Many junior doctors feel cardiac arrests are unsatisfactorily managed and experience high levels of stress during the procedure, often feeling they are inadequately trained for the task. Juniors also regard ‘do not resuscitate’ orders as decisions for teams, not individuals.
A group of ward nurses were seconded into an Outreach Service for a 2-week period. Following this, the group took part in an evaluation of the placement using a focus group methodology. The aim of this project was to explore the perceptions of a ward-based nurse recruited into the Outreach Service so that they could function effectively and efficiently in that role. The intended outcomes of the project were: --to explore the needs of the new Outreach nurse who was recruited from the ward environment --to enable the participants of the project to have a better understanding of the role of the Outreach team --to enable the participants to develop their skills in assessing critically ill patients --to make recommendations to the Kent Critical Care Network regarding the recruitment of ward staff to Outreach.
SUMMARY A method of scissor excision of perianal warts, which is suitable for use in outpatient departments, is described. The low recurrence rate (two of 24 patients) three months after treatment is encouraging.
A49-year-old male model developed an acute severe occipital headache and neck stiffness following a day spent striking dynamic poses for a modelling assignment, during which he had been required to hold his head in several awkward positions for protracted periods of time. In the subsequent 24 hours he developed slurred speech, poor balance and a persistent pain in the neck. On presentation to hospital he was dysarthric and ataxic of gait, and had upper limb weakness, finger nose ataxia, an upper motor neurone facial nerve palsy and an extensor plantar response. Magnetic resonance imaging of the brain showed a 2 cm × 1 cm infarction in the left pons extending to the midbrain (Figure 1). The patient was commenced on aspirin and by 8 weeks his neurological symptoms had completely resolved.
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