322 e-Letters

published between 2004 and 2007

  • Response: Signs of Tension Pneumothorax
    Caroline Lee

    We would wholeheartedly agree with Simon Leigh-Smith's comments that overall there will be hyperexpansion and a hypomobile chest on the affected side in a tension pneumothorax. The hyperexpansion will mean there will be ‘reduced chest expansion’ with each inspiratory effort but perhaps the word ‘expansion’ should have been replaced with ‘movement’ to clarify this point.

  • Skin turgor: Author's response
    Richard Body

    Dear Editor,

    I was delighted to read the critique of the recent Best Evidence Topic summary (BET) on the reliability of skin turgor as a method for assessing dehydration in children (1), and would like to willingly accept your invitation to respond. My contribution, as third author for this paper, was to check and update the search strategy and to review the final manuscript.

    While I am sorry that the...

    Show More
  • April Fool
    Simon Carley

    I did imagine that the joke was obvious in this paper, it being April the 1st, and Olaf Plori being an anagram of April-Fool. However, I was recently surprised to meet colleagues who had taken it seriously, and indeed thought it was a good idea!

    Whilst trying to have a bit of fun we were also trying to highlight the potential for some competency assessments to become a very reductionist tool that measures a...

    Show More
  • Amendments to the Livingston Paediatric Dose Calculator
    Nicola Weatherup

    I would like to thank Dr Reed and Dr Fothergill for developing the Livingston Paediatric Dose Calculator and publishing it for implementation in emergency departments. It has already proven a very useful tool in our paediatric resuscitations.

    I would however like to highlight a few drug errors so that other users can amend accordingly.

    1 The dose for atropine in age 11+ is calculated at 1000mg instead o...

    Show More
  • Correctionfor Bilateral fractured clavicles with multiple rib fractures
    Richard A Loukota

    I read with interest the article by Puranik & Gillham – Bilateral fractured clavicles with multiple rib fractures, Emerg Med J 2007; 24: 675. They are to be congratulated on a successful outcome with such a challenging case. However they state that the acronym ORIF is an abbreviation of osteosynthesis of irreducible fracture: it is an abbreviation of Open Reduction and Internal Fixation.

    Richard Loukota...

    Show More
  • The use of IT for improving patient safety
    Rizaldy Pinzon

    This is very interesting article. Dr. Read and Dr. Fothergill develop the dose calculator. The calculation of dose in pediatric patients is very complex. Sometimes the wrong doses can become fatal for the patients. The use of dose calculator is a part of the use of IT for improving safety. Information technology can reduce the rate of errors in three ways: by preventing errors and adverse events, by facilitating a more rap...

    Show More
  • EMDs Underestimated?
    Peter D Appleby

    I would like to congratulate Clawson et al for their interesting and informative piece of research (1). The study concluded that Emergency Medical Dispatchers (EMDs) were not able to perceive when a particular patient requires a higher level of response than the Medical Priority Dispatch System (MPDS) process indicates. I have recently completed an attachment to the London Helicopter Emergency Medical Service (HEMS) wh...

    Show More
  • An Alcoholics View
    Edward B Huckley

    This is an interesting article but the findings are not surprising. Parallels can be drawn with the treatment of patients presenting with injuries as a result of self harm.

    Failure to carry out adequate assessment also exacerbates the problem of differentiating between problematic "drunks" and those with serious alcohol addiction. Stigmatisation is imposed across the board sometimes with serious consequences. As...

    Show More
  • Paramedic Practitioner or ECP
    Gary P Venstone

    Dear Editor,

    I feel that I must comment on S Masons view that Emergency Care Practitioners (ECP's) should not be compared to Paramedics. Surely when evaluating the impact of ECP's it is essential to compare the potential patient outcome should the ECP not be available. In this scenario the majority of patients would have been seen by a paramedic or Emergency Medical Technician (EMT). Further to this the majo...

    Show More
  • Appendix
    Rachel C Hoey

    Dear Editor,

    Looks a really good method of teaching, but would like to see a full list of the tasks. Appendix 1 does not appear in print or on-line