Abstract Assessment of fluid balance has an integral role in management of critically ill patients. Fluid status measurement is multifactorial, comprising of clinical examination, biochemical
Abstract Subarachnoid pneumorrhachis is an increasingly identified entity in the setting of trauma. We report a case of this finding incidentally and of a positive
We present a case of widespread surgical emphysema following cryoablation of the right inferior alveolar nerve in the setting of trigeminal neuralgia refractory to carbamazepine
Abstract Objective: To determine the rate of intubations carried out in Wellington Hospital Emergency Department (tertiary hospital), New Zealand, to provide a description of intubating
CT guided cervical nerve root injection is performed for diagnostic purposes or to reduce inflammation and pain in cervical radiculopathy. Steroid and local anaesthetic are
Case presentation A 72-year-old man presented to the Emergency Department by ambulance following a rollover motor vehicle crash preceded by black-out symptoms. He had been
Abstract The diagnosis of brain death can be fraught with multiple challenges ranging from the presence of complex motor movements to inappropriate patient screening, e.g.
Abstract The placement of nasogastric (NG) tubes is an extremely common intervention in general surgical wards and intensive care units. We report a case series
A previously-healthy thirty-year old man presented to the Emergency Department at Hawke’s Bay Hospital with central chest pain, following blunt chest trauma whilst SCUBA diving. He was at a depth of approximately five metres, during his ascent, when he was dumped onto a rock by a wave, hitting the left side of his chest. Several hours later, he developed central chest tightness and mild dyspnoea. He had no dysphagia or abdominal pain. Examination findings showed normal vital signs, reduced air entry over left chest wall, and a “crunchy†systolic murmur.
Surgical repair of traumatic fractured neck of femur (DHS or hemiarthroplasty) in elderly patients is a frequent procedure performed in acute theatres in New Zealand. National data using public theatre coding statistics show that close to 2800 procedures for surgical repair of fractured neck of femur are performed per annum in New Zealand. This number has more than doubled over the past 5 years. International data on fractured neck of femur predict a 3-4 fold increase in the numbers presenting by 2050. (1) These rising trends are related to our aging population.