The Australian and New Zealand journal of surgery
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Trauma in Papua New Guinea (PNG) is a major reason for acute hospital admission. The Early Management of Severe Trauma Course (EMST) of the Royal Australasian College of Surgeons was introduced to PNG in 1993 to help in trauma education. ⋯ The introduction of EMST to PNG has proven to be a worthwhile endeavour and the program is now firmly established in PNG.
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The purpose of this study was to create a system of mass casualty incident triage that provides a common language platform for both ambulance and hospital personnel based upon standard daily operating procedures for both groups. ⋯ The Homebush Triage Standard provides a basis for both seamless patient reassessment at all points along the casualty evacuation chain and the audit of the medical response to mass casualty incidents. It allows hospital and ambulance staff to keep working using familiar routines and removes fundamental barriers to good communication during a time of crisis.
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Editorial Comment
Epidemiology of pancreatic cancer and diet in Australia.
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With the trend towards conservation in splenic trauma, the ability to identify a group of patients for whom we can safely offer conservative treatment becomes an important factor. ⋯ Although these results did not reach statistical significance, by coupling the trends seen together with other work, CT grading of splenic injury is a predictive indicator and does appear to have a role in the early allocation of patients to appropriate treatment plans.
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Biography Historical Article
Thomas Peel Dunhill: pioneer thyroid surgeon.
Thomas Peel Dunhill, a name by now almost completely forgotten in his native Australia, was born in 1876 near Kerang in the State of Victoria. Although he qualified as a pharmacist in 1898, Dunhill had already decided to study medicine and graduated in 1903 from the Clinical School of the Melbourne Hospital. He was regarded as an outstanding student. ⋯ Dunhill retired from surgical practice in 1949 and died at the age of 80 in 1957 at his London home. Many eulogies were delivered, especially by Sir James Paterson Ross and Sir Geoffrey Keynes, his former pupils. Dunhill's exploits as a thyroid surgeon in the development of a safe and effective treatment for thyrotoxicosis and in operating on the thyrocardiac enables this modest, courteous and loyal Australian to be included with Theodor Kocher, Charles Mayo, William Halsted and George Crile in the pantheon of pioneer thyroid surgeons.