eLetters

838 e-Letters

  • MCL calcification not described?
    Gautam Ray

    Is this not "Pelligrini-Stieda" disease?

  • It is correct priority, not diagnosis, that matters at telephone triage
    James T Gray

    I found the article by Deakin et al interesting but have to feel that the article seems to dwell on whether the Advanced Medical Priority Dispatch system (AMPDS) correctly identifies stroke when the emphasis should have been on whether it can correctly prioritise patients to a catagory A or B who are later found to have suffered a stroke.

    The authors themselves identify the fact that ambulance prioritisation is...

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  • CT Urography: Clarification
    Darra T Murphy

    Dear Sir/Madam,

    We read with great interest the excellent article in the September 2008 issue of the journal by Ulahannan et al entitled “Benefits of CT Urography in patients presenting to the emergency department with suspected ureteric colic”[1]. They employed a test designated a “non-contrast CT Urogram” and concluded that CT is the preferred test of choice for patients over 40 with suspected ureteric coli...

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  • A low GCS does not equate to a compromised airway reflex
    Dexter Y S Chan

    Sibbald and colleagues raise the important point that sedation often verges on the edge of general anaesthesia during emergency department sedation in response to Vardy et al’s audit of ED sedation practice(1,2). They do, however, make the false assumption that a GCS of 8 or less is equivalent to the loss of airway reflexes.

    Moulton et al(3,4), in two papers describing the relationship between the GCS and gag a...

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  • How will your Junior Doctors react?
    Joseph M Hobson

    Four years on from 7/7 I believe the issue of major incident awareness has still not been properly addressed. Wong in 2006 highlighted the inadequacy of Registrar awareness with their major incident contingency plan and their role. This year I set out to establish Junior Doctor’s (FY1 + FY2) awareness at Wrexham Maelor Hospital using a similar questionnaire.

    Greater than 90% of Junior Doctors did not know wh...

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  • It’s good, but is it utilitarian? A response to Body and Foëx
    Kirsty Challen

    Body and Foëx are to be congratulated on their thoughtful analysis of the philosophy of diagnosis in emergency medicine(1). They raise some issues which would bear further examination.

    The philosophy of truth

    As Body and Foëx point out, our continued use of “gnosis” in diagnosis implies an ongoing assumption of an inherent knowledge and a positivist paradigm briefly expressed as “reality exists”. Thei...

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  • Saving the AAAs- a Battle that can be won
    Muhammad U Shehzad

    I fully endorse this notion and conclusion by the authors that we need to suspect and diagnose this pathology very early "when the patient is stable”, since diagnosing a ruptured AAA in an unstable patient usually, means that we have lost the battle already. Suspecting and diagnosing early and "then rushing for theaters" is the only way forward for saving all these lives and I strongly feel that we will save many lives. Those...

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  • POCKET ASPRIN
    NAJMUL H MOOSVI

    With reference to your article I want your comments on the following idea - Keeping in mind that time is muscle, recommendations to have chewable asprin in Pocket's of people with IHD at all times (who have no contraindications to asprin) - Pharmaceutical companies to design a pack with two tablets resistant to weather conditions and easy to keep in pocket - may be giving the name "pocket asprin" people might understand the e...

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  • aggregated versus raw Hes data
    robin beaumont

    I was delighted to read the Hughes article, and while I agree that the published aggregated data is of little overall interest I would like to highlight the fact that clinicians can obtain the raw local data, which although it can be a tortuous complex procedure, can be of great use.

    I managed over ten years ago to work with the HES team to develop a large A&E anonymised raw Hes dataset which I have used, and...

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  • Unexplored issues relating to body stuffers
    yew meng aw-yong

    Dr Meng Aw-Yong 468 Fulham Palace Road London SW6 6Hy 11th May 2009

    Letter in response to Booker RJ, Smith JE Rodger M. Packers, pushers and stuffers- managing patients with concealed drugs in UK emergency departments: a clinical and medicolegal review. EMJ Vol 26 No 5 May 2009. Pages 316-320

    Dear Sirs,

    The article in EMJ May 2009 on packers, pushers and stuffers by Booker et al is an invaluab...

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