236 e-Letters

published between 2007 and 2010

  • A minor loss
    Lauren E Young

    Dear Editor

    After reading this article (1) I can't help but become apprehensive about my accident & emergency department placement in my final year of medical school. My previous experience in the A&E department consisted mainly of seeing patients in the 'minors' area, where the patients were (hopefully) less sick and I was less likely to get in the way of the medical staff. Throughout my training, on th...

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  • Faculty Position Statement
    Roderick Mackenzie

    Dear Editors,

    Dr Kendall's excellent review of the 'optimum reperfusion pathway' ends with a footnote stating that: "This paper represents the position of the Faculty of Pre-Hospital Care of the Royal College of Surgeons of Edinburgh"(1).

    Whilst I support pre-hospital thrombolysis and on-scene decision making by pre-hospital personnel, there are a number of important but unresolved practical issues wh...

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  • Counting angels
    Andrew M. Mason

    Dear Editor

    The question of "How many angels can dance on the head of a pin?" is sometimes used as a rhetorical illustration of the futility of meaningless or esoteric debate, and in the paper by Clements and colleagues[1] which discusses whether children in the prehospital environment should be treated with a cuffed or uncuffed tracheal tube, the authors come quite close to trying to count those angels.

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  • Intracranial placement of a nasopharyngeal airway in a gun shot victim.
    Peter F Mahoney

    Dear Editor

    Further to the review by Roberts et al (1) and the letter by Ellis et al (2) we wish to report another case of intracranial placement of a nasopharyngeal airway.

    The patient was an adult female who had been shot in the head and dumped by the roadside in Baghdad in 2006. She was found by a military patrol who gave first aid. The medic on scene noted she was deeply unconscious, had facial in...

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  • There are other clinicians involved in expediting reperfusion
    Tom Quinn

    Dear Editor,

    I very much enjoyed reading this review of the changing nature of reperfusion in acute ST elevation MI. I was slightly dissapointed however at the statement in the conclusion:

    'The ideal scenario for any individual patient would be to have robust access to each therapeutic option, so that the clinician (whether a paramedic, emergency physician or cardiologist) could decide which would be most benefici...

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  • Bilateral posterior dislocation of the crystalline lens
    Johannes R. M. Cruysberg

    Dear Editor

    The interesting case report of Izadi and coworkers presents a case of bilateral posterior dislocations of the crystalline lens in a patient with epilepsy who presented with reduced vision and anisocoria 2 weeks after having sustained head injuries during a seizure. I have seen similar cases in a study of the crystalline lens as a reflection of hereditary and metabolic disease [1]. However, my patients with...
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