An unusual cause of persistent vomiting
Br J Hosp Med (Lond). 2021 Jun 2;82(6):1. doi: 10.12968/hmed.2020.0398. Epub 2021 Jun 30.NO ABSTRACTPMID:34191553 | DOI:10.12968/hmed.2020.0398 (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - June 30, 2021 Category: Internal Medicine Authors: Kathryn Byrne Bryan Renton Source Type: research

Ethical challenges faced when there is a mismatch between guidelines, patient autonomy and clinical practice
Br J Hosp Med (Lond). 2021 Jun 2;82(6):1-4. doi: 10.12968/hmed.2021.0315. Epub 2021 Jun 30.ABSTRACTThis editorial reviews the ethical day-to-day challenges faced by pain specialists when managing each patient's unique requirements, in light of guidelines, clinical practice and interpretation of evidence relating to the assessment and management of chronic pain.PMID:34191554 | DOI:10.12968/hmed.2021.0315 (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - June 30, 2021 Category: Internal Medicine Authors: John Hughes Lorraine de Gray Source Type: research

Renal obstruction caused by postpartum ovarian vein thrombosis
Br J Hosp Med (Lond). 2021 Jun 2;82(6):1-2. doi: 10.12968/hmed.2020.0482. Epub 2021 Jun 15.NO ABSTRACTPMID:34191555 | DOI:10.12968/hmed.2020.0482 (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - June 30, 2021 Category: Internal Medicine Authors: Kathryn Gillams Patrick Jones John Iacovou Amr Hawary Source Type: research

Is there still a role for the oesophageal Doppler in cardiac output monitoring?
This article examines the evidence supporting the continued use of the oesophageal Doppler.PMID:34191556 | DOI:10.12968/hmed.2020.0690 (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - June 30, 2021 Category: Internal Medicine Authors: Joseph Harris Conor Jones Source Type: research

Preoperative assessment and optimisation: the key to good outcomes after the pandemic
Br J Hosp Med (Lond). 2021 Jun 2;82(6):1-6. doi: 10.12968/hmed.2021.0318. Epub 2021 Jun 22.ABSTRACTComplications following surgery are common, predictable and often preventable. New preoperative assessment and optimisation guidance recommends clear pathways with triggers for interventions, patient involvement, shared decision making and team education, to help both patients and service efficiency.PMID:34191557 | DOI:10.12968/hmed.2021.0318 (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - June 30, 2021 Category: Internal Medicine Authors: Scarlett A McNally Kariem El-Boghdadly Justin Kua S Ramani Moonesinghe Source Type: research

Barotrauma during non-invasive ventilation for acute respiratory distress syndrome caused by COVID-19: a balance between risks and benefits
This article reviews the literature regarding the use of non-invasive ventilation in patients with acute respiratory failure associated with COVID-19 and other epidemic or pandemic viral infections and the related risk of barotrauma.PMID:34191558 | DOI:10.12968/hmed.2021.0109 (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - June 30, 2021 Category: Internal Medicine Authors: M Gabrielli F Valletta F Franceschi Gemelli Against COVID 2019 Source Type: research

Use of double-balloon enteroscopy to extract a partial denture embedded in the ileum for 5 weeks
Br J Hosp Med (Lond). 2021 Jun 2;82(6):1-2. doi: 10.12968/hmed.2020.0759. Epub 2021 Jun 30.NO ABSTRACTPMID:34191559 | DOI:10.12968/hmed.2020.0759 (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - June 30, 2021 Category: Internal Medicine Authors: Xin Yin Shoubin Ning Tao Sun Jin Niu Peng Yuan Source Type: research

Management of non-traumatic epistaxis in adults in the emergency department
CONCLUSIONS: The authors calculate that these results equate to roughly 56 hospital bed days saved, providing better care closer to home for patients, in addition to beneficial knock-on effects for other emergency department and admitted patients.PMID:34191560 | DOI:10.12968/hmed.2021.0033 (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - June 30, 2021 Category: Internal Medicine Authors: Ashley Reed Martyn Barnes Caroline Howard Source Type: research

How to improve diversity in patient and public involvement
This article provides a practical framework to increase diversity and engage hard-to-reach demographics in patient and public involvement. It highlights some common barriers to participation and methods for overcoming this, describes sampling frameworks and provides examples of how these have been adopted in practice.PMID:34191561 | DOI:10.12968/hmed.2021.0176 (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - June 30, 2021 Category: Internal Medicine Authors: Rebecca Golenya George D Chloros Michalis Panteli Peter V Giannoudis Anthony Howard Source Type: research

