126 e-Letters

published between 2000 and 2003

  • Scombroid - We need another solution
    Alon Duby

    Dear Editor

    I was interested to read the case report on histamine fish poisoning by Attaran et al.[1] Having recently reviewed the subject, I am aware that this journal has highlighted this common condition in 1997 with another case report,[2] adding to an expanding library of over 150 citations in popular databases in the past quarter century.

    Despite underreporting, the condition still accounte...

    Show More
  • Authors' reply
    Ross Murphy

    Dear Editor

    We read with interest the above letter by Howard and Harrison.

    It eloquently highlights the concerns many physicians have regarding emergency oxygen therapy. It also outlines a protocol for the management of COPD patients that we feel differs only slightly from that proposed by the North-West Oxygen Group (NWOG).

    In their letter the authors describe the arterial blood gases and ou...

    Show More
  • EMJ September supplement
    Pip Lloyd

    Dear Editor

    I was not sure if the September supplement was plagarised from something written 100 years ago or if it was for real. If this is truly the attitude of senior ED staff in the UK then I suggest trainees emigrate. Australasia has female medical staff, sick leave, police with better things to do than pamper medical egos, and eminent specialists who do not equate true leadership with being called "Doctor"; all th...

    Show More
  • Pre-Hospital Fluids...but still some unanswered questions
    Anthony Golding-Cook

    Dear Editor

    How refreshing to read the excellent consensus view on pre-hospital fluid resuscitation. At last it appears that a useful regimen is beginning to emerge from the fog of controversey!

    There are however several points that merit further clarification:

    1. In paediatric trauma resuscitation, does the 20ml per kg crystalloid bolus, repeated once if required and then followed by a third bolus...

    Show More
  • Mercedes sign
    Ray McGlone


    A gentleman presented to A&E at Lancaster following an RTA, and was surprised when he was correctly identified as a Mercedes driver.

    He was wearing a short sleeved shirt and his right arm had been across the centre of the steering wheel at the time of airbag discharge, which is when the mercedes emblem became branded on his forearm. The mark remained on the patient's forearm some weeks late...

    Show More
  • Which wounds wound up in study?
    David O'Hagan

    Dear Editor

    This is a very helpful review. The use of alternatives to sutures is often seen as a second best. Children must be treated in the most appropriate manner. Any slight imperfection may become a lifelong problem.

    A useful addition would be a clarification of the selection criteria for wounds in the study; were site, shape, depth, tension important issues.

  • Re: Posterior dislocation of hip in adolescents attributable to casual rugby
    Gunasekaran Kumar

    Dear Editor

    I read with interest the article by K Mohanty et al. The authors correctly point out that, though not common, apparently minor injury can produce posterior dislocations of the hip. It has been shown that low energy injuries can lead to dislocations of the immature hip.1 In low energy injuries it is more of levering out the joint, rather than brute force dislocating the joint. Hence, the position of th...

    Show More
  • Glued eyelids from glued forehead laceration
    Narendra Dhingra

    Dear Editor

    We read the article by Mattick et al. [1,2] on the use of tissue adhesives in the management of paediatric lacerations. The authors touched upon the hazards of the glue getting into the eye. We recently came across a 6 years old patient whose eyelids were glued together. She had sustained a forehead laceration just above the eyebrow after a fall and presented to the local casualty unit. After initial...

    Show More
  • Patient confidentiality
    C. Andrew Eynon

    Dear Editor

    Details contained in a recent paper by Kane and colleagues [1] contained non-clinical information that allowed rapid and easy identification of the patient concerned. This was compounded by inclusion of a figure that had been widely reported in the national press at the time of the accident.

    The maintenance of patient confidentiality is a prerequisite in the publication of case reports. I would...

    Show More
  • Oxygen Therapy in COPD
    Luke S Howard

    Dear Editor

    Two articles appeared in consecutive issues of the EMJ last year regarding emergency oxygen therapy. The first was a comprehensive review of emergency oxygen therapy for the COPD patient[1] and the second comprised guidelines prepared by the North West Oxygen Group (NWOG) for oxygen use in the breathless patient.[2] The review highlighted the dangers of high-flow oxygen (HFO) in COPD during exacerbation...

    Show More