Hospital medicine (London, England : 1998)
-
Nutritional deficiency among hospitalized patients is common, and is often unrecognized and untreated. Perioperative starvation is detrimental to recovery. Nutritional support can reduce morbidity, mortality and length of hospital stay. This article reviews the evidence for parenteral, enteral and oral nutritional support in the perioperative and postoperative period.
-
Epilepsy is one of the commonest neurological conditions. For historical reasons, this condition is often managed in the UK by non-specialists. Treatment options have increased markedly in the last 15 years, with a resultant increase in the potential for better seizure control and an enhanced quality of life for patients with epilepsy.
-
This article reviews the current guidelines for the management of patients with severe traumatic brain injury from presentation in the accident and emergency department, through transfer, to specialist treatment in a neurocritical care unit.
-
Flexible training has been in greatest demand at the specialist registrar grade, and to a lesser extent in the senior house officer grade. This article describes the experiences of a much smaller group, flexible preregistration house officers.