Annals of the Royal College of Surgeons of England
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Scapular fracture as a direct result of electric shock is a rare injury. We present a case report and review of the literature.
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Ann R Coll Surg Engl · Mar 2006
Co-operation with pre-operative cardiovascular monitoring amongst children for chair dental general anaesthesia.
The Association of Anaesthetists of Great Britain and Ireland (AAGBI) guidelines Recommendations for standards of monitoring during anaesthesia and recovery state that cardiovascular monitoring for induction of general anaesthesia should include pulse oximetry and non-invasive blood pressure measurement, but recognise that young patients may not co-operate sufficiently to allow this. The aim of this study was to look at levels of compliance possible for pulse oximetry and non-invasive blood pressure measurement, in a population known to be unco-operative with therapeutic interventions. ⋯ The majority of children, including the very young, attending for chair dental general anaesthesia, will co-operate sufficiently to allow cardiovascular monitoring during induction of anaesthesia, even though the majority will not tolerate exodontia under local anaesthesia.
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Ann R Coll Surg Engl · Mar 2006
High quality acute care for the severely injured is not consistently available in England, Wales and Northern Ireland: report of a survey by the Trauma Committee, The Royal College of Surgeons of England.
A survey was undertaken to determine the extent to which acute hospitals in England, Wales and Northern Ireland were meeting the acute trauma management standards published in 2000 by The Royal College of Surgeons of England and the British Orthopaedic Association. ⋯ The findings of this survey suggest that high quality care for the severely injured is not available consistently across England, Wales and Northern Ireland, and appear to justify concerns about the ability of the NHS to deal effectively with the current trauma workload and the consequences of a major incident.
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Ann R Coll Surg Engl · Mar 2006
Audit on the efficient use of cross-matched blood in elective total hip and total knee replacement.
This prospective audit studies the use of cross-matched blood in 301 patients over a 1-year period undergoing total knee (TKR) and total hip replacement (THR) surgery in an orthopaedic unit. ⋯ Changes can be made to the Maximum Surgical Blood Ordering Schedules (MSBOS) in other orthopaedic units according to national guidelines.