SUMMARYInfra-red colour thermography has been used to visualize skin temperatures in two athletes standing and running in an outdoor environment at 200 C and in a climatic chamber at 110 C. Temperature distributions and changes have been recorded on film and analysed. Mean skin temperatures determined by this method have been compared with skin temperatures obtained with a probe thermocouple.During running, skin temperatures were higher over muscles than over other structures and the distribution differed dramatically from that observed before exercise.Regional mean skin temperatures obtained by thermography differed by up to 40 C from those obtained with the thermocouple probe. Overall mean skin temperatures obtained by both methods agreed to within 1.50 C.
SummaryDetermining the best method for excluding cervical spine injury while a polytrauma victim is unconscious remains a controversial topic despite a number of published guidelines. A structured questionnaire demonstrated major differences between intensivists, neurosurgeons, orthopaedic surgeons and spinal surgeons with regard to the imaging modalities requested, the perception of their performance, the relative risks of missed injuries and the complications of immobilisation. Unconscious victims of polytrauma often come under the care of several subspecialties, with the direct consequence that management can be contradictory and lack standardisation. Advanced Trauma Life Support and Eastern Association for the Surgery of Trauma guidelines can reinforce and even contribute to non-standardised care. Having performed this clinician survey, we have now developed a multidisciplinary management protocol appropriate for Northern Ireland.
Disposable plastic two-piece suits were compared with conventional cotton suits, gowns, and plastic aprons by nurses in a burns unit. The plastic suits allowed fewer micro-organisms to be dispersed into the environment than the other garments but were less comfortable.
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