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Scapula fractures: functional anatomy, clinical assessment and management
Br J Hosp Med (Lond). 2024 Mar 2;85(3):1-8. doi: 10.12968/hmed.2023.0351. Epub 2024 Mar 27.ABSTRACTFractures of the scapula are rare injuries, accounting for 3-5% of all shoulder girdle fractures. They are frequently the result of high energy trauma and often present with concurrent and life-threatening injuries to adjacent structures, leading to significant morbidity and mortality. Patients presenting with scapula fractures must receive a thorough and systematic clinical assessment as directed by national trauma guidelines. Appropriate imaging is essential in delineating fracture morphology and should at the very least in...
Source: British Journal of Hospital Medicine - April 1, 2024 Category: Internal Medicine Authors: Jason Mavrotas Jochen Fischer Source Type: research

Severe muscle injury and extensive intramuscular haematoma of the vastus intermedius in a rugby player
Br J Hosp Med (Lond). 2024 Mar 2;85(3):1-3. doi: 10.12968/hmed.2023.0425. Epub 2024 Mar 19.NO ABSTRACTPMID:38557097 | DOI:10.12968/hmed.2023.0425 (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - April 1, 2024 Category: Internal Medicine Authors: Vijay Patel Raymond Eb Anakwe Source Type: research

Improving care for patients with multiple long-term conditions admitted to hospital: challenges and potential solutions
This article considers these challenges and explores potential solutions. These include different service models to provide holistic, multidisciplinary inpatient and outpatient care across specialty boundaries, training a workforce to deliver high-quality hospital care for people living with multiple long-term conditions, and developing technological, financial and cultural enablers of change. Considerably more research is required to fully appreciate the shared risk factors, underlying mechanisms, patterns and consequences of multiple long-term conditions. This is essential to design and deliver better structures and proc...
Source: British Journal of Hospital Medicine - April 1, 2024 Category: Internal Medicine Authors: Claire McDonald Rachel Cooper Avan A Sayer Miles D Witham Source Type: research

Enhanced supportive care
Br J Hosp Med (Lond). 2024 Mar 2;85(3):1-8. doi: 10.12968/hmed.2023.0416. Epub 2024 Mar 27.ABSTRACTEnhanced supportive care is a care model providing earlier access to multiprofessional, coordinated care for patients from the point of cancer diagnosis. As a proactive model of care, it stands as a contrast to providing access to a multidisciplinary team once a patient has hit a crisis point, or when their prognosis has become sufficiently poor that they are able to access traditional end-of-life services. Its arrival in the UK through palliative care teams working in cancer care has led to enhanced supportive care being syn...
Source: British Journal of Hospital Medicine - April 1, 2024 Category: Internal Medicine Authors: Daniel Monnery Joanne Droney Source Type: research

Perioperative considerations for robotic-assisted thoracic surgery
Br J Hosp Med (Lond). 2024 Mar 2;85(3):1-2. doi: 10.12968/hmed.2024.0071. Epub 2024 Mar 19.ABSTRACTRobotic-assisted thoracic surgery is being offered to more patients because it has a number of potential benefits. Awareness of the challenges that this type of surgery brings will allow teams to manage these patients safely in the perioperative period.PMID:38557100 | DOI:10.12968/hmed.2024.0071 (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - April 1, 2024 Category: Internal Medicine Authors: Rahul Bandopadhyay Source Type: research

Volvulus of the gastrointestinal tract
This article focuses on the main anatomical sites of gastrointestinal volvulus encountered in clinical practice. The aetiology, presentation, radiological features and management options for each are discussed to highlight the key differences.PMID:38557088 | DOI:10.12968/hmed.2023.0295 (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - April 1, 2024 Category: Internal Medicine Authors: Jasmine Brown Lachlan Dick Angus Watson Source Type: research

Does your unwell patient have haemophagocytic lymphohistiocytosis?
This article reviews the pathogenesis, clinical features, causes, diagnosis and treatment of haemophagocytic lymphohistiocytosis to improve physician recognition and management of this condition to improve future patient outcomes.PMID:38557089 | DOI:10.12968/hmed.2023.0394 (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - April 1, 2024 Category: Internal Medicine Authors: Amelia Holloway Saad Ahmed Jessica J Manson Source Type: research

Is there a future for nitrous oxide in anaesthetic practice?
This article discusses the advantages and disadvantages of this agent.PMID:38557090 | DOI:10.12968/hmed.2023.0280 (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - April 1, 2024 Category: Internal Medicine Authors: Emma Allen Katherine Whitehouse Source Type: research

Successful treatment of a basilar artery fenestration aneurysm using a kissing flow diverter stent
Br J Hosp Med (Lond). 2024 Mar 2;85(3):1-3. doi: 10.12968/hmed.2023.0411. Epub 2024 Mar 12.NO ABSTRACTPMID:38557091 | DOI:10.12968/hmed.2023.0411 (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - April 1, 2024 Category: Internal Medicine Authors: Alperen Elek Celal C ınar Mahmut K üsbeci Ismail Oran Source Type: research

Doppler ultrasound-guided gyrectomy in the management of arterialised developmental venous anomalies
Br J Hosp Med (Lond). 2024 Mar 2;85(3):1. doi: 10.12968/hmed.2023.0388. Epub 2024 Mar 12.NO ABSTRACTPMID:38557092 | DOI:10.12968/hmed.2023.0388 (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - April 1, 2024 Category: Internal Medicine Authors: Alperen Elek Erkin Ozgiray Celal C ınar Mahmut K üsbeci Source Type: research

Spontaneous fracture of the ulna secondary to radial osteochondroma
Br J Hosp Med (Lond). 2024 Mar 2;85(3):1. doi: 10.12968/hmed.2023.0335. Epub 2024 Mar 5.NO ABSTRACTPMID:38557093 | DOI:10.12968/hmed.2023.0335 (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - April 1, 2024 Category: Internal Medicine Authors: Eyup Senocak Nurmuhammed Tas Hayri Ogul Mecit Kantarci Source Type: research

Acute left non-haemorrhagic adrenal infarction in pregnancy: magnetic resonance imaging findings
Br J Hosp Med (Lond). 2024 Mar 2;85(3):1. doi: 10.12968/hmed.2023.0368. Epub 2024 Mar 19.NO ABSTRACTPMID:38557094 | DOI:10.12968/hmed.2023.0368 (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - April 1, 2024 Category: Internal Medicine Authors: Alperen Elek Duygu D Ekizalio ğlu Ahmet Ö Yeniel Ezgi G üler Source Type: research

A picture of health? The quality of physical healthcare provided to adult patients admitted to a mental health inpatient setting
Br J Hosp Med (Lond). 2024 Mar 2;85(3):1-4. doi: 10.12968/hmed.2023.0440. Epub 2024 Mar 5.ABSTRACTThe National Confidential Enquiry into Patient Outcome and Death reviewed the quality of physical healthcare provided to adults admitted to a mental health inpatient setting, highlighting areas of practice that need improving and making recommendations for clinical and organisational changes that will improve patient care.PMID:38557095 | DOI:10.12968/hmed.2023.0440 (Source: British Journal of Hospital Medicine)
Source: British Journal of Hospital Medicine - April 1, 2024 Category: Internal Medicine Authors: D'Marieanne Koomson Hannah Shotton Mary Docherty Vivek Srivastava Source Type: research