Brit J Hosp Med
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This article summarises the findings from a review of publications related to healthcare leadership that were published during the first wave of the COVID-19 crisis in 2020. The review discusses a range of strategies for leaders to adopt in challenging situations and identifies three aspects of leadership which are considered essential when leading teams during a crisis: 1) communication, 2) decision making and 3) mental health and wellbeing. This article identifies key principles for each of these three aspects and provides practical tips for how leaders can use the lessons learned from the pandemic in their own contexts.
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The hand is an extremely versatile organ adapted for fine tasks with various clinicoanatomical compartments. This article reviews the types of common hand infections that present to the emergency department and/or hand surgeon, with relevant investigations and strategies for diagnosis and treatment, with the emphasis on distinguishing between superficial and more serious infections.
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Biography Historical Article
Richard Wiseman: the best known English surgeon of the 17th century.
This year marks the 400th anniversary of the birth of Richard Wiseman, acknowledged to be the best known surgeon in this country in the 17th century. His authorship of the surgical textbook Several Chirurgical Treatises gave him the well-deserved reputation for being regarded as the father of English surgery.
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This article summarises the recommendations of the new American Thoracic Society guidelines on the pharmacological management of chronic obstructive pulmonary disease, comments on how they differ from other guidelines, and considers the research needs and unanswered questions posed.
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With the increasing use of cross-sectional imaging, the detection of incidental liver lesions has become more common. Accurate and reliable characterisation of these is vital for optimal patient care. Owing to the great improvements in medical imaging technology in recent years, particularly magnetic resonance imaging, it is now possible to characterise a significant proportion of these non-invasively. ⋯ It depicts the salient imaging features of the common benign and malignant focal liver lesions on different imaging modalities, with emphasis on magnetic resonance imaging. It demonstrates the pseudolesions, variants, mimics and pitfalls that occur in liver imaging. The tailored magnetic resonance imaging protocols including abbreviated ones, the contrast agents and the pathway for managing incidental liver lesions in the author's institution are covered.