The Medical journal of Australia
-
To describe the policy and practice relating to cardiopulmonary resuscitation (CPR) and defibrillation in cardiac arrest in Australian hospitals. ⋯ The importance of CPR in cardiac arrest has been accepted by Australian hospitals, but the overwhelming evidence that "time to defibrillation" is the single most important determinant of cardiac arrest outcome seems less accepted. All Australian hospitals should review their resuscitation policies and practices to reflect this fact, with defibrillation by nurses, who are usually first on the scene, providing the best opportunity to minimise time to defibrillation.
-
Case Reports
Ectopic parathyroid adenoma localised with sestamibi SPECT and image-fused computed tomography.
Confident localisation of ectopic parathyroid adenomas, particularly those outside the neck, can be difficult. Even preoperative radiological imaging may not be helpful, as there are few characteristic findings. We report a case in which hyperfunctioning ectopic parathyroid tissue in the mediastinum was detected with technetium-99m-sestamibi single-photon emission computed tomography and accurately localised non-invasively with image-fused computed tomography. This technique directly modified management.
-
Editorial Historical Article
Duchenne muscular dystrophy: hopes for the sesquicentenary.