Brit J Hosp Med
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Biography Historical Article
James Syme: distinguished Edinburgh surgeon of the 19th century.
This year marks the 150th anniversary of the death of James Syme, one of the most distinguished members of the Edinburgh school of surgery in the 19th century.
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Clavicle fractures account for approximately 2-5% of all fractures in adults and 10-15% in children. There is a bimodal distribution, with two peaks occurring in patients <25 years of age as a result of direct trauma and in those >55 years of age secondary to a fall onto an outstretched arm. Approximately two-thirds of all clavicle fractures occur in men. This article provides an overview of the presentation, assessment and management of clavicle fractures for both core surgical trainees and acute care common stem/emergency medicine trainees.
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Happiness and wellbeing of NHS staff is critical to the quality of care they can provide for patients and communities. It is important for healthcare leaders and local policy makers to continue to foster a nurturing and supportive work culture to enable staff to practice to the best of their abilities and provide safe, sustainable and patient-centred care. This article outlines strategies to improve the NHS as a place of work.