eLetters

837 e-Letters

  • Names for 'A & E'
    Richard Hardern

    Dear Editor

    There has been considerable discussion recently about the best name for the specialty currently called Accident and Emergency Medicine. Could I suggest the specialty be renamed "Emergency and Trauma Care"? If this name were adopted, both the name and the abbreviation would reflect the nature of work undertaken by the specialty.

    Richard Hardern

  • Analgesic drugs are common intoxicating agents
    Julian Kennedy
    Dear Editor

    In the article by Greingor et al on carbon monoxide poisoning in pregnancy, one word is notably absent from the Discussion. I quote, with the word inserted,'CO intoxication is the most frequently reported (FATAL) poisoning in Western developed countries'. Most of us are aware that analgesic drugs are still the commonest intoxicating agent - are we not?

    Julian Kennedy

  • Emergency Medicine:a name change is one issue-acceptance is another
    Alan O'Connor
    Dear Editor

    While I agree that the specialty in the UK should move to using the title "Emergency Medicine" I would council that it may be difficult to gain acceptance of the name amongst the wider community - both medical and non- medical.

    Here in Australia, the specialty has been officially named "Emergency Medicine" since the Australasian College for Emergency Medicine was incorporated in 1984. However, this mes...

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  • Re: The diagnosis of tuberculosis is difficult to verify
    MC Yuen
    Dear Editor,

    We thank Dr. T. Ho for his comment on our article reporting a young patient with tuberculous osteomyelitis [1]. We wrote the article from the perspective of emergency medicine. Although polymerase chain reaction (PCR) is a good adjunct to microbiological culture for diagnosing mycobacterium tuberculosis, it is not available to the majority of emergency physicians in Hong Kong. Nonetheless, we should discuss it b...

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  • The diagnosis of tuberculosis is difficult to verify
    T Ho
    Dear Editor,

    Yuen and Tung describe a case of tuberculous osteomyelitis of the foot [1] and the potential difficulties in making the diagnosis. The authors were fortunate enough to have typical histological biopsy findings which subsequently cultured Mycobacterium tuberculosis (TB), providing diagnostic confirmation and estimations of sensitivities. However, in many instances, the diagnosis of tuberculosis is difficult to ve...

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  • Re: What should be clearcut has somehow been usurped
    C Reid
    Dear Editor

    We are delighted that our paper [1] has stimulated a response from overseas colleagues, who have shared with us some Australasian opinions.

    Whilst we agree that adopting the term 'emergency medicine' would bring us into line with international standard terminology, the fact remains that 'accident and emergency' appeals to many, and debate will continue as long as practice between and within United Kingdom...

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  • What should be clearcut has somehow been usurped
    Daniel Fatovich
    Dear Editor,

    The paper on Emergency Medicine terminology by Reid and Chan [1] has stimulated me to write this letter. As an Australian emergency physician who works in a Department of Emergency Medicine, I view the debate on the naming of our specialty in the United Kingdom with some bewilderment and concern. What should be clearcut has somehow been usurped.

    In October 1991, the International Federation of Emergenc...

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  • Blue calls - analysis of patient outcome with matched controls is needed
    Peter Leman

    Dear Editor

    Brown and Warwick [1] have published an interesting descriptive study of 'blue calls' made to a single inner city hospital over a 3 month period in 1998. They state that their aim was to determine whether the current system results in inappropriate deployment of hospital staff. However, the results in the published paper do not show whether any of the patients who arrived with a pre-hospital warning ha...

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  • The author replies
    Stephen Bush

    Editor,

    I thank Drs McIlwee and Jenkins both for their interest in this topic and for their detailed LAT recipe. The sharing of such information and experience is the key to enhancing UK knowledge of this technique's effectiveness. I note that their practical experience with LAT was first gained in North America.

    I agree that there are several non-cocaine containing agents which have been reported wit...

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  • A formulation for topical anaesthetic
    Alister Mc Ilwee

    We note with interest the letter by Bush and his final sentence " If an agent without cocaine was shown to have similar efficacy to TAC (Tetracaine, Adrenaline, and Cocaine), it may allow more widespread use of topical anaesthesia (TA) in the UK." [1]

    There are several agents which are at least as efficacious as TAC. The following agents do not contain cocaine: LAT (Lidocaine, Adrenaline and Tetracaine) [2,3], E...

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