The Department of Neurosurgery at Aberdeen Royal Infirmary (ARI) marked its 75th anniversary in 2023. The unit began on 1 April 1948 when Mr W Martin Nichols became the first full-time neurosurgeon in the North of Scotland. Prior to World War II (WWII), there were only a handful of surgeons dedicated to the specialty in the UK. Martin Nichols was one of a new wave of pioneering surgeons who had sought out experience in this fledgling field and went on to establish post-war units in teaching hospitals across the country. Like others of his generation, the war had an enormous effect on his career. Here we discuss his early formative career gaining experience in the leading centres of the day, WWII and his 5 years as a prisoner of war, going on to set up the new unit in Aberdeen. We are fortunate to have had access to many of Nichols' letters and other materials that provide valuable insights into the period.
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http://dx.doi.org/10.1177/14782715241282360 | DOI Listing |
Emerg Med Australas
December 2024
NSW Ambulance, 10 Dawn Fraser Avenue, Sydney Olympic Park, New South Wales, Australia.
Objective: Cervical spinal immobilisation procedures often include rigid cervical collars which, despite associated complications, may provide less immobilisation than previously thought. The present study reports the incidence of worsening neurological outcomes following soft collar application, and additionally reports patient comfort, compliance with spinal immobilisation, and paramedic perspectives on usage.
Methods: This was an observational cohort study conducted in selected metropolitan and regional areas of NSW Ambulance between 1 May 2022 and 31 March 2023.
Emerg Med Australas
October 2024
Ambulance Service of New South Wales, Clinical Capability, Safety and Quality, Sydney, New South Wales, Australia.
Objective: Out-of-hospital seizures demand rapid management. Midazolam plays a key role in stopping seizures. At times the first dose of midazolam proves insufficient, necessitating additional doses.
View Article and Find Full Text PDFPrehosp Emerg Care
August 2024
Clinical Systems, New South Wales Ambulance, Rozelle, Sydney, Australia.
Introduction: Shock is circulatory insufficiency, inadequate oxygen delivery, and cellular hypoxia. Intravenous fluids are essential for shock management. Despite treatment, patients can face persistent shock with ongoing hypotension, contributing to higher mortality.
View Article and Find Full Text PDFAnn Emerg Med
May 2024
College of Medicine, Qatar University, Doha, Qatar.
Study Objective: Traumatic injury causes a significant number of deaths due to bleeding. Tranexamic acid (TXA), an antifibrinolytic agent, can reduce bleeding in traumatic injuries and potentially enhance outcomes. Previous reviews suggested potential TXA benefits but did not consider the latest trials.
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