What you need to know about falls
This article provides an approach to assessing a patient presenting with a fall, encompassing the cause and consequence of the event. It also highlights the need to consider both the acute and chronic factors that predispose a particular patient to fall. Chronic factors such as frailty, sarcopenia, cognitive impairment, and continence issues are often under-recognised and, as a result, not managed optimally. A comprehensive geriatric assessment is an ideal structure to identify modifiable risks. Practical interventions that can be of benefit to minimise a patient's risk of falling include a medication review, assessment of...
Source: British Journal of Hospital Medicine - June 30, 2021 Category: Internal Medicine Authors: Anna N Barnard Daniel S Furmedge Source Type: research

Reformatted thoracic computed tomography imaging findings of an internal laryngocoele
Br J Hosp Med (Lond). 2021 Jun 2;82(6):1-2. doi: 10.12968/hmed.2021.0043. Epub 2021 Jun 15.NO ABSTRACTPMID:34191563 | DOI:10.12968/hmed.2021.0043 (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - June 30, 2021 Category: Internal Medicine Authors: Zakir Sakci Yener Aydin Hayri Ogul Source Type: research

Thoracic incidentaloma in a chest computed tomography scan of a patient with COVID-19
Br J Hosp Med (Lond). 2021 Jun 2;82(6):1-3. doi: 10.12968/hmed.2021.0295. Epub 2021 Jun 30.NO ABSTRACTPMID:34191564 | DOI:10.12968/hmed.2021.0295 (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - June 30, 2021 Category: Internal Medicine Authors: Anil Gokce Merve Hatipoglu Nil üfer O Kandemir Yucel Akkas Source Type: research

The great imitator: neurosyphilis presenting as subacute confusion
Br J Hosp Med (Lond). 2021 Jun 2;82(6):1-3. doi: 10.12968/hmed.2020.0669. Epub 2021 Jun 30.NO ABSTRACTPMID:34191565 | DOI:10.12968/hmed.2020.0669 (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - June 30, 2021 Category: Internal Medicine Authors: Natasha G Elinor Moore Nyarie Sithole Source Type: research

Making a business case in healthcare: the value of careful consideration
This article guides clinicians through the process of producing a successful business case using the five-case model, which can be applied to the majority of improvement projects or services in healthcare settings. Clinicians might use this guide to support the development of a case to make a change in their own workplace or to help them take a full part in wider system changes.PMID:34191566 | DOI:10.12968/hmed.2021.0173 (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - June 30, 2021 Category: Internal Medicine Authors: Anna Maria Henriksson Matthew Walker Sonali V Thakrar Source Type: research

A rare, late presentation of pseudo-Madelung deformity
Br J Hosp Med (Lond). 2021 Jun 2;82(6):1-2. doi: 10.12968/hmed.2021.0037. Epub 2021 Jun 22.NO ABSTRACTPMID:34191567 | DOI:10.12968/hmed.2021.0037 (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - June 30, 2021 Category: Internal Medicine Authors: Ullas Jayaraju Jennifer Waterman Angus D Maclean Source Type: research

Neurological presentations caused by < em > Rickettsia felis < /em > infection
Br J Hosp Med (Lond). 2021 Jun 2;82(6):1-2. doi: 10.12968/hmed.2021.0212. Epub 2021 Jun 9.NO ABSTRACTPMID:34191568 | DOI:10.12968/hmed.2021.0212 (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - June 30, 2021 Category: Internal Medicine Authors: Gongjie Ye Lei Yang Li Xu Zhentao Pan Zhouzhou Dong Source Type: research

Surgical management of obesity: what you need to know
This article summarises the available guidelines and literature on the surgical management of obesity for hospital physicians, surgeons and GPs. The focus is on appropriate referral criteria, key bariatric procedures, postoperative management and, most importantly, the complications of surgery and how to recognise them.PMID:34191569 | DOI:10.12968/hmed.2020.0579 (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - June 30, 2021 Category: Internal Medicine Authors: William Wakeford Aashish Ahluwalia Cynthia-Michelle Borg Source Type: research

