Background: The Ottawa knee rule (OKR), a clinical decision aid is used to reduce
unnecessary radiography. It is not clear whether this rule can be applied to children …

Objective: To audit the facilities for chemical decontamination, with special reference to
cyanide poisoning, in all major accident and emergency departments in the UK. Method: A …

Thoracic aortic dissection (TAD) with aorto-oesophageal fistula formation is an uncommon
but fatal cause of haematemesis. A case is presented of a previously healthy 63-year-old …

Evaluate patients immediately for signs of clinical instability, eg stridor, tachypnoea or
altered consciousness. The aim of oxygen therapy is to maintain SaO2 94–98% although a …

Lupus vulgaris is the most common form of cutaneous tuberculosis in tropical countries. It
can occur as a result of direct inoculation, lymphatic spread, contiguous spread from …

Kerosene is a combustible hydrocarbon liquid, used commonly in rural and urban
households for cooking purposes. In developing countries, kerosene poisoning is accidental …