The New Zealand medical journal
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Letter Historical Article
50th anniversary of the modern use of intravenous regional anaesthesia.
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Metastatic melanoma can present with non-cutaneous symptoms even after several years of remission. Although poor prognosis, surgical resection and arterial embolisation can provide effective symptom palliation.
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To evaluate the introduction of an early warning score (EWS) system on incidence of in-hospital adult cardiac arrest. ⋯ Introduction of an EWS system in addition to an existing cardiac arrest team response decreased the incidence of in-hospital cardiac arrests in a tertiary hospital in New Zealand.
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Review Case Reports
Bilateral plunging ranula: two case reports and a review of the literature.
Presentation of two bilateral plunging ranula cases and then review of the plunging ranula literature to understand current concepts on aetiology, imaging for diagnosis and management. ⋯ Plunging ranula are a rare cause of bilateral and unilateral neck swellings but more common in Maori, Polynesian and Asian people. Their cause is multifactorial and ultrasound scan (USS) is the current investigation of choice. Management relies on excision of the sublingual gland with the cystic contents via a trans-oral approach.
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Historical Article
Fatal injury epidemiology among the New Zealand military forces in the First World War.
Despite the large mortality burden of First World War (WW1) on New Zealand (NZ) military forces, no analysis using modern epidemiological methods has ever been conducted. We therefore aimed to study injury-related mortality amongst NZ military forces in WW1. ⋯ Participation in First World War was by far the worst fatal injury event in New Zealand's history. Many of these injury deaths could be considered to have been preventable through: better diplomacy (to prevent the war), improved military planning to reduce failed campaigns (e.g. Gallipoli, Passchendaele), earlier use of protective equipment such as helmets, and improved healthcare services.