Management of temporary epicardial pacing wires in the cardiac surgical patient
This article discusses the dangers associated with the management of temporary epicardial pacing wires in adult patients, some of which are common to temporary transvenous pacing wires and others are unique to temporary epicardial pacing wires.PMID:34191570 | DOI:10.12968/hmed.2021.0079 (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - June 30, 2021 Category: Internal Medicine Authors: Jeevan Francis Sneha Prothasis Rutwik Hegde Antony Attia Keith Buchan Source Type: research

The coagulopathy of liver disease: a shift in thinking
Br J Hosp Med (Lond). 2021 Jun 2;82(6):1-9. doi: 10.12968/hmed.2021.0111. Epub 2021 Jun 15.ABSTRACTThe coagulopathy of chronic liver disease causes derangement of the results of traditional laboratory tests. As such, there is an expectation that when undergoing invasive procedures patients with cirrhosis are at increased risk of bleeding. Standard practice is to optimise laboratory values with prophylactic transfusions of platelets, plasma and fibrinogen to reduce perceived bleeding risk. There has been a shift in thinking regarding coagulation in patients with chronic liver disease, whereby a rebalancing of haemostasis oc...
Source: British Journal of Hospital Medicine - June 30, 2021 Category: Internal Medicine Authors: Alexandra Ballantine Daniel Martin Sonali V Thakrar Source Type: research

Posterior mediastinal ectopic parathyroid gland in a haemodialysis patient
Br J Hosp Med (Lond). 2021 Jun 2;82(6):1-2. doi: 10.12968/hmed.2020.0599. Epub 2021 Jun 15.NO ABSTRACTPMID:34191572 | DOI:10.12968/hmed.2020.0599 (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - June 30, 2021 Category: Internal Medicine Authors: Xiaoliang Sun Min Dong Yuqiang Zheng Source Type: research

Total intravenous anaesthesia
This article explores why the practical and outcome benefits have made total intravenous anaesthesia an increasingly accepted alternative to use of inhalational agents.PMID:34191573 | DOI:10.12968/hmed.2021.0190 (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - June 30, 2021 Category: Internal Medicine Authors: Conor Jones Joseph Harris Source Type: research

Quantitative and qualitative analysis of exception reporting at a district general hospital
CONCLUSIONS: The data were not specific and there was fewer than one report per junior doctor in the period analysed. It is therefore unlikely that the reports submitted represent the additional work done by junior doctors at the hospital. Guardians should investigate local attitudes to exception reporting and educate both seniors and juniors on the importance of submitting accurate exception reports.PMID:34191574 | DOI:10.12968/hmed.2021.0172 (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - June 30, 2021 Category: Internal Medicine Authors: Charlotte G Underwood Qamrunnisa U Yunus Alexander B Gibson Source Type: research

An uncommon benign cause of a dilated common bile duct
Br J Hosp Med (Lond). 2021 Jun 2;82(6):1-4. doi: 10.12968/hmed.2020.0628. Epub 2021 Jun 9.NO ABSTRACTPMID:34191575 | DOI:10.12968/hmed.2020.0628 (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - June 30, 2021 Category: Internal Medicine Authors: Daniel V Balaban Ciochin ă Marina C ătălina Vlăduț Florentina Ioni ță-Radu Mariana Jinga Source Type: research

Sir Grafton Elliot Smith: distinguished Australian anatomist and Egyptologist
Br J Hosp Med (Lond). 2021 Jun 2;82(6):1-2. doi: 10.12968/hmed.2020.0727. Epub 2021 Jun 30.ABSTRACTThis year marks the 150th anniversary of the birth of Grafton Elliot Smith, the distinguished Australian-born anatomist and an early expert on the excavations of ancient Egypt.PMID:34191576 | DOI:10.12968/hmed.2020.0727 (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - June 30, 2021 Category: Internal Medicine Authors: Harold Ellis Source Type: research

An unusual cause of persistent vomiting
Br J Hosp Med (Lond). 2021 Jun 2;82(6):1. doi: 10.12968/hmed.2020.0398. Epub 2021 Jun 30.NO ABSTRACTPMID:34191553 | DOI:10.12968/hmed.2020.0398 (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - June 30, 2021 Category: Internal Medicine Authors: Kathryn Byrne Bryan Renton Source Type: research

