British journal of hospital medicine
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Conventional haemodialysis is not available on all intensive care units (ICUs) and there are relatively few renally trained nurses able to run haemodialysis machines. Continuous arteriovenous haemodialysis provides effective renal replacement therapy for critically ill patients in the ICU. Unlike continuous arteriovenous haemofiltration it provides sufficient control over electrolyte, solute and water balance to obviate the need for additional treatment with intermittent conventional haemodialysis.
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Management is a means of bringing together various NHS activities into an effective service. It is not the exclusive province of the administrator, and doctors should be aware of the range and availability of 'management training course' opportunities which will complement their clinical practice and support their greater involvement in the wider management role.
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Tracheal intubation is a skill that should be considered supplementary to other aspects of airway management which are of vital importance in resuscitation. Doctors involved in resuscitation should develop and retain such skills, and be aware of potential dangers.