times to hospital in urban areas
    Charlotte E Ashton

    Sir, we found Nicholl et al’s findings on distance to hospital and patient mortality in emergencies both interesting and highly topical. Although the authors justify the use of straight-line ambulance distance opposed to journey times, in urban/inner city areas time to hospital may be a more relevant factor. For instance in Sutton and Merton PCT all general practices have one accident and emergency department within 5km,...

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  • Cutoff values for B-type Natriuretic Peptides in the Korean patients visiting emergency departments
    Sunghyuk Choi

    Thanks for your concern and opinion about our article. To determine the influence of underlying diseases on the BNP values, this survey was performed the non-CHF patients only. Therefore, the patients who had myocardical dysfunction caused by sepsis was excluded in this survey. In discussion, it was described that BNP values were increased in the patients of hypertension more than non-hypertension patients due to increas...

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    ihsan illahi

    In the article titled 'Can risk stratification of transient ischaemic attacks improve patient care in the emergency department?'I want to make two comments (1)Table 2 shows that number of patients above 60 are more than the total number of included subjects. (2)the results of the study does not validate ABCD scoring system for TIA(as is proposed in the conclusion) because it does not show how many of the admitted or discha...

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  • An unusual phenomenon following simple aspiration of pneumothorax
    Daniel K C Lee

    A 62-year-old gentleman presented with a 10-day history of right sided pleuritic chest pain and shortness of breath. Chest X-ray (CXR) on admission (left) confirmed a primary spon...

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  • Excellence in medical procedure rules modern medicine.
    Dr Robert James

    What’s important is to know what we mean by ‘common practical procedures’. If it means starting an IV line or intubation or putting a naso gastric tube, then yes, all doctors should know these basic life saving procedures. I think all medical procedures that can help save a life should be taught to all medical students. All ‘doctors’ should be expert in resuscitation. Everyone should know ABC of resuscitation. No life sh...

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  • Suspension Trauma - Case to prove.
    Patrick J Morgan

    Dear editor

    I have read with interest the replies to Lee and Porter’s article on suspension trauma. As a mountain rescue doctor I have been involved in the care of an individual with suspected suspension trauma. The patient fell 10 metres vertically onto a 40 degree scree slope, with feet facing down the slope and reluctant to place the pelvis on the ground as it caused an increase in pain in both legs. Paramedi...

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  • Letter replying to: ‘Amendments to the Livingston Paediatric Dose Calculator'
    Matthew Reed

    Thank you to Dr Weatherup and Dr Mardon for bringing attention to the error in atropine dosing in over 11s and discrepancies with the BTS asthma guidelines. Further amendments have now been made to the calculator to address these issues and to further improve the calculator. The revised Livingston Paediatric Dose Calculator should now be available on the EMJ website (http://emj.bmj.com/supplemental) under 3rd revision (LP...

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  • Re: Confusion over rupture and dissection
    David Fitzpatrick

    Reply to confusion of Rupture and Dissection

    We thank Dr Reid for his comments regarding the above paper. The case described related to a seventy-three year old gentleman who was found sitting at the wheel of his car in a collapsed state with a left-sided hemiplegia. The patient was found to regain full power of his left side when laid flat. This postural alteration in his neurological symptoms was the point o...

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  • response to letter by William Sargent
    Siu Fai Li

    We agree that the diagnosis of septic arthritis in the operating room is vulnerable to subjective intrepretation. There was one patient in our study whose diagnosis of septic arthritis was made based on operative findings alone (i.e. without a positive arthrocentesis culture). The operative findings were described as "pus", and we believe that supports the diagnosis of septic arthritis. The patient had been on a c...

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