Burns incident responses worldwide and the role of burn speciality teams: a review.

Introduction: Mass casualty incidents (MCIs) have a profound impact on health care systems worldwide. Following recent incidents within the United Kingdom (UK), notably terrorist attacks in Manchester and the Grenfell Tower fire in London, there has been a renewed interest in how the UK would cope with a burn MCI. A Burns Incidence Response Team (BIRT) is a new development incorporated into the Burn Annex of the NHS England National Concept of Operation for Managing Mass Casualties.

Midflexion instability in primary total knee replacement: a review.

Introduction: Midflexion instability in primary total knee replacement (TKR) is an evolving concept. Successful treatment of instability requires an understanding of the different types of instability.

Methods: A literature review was performed to identify information pertinent to midflexion instability in primary total knee replacement, utilising PRISMA guidelines.

Things that go bump in the night: diagnosing sleep-related movement disorders without a sleep laboratory.

It is common for general physicians to experience diagnostic doubt and trepidation whenever faced with patients who exhibit abnormal nocturnal behaviours or excessive movements at night. There is also a perception that expensive and often poorly available overnight tests are usually required for diagnostic precision. In fact, the majority of conditions, whether they be parasomnias or, more rarely, nocturnal seizures, can be reliably diagnosed from a directed history, if available.