Ethical challenges faced when there is a mismatch between guidelines, patient autonomy and clinical practice
Br J Hosp Med (Lond). 2021 Jun 2;82(6):1-4. doi: 10.12968/hmed.2021.0315. Epub 2021 Jun 30.ABSTRACTThis editorial reviews the ethical day-to-day challenges faced by pain specialists when managing each patient's unique requirements, in light of guidelines, clinical practice and interpretation of evidence relating to the assessment and management of chronic pain.PMID:34191554 | DOI:10.12968/hmed.2021.0315 (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - June 30, 2021 Category: Internal Medicine Authors: John Hughes Lorraine de Gray Source Type: research

Renal obstruction caused by postpartum ovarian vein thrombosis
Br J Hosp Med (Lond). 2021 Jun 2;82(6):1-2. doi: 10.12968/hmed.2020.0482. Epub 2021 Jun 15.NO ABSTRACTPMID:34191555 | DOI:10.12968/hmed.2020.0482 (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - June 30, 2021 Category: Internal Medicine Authors: Kathryn Gillams Patrick Jones John Iacovou Amr Hawary Source Type: research

Is there still a role for the oesophageal Doppler in cardiac output monitoring?
This article examines the evidence supporting the continued use of the oesophageal Doppler.PMID:34191556 | DOI:10.12968/hmed.2020.0690 (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - June 30, 2021 Category: Internal Medicine Authors: Joseph Harris Conor Jones Source Type: research

Preoperative assessment and optimisation: the key to good outcomes after the pandemic
Br J Hosp Med (Lond). 2021 Jun 2;82(6):1-6. doi: 10.12968/hmed.2021.0318. Epub 2021 Jun 22.ABSTRACTComplications following surgery are common, predictable and often preventable. New preoperative assessment and optimisation guidance recommends clear pathways with triggers for interventions, patient involvement, shared decision making and team education, to help both patients and service efficiency.PMID:34191557 | DOI:10.12968/hmed.2021.0318 (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - June 30, 2021 Category: Internal Medicine Authors: Scarlett A McNally Kariem El-Boghdadly Justin Kua S Ramani Moonesinghe Source Type: research

Barotrauma during non-invasive ventilation for acute respiratory distress syndrome caused by COVID-19: a balance between risks and benefits
This article reviews the literature regarding the use of non-invasive ventilation in patients with acute respiratory failure associated with COVID-19 and other epidemic or pandemic viral infections and the related risk of barotrauma.PMID:34191558 | DOI:10.12968/hmed.2021.0109 (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - June 30, 2021 Category: Internal Medicine Authors: M Gabrielli F Valletta F Franceschi Gemelli Against COVID 2019 Source Type: research

Use of double-balloon enteroscopy to extract a partial denture embedded in the ileum for 5 weeks
Br J Hosp Med (Lond). 2021 Jun 2;82(6):1-2. doi: 10.12968/hmed.2020.0759. Epub 2021 Jun 30.NO ABSTRACTPMID:34191559 | DOI:10.12968/hmed.2020.0759 (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - June 30, 2021 Category: Internal Medicine Authors: Xin Yin Shoubin Ning Tao Sun Jin Niu Peng Yuan Source Type: research

Management of non-traumatic epistaxis in adults in the emergency department
CONCLUSIONS: The authors calculate that these results equate to roughly 56 hospital bed days saved, providing better care closer to home for patients, in addition to beneficial knock-on effects for other emergency department and admitted patients.PMID:34191560 | DOI:10.12968/hmed.2021.0033 (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - June 30, 2021 Category: Internal Medicine Authors: Ashley Reed Martyn Barnes Caroline Howard Source Type: research

How to improve diversity in patient and public involvement
This article provides a practical framework to increase diversity and engage hard-to-reach demographics in patient and public involvement. It highlights some common barriers to participation and methods for overcoming this, describes sampling frameworks and provides examples of how these have been adopted in practice.PMID:34191561 | DOI:10.12968/hmed.2021.0176 (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - June 30, 2021 Category: Internal Medicine Authors: Rebecca Golenya George D Chloros Michalis Panteli Peter V Giannoudis Anthony Howard Source Type: research

