British journal of hospital medicine
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Many lives can be saved by prompt and effective resuscitation. Most of us feel we know what to do but may be rather vague and indecisive when the moment arrives. Successful resuscitation usually represents extraordinarily good value for money.
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The technique of intravenous regional anaesthesia (IVRA) has failed to gain general acceptance among anaesthetists, who are divided into those who never use it, preferring more specific local anaesthetic blocks, and those who would recommend it as the technique of choice for some procedures. Numerous large series have been published, attesting to its general safety, but intermittent accounts of serious side effects and more recent reports of fatalities have called the technique into question, so that a reassessment seems timely.
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Most doctors are healthy and well adjusted individuals, for whom medical practice is rewarding and enjoyable. Some find it stressful and others break down under pressure. How and why do doctors break down, and what can be done to help them?