Aust Fam Physician
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Australian snakes are among the most venomous in the world. Although usually obvious, the occurrence of snakebite is occasionally unrecognised by the patient and/or physician, resulting in delayed or inadequate treatment, or even in death. ⋯ A high index of suspicion should be maintained, particularly in rural areas and in patients unable to give a history. Investigations including creatine kinase, clotting profile and venom detection kit should be performed in cases of suspected snakebite. The choice of appropriate antivenom and its indications are discussed.
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The management of most gunshot wounds and penetrating war injuries can be adequately performed by doctors without specialised training. A basic knowledge of wound ballistics and adherence to the principles outlined in this paper will allow these patients to be treated successfully in their own locality, thus negating the necessity for transfer to a major centre.
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Reflex sympathetic dystrophy, or as it is now known, complex regional pain syndrome, Type 1, is an unusual complication of a variety of injuries whose development should be suspected in the presence of disproportionate pain coupled with autonomic disturbance. Early recognition and treatment with multimodality therapy offer a high probability of recovery.
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The assessment and management of eye burns and burns to the region of the eye may be complex. This article aims to provide an understanding of the basic principles of the reaction of ocular tissues to injury, the healing processes, the restoration of normal function and the causes of burns.
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Neuroblockade techniques can serve many functions in the management of the chronic pain patient. These various functions are discussed and a brief insight given for their use in specific pain syndromes. A run-down of the type of blocks useful in the management of cancer pain is also given.