What you need to know about falls
This article provides an approach to assessing a patient presenting with a fall, encompassing the cause and consequence of the event. It also highlights the need to consider both the acute and chronic factors that predispose a particular patient to fall. Chronic factors such as frailty, sarcopenia, cognitive impairment, and continence issues are often under-recognised and, as a result, not managed optimally. A comprehensive geriatric assessment is an ideal structure to identify modifiable risks. Practical interventions that can be of benefit to minimise a patient's risk of falling include a medication review, assessment of...
Source: British Journal of Hospital Medicine - June 30, 2021 Category: Internal Medicine Authors: Anna N Barnard Daniel S Furmedge Source Type: research

Reformatted thoracic computed tomography imaging findings of an internal laryngocoele
Br J Hosp Med (Lond). 2021 Jun 2;82(6):1-2. doi: 10.12968/hmed.2021.0043. Epub 2021 Jun 15.NO ABSTRACTPMID:34191563 | DOI:10.12968/hmed.2021.0043 (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - June 30, 2021 Category: Internal Medicine Authors: Zakir Sakci Yener Aydin Hayri Ogul Source Type: research

Thoracic incidentaloma in a chest computed tomography scan of a patient with COVID-19
Br J Hosp Med (Lond). 2021 Jun 2;82(6):1-3. doi: 10.12968/hmed.2021.0295. Epub 2021 Jun 30.NO ABSTRACTPMID:34191564 | DOI:10.12968/hmed.2021.0295 (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - June 30, 2021 Category: Internal Medicine Authors: Anil Gokce Merve Hatipoglu Nil üfer O Kandemir Yucel Akkas Source Type: research

The great imitator: neurosyphilis presenting as subacute confusion
Br J Hosp Med (Lond). 2021 Jun 2;82(6):1-3. doi: 10.12968/hmed.2020.0669. Epub 2021 Jun 30.NO ABSTRACTPMID:34191565 | DOI:10.12968/hmed.2020.0669 (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - June 30, 2021 Category: Internal Medicine Authors: Natasha G Elinor Moore Nyarie Sithole Source Type: research

Making a business case in healthcare: the value of careful consideration
This article guides clinicians through the process of producing a successful business case using the five-case model, which can be applied to the majority of improvement projects or services in healthcare settings. Clinicians might use this guide to support the development of a case to make a change in their own workplace or to help them take a full part in wider system changes.PMID:34191566 | DOI:10.12968/hmed.2021.0173 (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - June 30, 2021 Category: Internal Medicine Authors: Anna Maria Henriksson Matthew Walker Sonali V Thakrar Source Type: research

A rare, late presentation of pseudo-Madelung deformity
Br J Hosp Med (Lond). 2021 Jun 2;82(6):1-2. doi: 10.12968/hmed.2021.0037. Epub 2021 Jun 22.NO ABSTRACTPMID:34191567 | DOI:10.12968/hmed.2021.0037 (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - June 30, 2021 Category: Internal Medicine Authors: Ullas Jayaraju Jennifer Waterman Angus D Maclean Source Type: research

Neurological presentations caused by < em > Rickettsia felis < /em > infection
Br J Hosp Med (Lond). 2021 Jun 2;82(6):1-2. doi: 10.12968/hmed.2021.0212. Epub 2021 Jun 9.NO ABSTRACTPMID:34191568 | DOI:10.12968/hmed.2021.0212 (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - June 30, 2021 Category: Internal Medicine Authors: Gongjie Ye Lei Yang Li Xu Zhentao Pan Zhouzhou Dong Source Type: research

Surgical management of obesity: what you need to know
This article summarises the available guidelines and literature on the surgical management of obesity for hospital physicians, surgeons and GPs. The focus is on appropriate referral criteria, key bariatric procedures, postoperative management and, most importantly, the complications of surgery and how to recognise them.PMID:34191569 | DOI:10.12968/hmed.2020.0579 (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - June 30, 2021 Category: Internal Medicine Authors: William Wakeford Aashish Ahluwalia Cynthia-Michelle Borg Source Type: research

Management of temporary epicardial pacing wires in the cardiac surgical patient
This article discusses the dangers associated with the management of temporary epicardial pacing wires in adult patients, some of which are common to temporary transvenous pacing wires and others are unique to temporary epicardial pacing wires.PMID:34191570 | DOI:10.12968/hmed.2021.0079 (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - June 30, 2021 Category: Internal Medicine Authors: Jeevan Francis Sneha Prothasis Rutwik Hegde Antony Attia Keith Buchan Source Type: research

