Plants of the Taxus genus, including common yew (T. baccata) that predominates in Europe, have been known for ages for their toxic properties. Particularly high concentrations of toxic pseudoalkaloids are present in the needles of this evergreen and highly popular decorative plant. Toxic substances are also found in the other plant parts, except for an aril, and their ingestion may be life-threatening. The literature published in the last decade includes many case reports describing yew poisoning. The statistical data indicate that most cases are incidental and mainly regard children attracted by red arils. According to the data provided by one of the Czech centres of toxicology and covering the years 2005-2014, children < 3 years of age constitute 45% to 75% of all patients consulted due to yew poisoning [1]. The most severe cases are suicidal attempts associated with the ingestion of high amounts of yew needles; they often concern young individuals and can be lethal in some cases. The information on various methods of committing suicide are easily available on the Internet. There are numer
The St. George’s Hospital in London is one of the largest hospitals in Great Britain, and it is the main teaching hospital of the University of London. The team of the Anaesthetic Department includes over 100 physicians, inter alia, patients with acute pain and post-operative pain. Some of the physicians work in an excellent Pain Clinic, which specializes, among other things, in an invasive treatment of pain. The Clinic has at its disposal a modern procedure room with, among other things, a C-arm X-ray machine and an ultrasound machine, which enables a full range of invasive treatment of chronic pain. The article presents the experience of four Polish physicians who spent their fellowships in the St. George’s Hospital, during which they observed the work of the anaesthetic team and the team of the Pain Clinic.
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