Journal of accident & emergency medicine
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A model is described for practising packing of the nose with ribbon gauze in the treatment of epistaxis. The model was constructed from accurate casts of a cadaveric nasal cavity. ⋯ After training on the model, there was a significant improvement in the confidence of the doctors to pack a nose, the amount of gauze packed and the visual appearance of the pack. Use of the model should raise the generally poor standard of nasal packing by doctors working in A&E departments.
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A local anaesthetic block of branches of the greater auricular and auriculotemporal nerves was used to facilitate the extraction of retained butterfly backs and ear-ring studs. A total of 28 ear blocks were performed on 26 patients. ⋯ Assessment of analgesia was not possible in one 5-year-old child. We recommend this quick and simple technique for removal of retained ear-rings, particularly when there is associated soft tissue infection, in which case infiltration of local anaesthetic into the earlobe is contraindicated.
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Review Case Reports
Extreme methaemoglobinaemia secondary to recreational use of amyl nitrite.
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Chest tube insertion is generally considered a safe procedure. We describe a patient who developed winging of the scapula following chest tube insertion. This complication has not been documented before.