Brit J Hosp Med
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The creation of neurosciences intensive care units was born out of the awareness that a group of neurological and neurosurgical patients required specialized intensive medical and nursing care. This first of two articles describes the role of neurosciences intensive care in the management of trauma and neurosurgical conditions.
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This article gives a practical guide for the management of open lower limb fractures. It outlines the referral criteria and pathway for definitive care in a specialist centre, the initial management steps that should be taken in the emergency department, and the principles of fixation, soft tissue coverage and antibiotic therapy.
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Clostridium difficile is one of the leading health-care-associated infections in the UK and has a significant clinical and economic impact. Optimal laboratory testing for this pathogen is controversial and interpretation of results can lead to confusion. In the context of the clinical syndrome of C. difficile infection, this article reviews disease presentation, the diagnostic tests available, and their translation into information that can assist clinical management at the bedside.
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Biography Historical Article
Charles McBurney: pioneer in the diagnosis and treatment of appendicitis.