Report of successful forequarter amputation

Medecins Sans Frontieres (MSF) surgeon David Nott provided a very public case report of successful forequarter amputation this week. http://www.msf.org.uk/surgery_by_text_message_20081203.news What made this extraordinary was that he and the patient were in Congo, he had never performed the procedure before and he received instructions on how to do it from a surgical colleague in the […]

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Haemorrhagic transformation of a recent silent cerebral infarct during thrombolytic stroke treatment

This case report highlights the challenge of radiology interpretation in acute cases especially where effective treatment is time critical. Often an investigation will have an obvious abnormality that accounts for the presenting symptoms but elsewhere, in an unrelated part of the scan, another abnormality may be present. Even in experienced teams such other findings may […]

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Iatrogenic vitamin K deficiency and life threatening coagulopathy

This is a reminder of an important clinical lesson that highlights the risk of vitamin K deficiency in the critically ill. The authors give a thorough account of the presentation, possible consequences and literature review in this case making it a rewarding and educational report. I note with interest the reviewer’s comments about not wanting […]

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