Brit J Hosp Med
-
How can an earthquake cause cardiogenic shock? Can a bereft lover really die from a broken heart? Takotsubo cardiomyopathy is an intriguing reversible condition which still mystifies and excites the layman and physician alike. This article explores the clinical essentials for recognizing and managing this group of complex patients.
-
This article outlines the challenges of identification and management of tissue hypoperfusion as a consequence of haemorrhagic shock in civilian polytrauma cases. It also describes damage resuscitation, but does not cover specific trauma cases such as pregnancy, burns, head injuries, children and elderly trauma.
-
Peripheral nerve stimulation of the occipital nerve has a favourable efficacy to safety profile for chronic migraine, which is notoriously difficult to treat. This article covers the rationale, surgical procedure and clinical data for this treatment option.
-
Ambulatory emergency care offers an attractive method of caring for patients who would traditionally require hospital admission. As well as a superior patient experience, ambulatory care also offers significant cost benefits. In future, implementation of purpose-built units with dedicated teams will alter the delivery of acute health care.