eLetters

838 e-Letters

  • Table 6 Calculation Error
    John Fralick

    Dear Dr. Jones and colleagues,

    I recently came across your paper as I was in need of a power calculation for diagnostic studies and have found your work to be very helpful. I noted, however, a minor but important error in Table 6, that outlines how to calculate sensitivity and specificity. The formula for sensitivity is incorrectly stated as the true positives divided by true positives plus false positives. Thi...

    Show More
  • The use of chaperones for intimate examinations is often impractical in primary care
    Deen M Mirza

    I found this article which showed suboptimal use of chaperones in emergency departments to be of great interest. In my clinical work in primary care in the UK, I often struggle with providing a chaperone for intimate examinations. The two main issues I have are who we should bring in, and what should they see.

    Firstly I feel that the person brought in should be someone who is allowed to examine patients themsel...

    Show More
  • Methoxy-what?!
    David G.E. Caldicott

    Sir-

    I presume that Dr Fairhurst is referring to a substance used ubiquitously in the Antipodes and more commonly spelled 'methoxyflurANE'.

    It is estimated that over three million doses have been used over the last 25 years in Australia (Jacobs, 2010). It is used by state ambulance services in the pre-hospital environment in most states of Australia, by the Australian Defence Forces, within emergency de...

    Show More
  • Comparison of tracheal intubation through intubating laryngeal mask airway and Airtraq? laryngoscope in different non-conventional positions
    Fu Shan Xue

    We read with interest the recent article of Grosomanidis et al.1, who compared applicability and efficacy of the tracheal intubation using an intubating laryngeal mask airway (ILMA) or an Airtraq? laryngoscope (Airtraq) in four non-conventional positions in a manikin study. Their findings that success rates of tracheal intubation using both techniques in an acceptable time period (up to 120 s) are up to 100% appear very...

    Show More
  • Reply to: Modelling the effects of the weather on admissions to UK trauma units: a cross-sectional study
    Wouter Stomp

    With great interest we read the report by Parsons et al. regarding the effects of the weather on trauma unit admissions.[1] We would like to bring to the authors attention our study, in which we studied the same effects in an area in the Netherlands geographically and metereologically similar to the United Kingdom over a total period of 36 years, including over 350,000 patients.[2] Although the authors of the present stu...

    Show More
  • Treating Hypoglycemia
    ALOK ARORA

    Acute Care issues:

    Treating hypoglycaemia in Acute care due to insulin and oral agents create very different challenges. Decrease in blood sugar due to oral agents may be due to skipped meals or exercise. However concurrent illness (dehydration etc), new onset renal dysfunction and drug interactions are major factors that cause oral agents induced hypoglycaemia; such events prolong the half life of sulfonylureas....

    Show More
  • Your question and bottom line are too vague
    Mary Hickson

    The question you ask is akin to asking whether drugs can cure a headache. You cannot lump all probiotics together. Probiotics are defined as "live microorganisms that when administered in adequate amounts confer a health benefit on the host"(WHO 2001). Not all micro-organisms will confer a health benefit and the actions of potential probiotics are strain specific. Therefore, your question should be 'Which, if any, probiot...

    Show More
  • Lack of evidence, not knowledge, contributes to variability in massive transfusion practice
    Biswadev Mitra

    Milligan, et al. (1) provides valuable insight into the varied management of massive haemorrhage post trauma. However, the conclusions that emergency physicians lacked core knowledge and were unaware of how to prevent and treat early coagulopathy appear unfounded. It would be more prudent to conclude that a paucity of high level of evidence guiding trauma resuscitation was responsible for this varied practice.

    The defin...

    Show More
  • Medicines Reconciliation in Acute Medicine
    Tom Jaconelli

    We read with interest the work by Mills and Crawford regarding timely medicines reconciliation. We have seen similar results in the acute medical department.

    The presence of pharmacists, pharmacy technicians and a formalised medicines reminder system for junior doctors in acute medicine also significantly improves the rate of medicines reconciliation in the first 24 hours of an in-patient stay.

    Dr Tom...

    Show More
  • The Rapid Emergency Medicine Score?
    James R Griffiths

    I read with interest the Commentary by Roland and Coats with regard to early warning scores(1). The evidence base for the use of track and trigger systems (TTS)in the Emergency Department is not particularly strong and I agree that using a system that is designed for hospital inpatients will not be appropriate for our specific patient group.

    The rapid emergency medicine score(REMS) is a physiological scoring sy...

    Show More

Pages