Extinguishing wildfires by saturation water bombing: A new concept.

Objective: To present a new concept for the extinguishment of wildfires by saturation water bombing.

Design: Following an exhaustive literature search, a published mathematical model and a published empirical rainfall model were used to estimate the rate at which water would have to be applied to extinguish intense wildfires. Applying the estimated amount by quasi-continuous saturation water bombing was then evaluated.

Alternative myocardial protection strategies are necessary in patients with intramural aortic course of anomalous coronary artery.

A 48-year old Caucasian woman presented with chest pain on exertion and was diagnosed with an anomalous origin of dominant right coronary artery, it then ran a short intramural course in the wall of the aorta. Right coronary artery (RCA) was reimplanted on cardiac bypass at normal exit point on the aortic root. The heart was adequately protected with antegrade cold blood cardioplegia via the aortic root and regular direct cardioplegia via the coronary ostia.

Gastroprotection in trauma patients receiving non-steroidal anti-inflammatory drugs.

Background: NSAIDs are commonly used analgesic agents in the orthopaedic trauma setting. Evidence-based guidelines recommend that patients with one or more risk factors for NSAID-associated gastrointestinal (GI) ulcer complications should be prescribed gastroprotective agents to minimise the risk of serious ulcer complications, including gastrointestinal haemorrhage. The purpose of the present audit was to evaluate and improve the adherence to these guidelines in new-NSAID users in a trauma unit at a district general hospital.