67 e-Letters

published between 2014 and 2017

  • 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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