Annals of the Royal College of Surgeons of England
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A work schedule is presented for a single team of three consultant general surgeons which has a rotating three-week timetable with two of them doing routine work only while the other just does the emergencies. It is suggested that this way of working may have widespread application.
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An increased incidence of severe hyponatraemia in an orthopaedic unit led to an investigation into the possible causes. Routine perioperative administration of 'hypotonic' intravenous fluid to an elderly population emerged as the most important aggravating factor. Care is necessary in prescribing intravenous fluid regimens in order to avoid potentially serious complications.