<Smiles indulgently> "Now class, Simon says he knows the answer! Go on,
Simon, lets hear your news!"
-----Original Message-----
From: s.carley [mailto:[log in to unmask]]
Sent: 02 October 2002 12:21
To: rowley cottingham
Subject: Re: Bier's Block
>What radiological features did Colles describe?
OOh OOh OOh I know, I know!!!!
Simon
(it's also one of my favourite questions)
Simon Carley
SpR in Emergency Medicine
[log in to unmask]
Evidence based emergency medicine
http://www.bestbets.org
----- Original Message -----
From: "Rowley Cottingham" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Wednesday, October 02, 2002 6:12 AM
Subject: Re: Bier's Block
> > Is anyone else out there using sedation [midazolam] for this? Our
> > Biers tournequet passed away a couple of years ago and I got fed up
> > with waiting for our business manager to stump up the cash to
> > replace it. I've never been
> > a big fan of the "haematoma block" having witnessed the orthopods
> > [ab]using
> > the technique in their torture chambers. I therefore extended the
> > sedation
> > policy we were already using for dislocated shoulders etc with
advice
> > re low
> > incremental doses in the elderly, in resus, full monitoring etc. To
date
> > [touch wood] no problems, good results [orthos not moaning], and
> > satisfied
> > patients [SHO audit project earlier this year]
> >
> > Best wishes, Bill Bailey
> >
> Gosh, that takes me back to the bad old days when I was an A&E SHO in
> a
Kent town. I did my first reduction with some textbook
> open using it like a recipe book. I used to use diazepam (Diazemuls
> may
just have come out) 15mg, because they remembered the
> pain with 10mg and stopped breathing with 20!
>
> Which brings me on to two good questions for the SHOs. What
> radiological
features did Colles describe? and name the seven
> features of a Colles fracture.
>
>
> Best wishes,
>
>
> Rowley Cottingham
>
> [log in to unmask]
> http://www.emergencyunit.com
>
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