169 e-Letters

published between 2011 and 2014

  • Mobile apps - are we culturally out of signal?
    Nicholas E Boxall

    As an avid user of mobile apps currently working in Emergency Medicine, I enjoyed reading this article (and have since downloaded a couple of apps!). I have found mobile apps are a useful adjunct to my work in the Emergency Department, most commonly for checking drug doses using the British National Formulary app or using a Snellen Chart app in a departmental bay.

    I do think, however, if mobile apps are to be in...

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  • Is videolaryngoscope superior to direct laryngoscopes for tracheal intubation during chest compressions?
    Fu Shan Xue

    In a manikin study simulating cardiopulmonary resuscitation, Tandon et al.1 showed that intubation time was shorter for GlideScope?? videolaryngoscope than direct laryngoscope. This result agrees with the findings of Shin et al2 and Xanthos et al3 in manikin studies simulating cardiopulmonary resuscitation. However, in other similar manikin studies, GlideScope?? videolaryngoscope was not superior to direct laryngoscope with r...

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  • AP pelvis and frog lateral for a limping child
    Thomas F Beattie

    We read the article "AP pelvis and frog lateral for a limping child"(1) with some concern for radiation safety. The AP pelvis radiograph at presentation does not show merely slight irregularity of the articular surface as stated in the article, but a reduction of height of 50% of the left femoral capital epiphysis, increased density projected across the growth plate, loss of clarity and contour of the growth plate and la...

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  • COMMENTS ON: "BET 3: Evaluation of intra-aortic balloon support in cardiogenic shock"
    Quintilio Caretta

    COMMENTS ON: "BET 3: Evaluation of intra-aortic balloon support in cardiogenic shock"

    Maria Cristina Acconcia(a), MD, Flavia Chiarotti(b), DStat, Francesco Romeo(c), MD, Quintilio Caretta(d*), MD.

    (a)Department of Cardiovascular Disease, University of Rome - La Sapienza, Rome, Italy (b)Department of Cell Biology and Neuroscience, Italian National Institute of Health, Rome, Italy (c)Department of Cardio...

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  • A lesson in PR

    I thoroughly enjoyed reading this honest perspective from an experienced colleague. Like most junior doctors, my career to this point has been littered with examples of unpleasant exchanges. As unpleasant as they are, at my level being put in ones place seems to have some value. As an example I remember when the on call general surgical registrar informed me that she was "not the only one in the hospital with effing finger...

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  • Reliability and validity of a new French- language triage algorithm: the ELISA scale. Methodological error
    Siamak Sabour

    I was interested to read the papers by Jobe J and colleagues published in Feb 2014 issue of Emerg Med J.1 The authors aimed to investigate the validity and efficiency of a specific French-language triage system named Echelle Liegeoise d'Index de Severite a l'Admission (ELISA). 1 As the authors pointed out validity was estimated by studying the correlations between the triage ranking assigned by the nurse and actual reso...

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  • PALM consensus statement: estimation of population incidence using an island model.
    Richard J Price

    We read with interest the PALM consensus statement (1). This is an airway rescue technique for comatose hypoxaemic patients in the pre- hospital environment. The PALM procedure could also apply to the general practitioner (GP) run community hospital environment since the facilities of a metropolitan hospital, specifically rapid sequence induction of anaesthesia (RSI), are not available.

    The islands of the west c...

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  • Thunderstorm Asthma and London Ambulance Data
    John E. Thornes

    London Ambulance Service compiles an illness category for each Category A (life threatening) incident. Triaged Cat A illness data for 4505 days (3,677,454 incidents) between the 1st April 2001 and the end of July 2013 has been examined for a study on the impact of extreme weather and climate on LAS operations [1,2]. As part of this study a number of very significant asthma peaks have been identified - which may also be...

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  • PALM: A fringe benefit for a wider group of patients
    Andrew M Mason

    It is a pity that the Royal College of Anaesthetists felt unable to support the recent Faculty of Prehospital Care consensus statement on pharmacologically-assisted laryngeal mask insertion (PALM) [1]. PALM was only ever intended to be used as an emergency rescue technique in patients with a lowered level of consciousness (GCS <8-9 or AVPU P or U) AND an SpO2 reading of 92%-or-less. This despite best efforts to reverse...

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  • Response to article 'The impact of 24hr consultant shop floor presence on emergency department performance: a natural experiment' by Christmas, Johnson and Locker, EMJ May 2013, Volume 30, Issue 5, pages 360-362.
    Rod Milne

    Emergency Department,

    North Tyneside General General Hosp[ital,

    Rake Lane,

    North Shields.

    Dear Editor,

    With reference to the article 'The impact of 24hr consultant shop floor presence on emergency department performance: a natural experiment', by Christmas, Johnson and Locker, EMJ May 2013 Volume 30, Issue 5, pages 360-362.

    Some initial comments arise from reading...

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