The coagulopathy of liver disease: a shift in thinking
Br J Hosp Med (Lond). 2021 Jun 2;82(6):1-9. doi: 10.12968/hmed.2021.0111. Epub 2021 Jun 15.ABSTRACTThe coagulopathy of chronic liver disease causes derangement of the results of traditional laboratory tests. As such, there is an expectation that when undergoing invasive procedures patients with cirrhosis are at increased risk of bleeding. Standard practice is to optimise laboratory values with prophylactic transfusions of platelets, plasma and fibrinogen to reduce perceived bleeding risk. There has been a shift in thinking regarding coagulation in patients with chronic liver disease, whereby a rebalancing of haemostasis oc...
Source: British Journal of Hospital Medicine - June 30, 2021 Category: Internal Medicine Authors: Alexandra Ballantine Daniel Martin Sonali V Thakrar Source Type: research

Posterior mediastinal ectopic parathyroid gland in a haemodialysis patient
Br J Hosp Med (Lond). 2021 Jun 2;82(6):1-2. doi: 10.12968/hmed.2020.0599. Epub 2021 Jun 15.NO ABSTRACTPMID:34191572 | DOI:10.12968/hmed.2020.0599 (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - June 30, 2021 Category: Internal Medicine Authors: Xiaoliang Sun Min Dong Yuqiang Zheng Source Type: research

Total intravenous anaesthesia
This article explores why the practical and outcome benefits have made total intravenous anaesthesia an increasingly accepted alternative to use of inhalational agents.PMID:34191573 | DOI:10.12968/hmed.2021.0190 (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - June 30, 2021 Category: Internal Medicine Authors: Conor Jones Joseph Harris Source Type: research

Quantitative and qualitative analysis of exception reporting at a district general hospital
CONCLUSIONS: The data were not specific and there was fewer than one report per junior doctor in the period analysed. It is therefore unlikely that the reports submitted represent the additional work done by junior doctors at the hospital. Guardians should investigate local attitudes to exception reporting and educate both seniors and juniors on the importance of submitting accurate exception reports.PMID:34191574 | DOI:10.12968/hmed.2021.0172 (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - June 30, 2021 Category: Internal Medicine Authors: Charlotte G Underwood Qamrunnisa U Yunus Alexander B Gibson Source Type: research

An uncommon benign cause of a dilated common bile duct
Br J Hosp Med (Lond). 2021 Jun 2;82(6):1-4. doi: 10.12968/hmed.2020.0628. Epub 2021 Jun 9.NO ABSTRACTPMID:34191575 | DOI:10.12968/hmed.2020.0628 (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - June 30, 2021 Category: Internal Medicine Authors: Daniel V Balaban Ciochin ă Marina C ătălina Vlăduț Florentina Ioni ță-Radu Mariana Jinga Source Type: research

Sir Grafton Elliot Smith: distinguished Australian anatomist and Egyptologist
Br J Hosp Med (Lond). 2021 Jun 2;82(6):1-2. doi: 10.12968/hmed.2020.0727. Epub 2021 Jun 30.ABSTRACTThis year marks the 150th anniversary of the birth of Grafton Elliot Smith, the distinguished Australian-born anatomist and an early expert on the excavations of ancient Egypt.PMID:34191576 | DOI:10.12968/hmed.2020.0727 (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - June 30, 2021 Category: Internal Medicine Authors: Harold Ellis Source Type: research

An unusual cause of persistent vomiting
Br J Hosp Med (Lond). 2021 Jun 2;82(6):1. doi: 10.12968/hmed.2020.0398. Epub 2021 Jun 30.NO ABSTRACTPMID:34191553 | DOI:10.12968/hmed.2020.0398 (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - June 30, 2021 Category: Internal Medicine Authors: Kathryn Byrne Bryan Renton Source Type: research

Ethical challenges faced when there is a mismatch between guidelines, patient autonomy and clinical practice
Br J Hosp Med (Lond). 2021 Jun 2;82(6):1-4. doi: 10.12968/hmed.2021.0315. Epub 2021 Jun 30.ABSTRACTThis editorial reviews the ethical day-to-day challenges faced by pain specialists when managing each patient's unique requirements, in light of guidelines, clinical practice and interpretation of evidence relating to the assessment and management of chronic pain.PMID:34191554 | DOI:10.12968/hmed.2021.0315 (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - June 30, 2021 Category: Internal Medicine Authors: John Hughes Lorraine de Gray Source Type: research