Journal of accident & emergency medicine
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Two cases are described in which an inhalation anaesthetic was performed in order to secure an airway in patients with upper airway compromise. The agent used, sevoflurane, is relatively new and its properties are described. This is an important technique in which accident and emergency staff should obtain the appropriate supervised training.
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Proposals for specialist registrar training in accident and emergency medicine in Mid-Trent Region are outlined. These may provide a framework for other schemes as well as stimulating further ideas.
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A case of severe methaemoglobinaemia caused by the abuse of volatile nitrites is reported. The agents are commonly abused, but this complication is rare. The clinical presentation can make diagnosis difficult; however, the subsequent treatment needs to be rapid to avoid serious morbidity or mortality. This report presents the clinical picture and the background information leading to the detection and treatment of this unusual problem.