Archives of Emergency Medicine Editor · Archives ofEmergency Medicine, 1991, 8, 72-73 BAEMNEWS As this is the first edition of Archives of Emergency Medicine to be published since

Archives of Emergency MedicineEditorA. D. Redmond

Editorial AssistantRuth L. GibbEditorial BoardR. J. A. Goris, Algemene Chirurgie, Katholieke Universiteit Nijmegen,

Sint-Radboudziekehus, Geert Grooteplein zuid 14, Postbus 9101, 6500 HBNijmegen, The Netherlands.

T. Hamilton, Accident & Emergency Department, Sir Charles Gairdner Hospital,The Queen Elizabeth II Medical Center, Nedlands, Western Australia 6009.

P. Hugeunard, Convergences Medicales, Samu 94, Hopital H Mondor, 94010 Creteil,France.

R. N. Illingworth, Accident & Emergency Department, St James's UniversityHospital, Leeds LS9 7TF, England.

I. McA Ledingham, Department of Emergency and Critical Care Medicine, Facultyof Medicine and Health Sciences, The United Arab Emirates University, PO Box15551, Al Ain, United Arab Emirates.

K. Little, Accident & Emergency Department, The Royal Infirmary, Lauriston Place,Edinburgh EH3 9YW, Scotland.

R. A. Little, MRC Trauma Unit, University of Manchester Medical School, StopfordBuilding, Oxford Road, Manchester M13 9PT, England.

K. I. Maull, Department of Surgery, University of Tennessee Memorial ResearchCenter and Hospital, Knoxville, Tennessee 37920, USA.

C. Robertson, Accident & Emergency Department, The Royal Infirmary, LauristonPlace, Edinburgh EH3 9YW, Scotland.

B. M. T. Rowat, Director of Emergency Services, Torronto General Hospital, CollegeStreet, Toronto, Ontario, Canada.

H. B. Stoner, Department of Surgery, Hope Hospital, Eccles Old Road, Salford M68HD, England.

D. H. Wilson, Accident & Emergency Department, General Infirmary, GreatGeorge Street, Leeds LS1 3ES, England.

D. W. Yates, Accident & Emergency Department, Hope Hospital, Eccles Old Road,Salford M6 8HD, England.

Archives of Emergency Medicine provides a forum for the publication, dissemination and discussionof original clinical and scientific research on all aspects of the subject. Particular emphasis is placed onthe acute phase of surgical, medical, paediatric, obstetric and psychiatric emergencies, especially inrelation to the diagnosis and management of the acutely ill. It is intended that resuscitation be a majorcomponent of the scientific content. The Journal, which has been adopted by the Casualty SurgeonsAssociation, the Emergency Medicine Research Society and the Australasian College for EmergencyMedicine, publishes both original papers and review articles. Case reports or preliminary communi-cations will be accepted if sufficiently noteworthy or interesting.Subscription information. Archives of Emergency Medicine is published quarterly (one volume perannum) and the subscription prices for 1991 are £88-00 (UK), £95-00 (overseas except North America)and $173-00 (USA and Canada), in all cases post free. Orders for current subscriptions and back issuesshould be sent to Blackwell Scientific Publications Ltd. Journal Subscriptions Department, MarstonBook services, PO Box 87, Oxford OX2 ODT, U.K. all other business correspondence, including ordersfor offprints and advertising space, should be addressed to Blackwell Scientific Publications Ltd, OsneyMead, Oxford OX2 OEL (Telephone [08651 240201; Telex 83355 Medbok G; Fax [0865] 721205). TheJournal is dispatched within Europe by surface mail, to other continents by various forms of airspeeded delivery: to the US* by air freight for forwarding by second-class post, to India by air freight forguaranteed local delivery, and to all other countries by Accelerated Surface Post.*Second-class postage paid at New York, NY. Post Master, send address changes to Archives of EmergencyMedicine, cdo Mercury Airfreight International Inc., 2323 Randolph Avenue, Avenel, NF 07001, U.S.A.This journal is printed on acid free paper.

Archives ofEmergencyMedicineEdited by A. D. REDMOND

Volume 8

1991

BLACKWELL SCIENTIFIC PUBLICATIONSOxford London Edinburgh Boston Melbourne ParisBerlin Vienna

( 1991 Blackwell Scientific Publications Ltd.Authorization to photocopy items for internal or personel use, or the internal or personel use of specificclients is granted by Blackwell Scientific Publications Ltd for libraries and other users registered withthe Copyright Clearance Centre (CCC) Transactional Reporting Service, provided that the base fee of$05.00 per copy is paid directly to CCC, 27 Congress Street, Salem, MA 01970, USA. This consent doesnot extend to other kinds of copying, such as copying for general distribution for advertising orpromotional purposes, for creating new collective works or for resale. Special requests should beaddressed to the Editor. 0264-4924/91 $05.00.

Published by Blackwell Scientific Publications LtdOsney Mead, Oxford OX2 OEL, England25 John Street, London WC1N 2ES, England23 Ainslie Place, Edinburgh EH3 6AJ, ScotlandThree Cambridge Center, Suite 208, Cambridge, Mass 02142, USA54 University Street, Carlton, Victoria 305, AustraliaSchluterstrasse 39, 0-1000 Berlin 12, West Germany10 Me Casimir Delavigne, 75005 Paris, FranceFeldgasse 13, A-1238 Vienna, Austria

ISSN 0264-4924

Typeset in Hong Kong bySetrite Typesetters LtdPrinted in Great Britain byBell & Bain Ltd, Glasgow

Archives of Emergency Medicine, 1991, 8, 72-73

BAEM NEWSAs this is the first edition of Archives of Emergency Medicine to be publishedsince it became the official Journal of the Association we are including some itemsof news and information which we hope will become a regular feature.

If you have items that you wish published please get in touch with your

Regional Representative who will submit them for publication.

CONGRATULATIONS

To Mr Alistair B. Matheson, Consultant in Accident and Emergency at AberdeenRoyal Infirmary, on the award of an OBE in the News Years Honours for recogni-tion of his work with the Piper Alfa disaster.

OBITUARY

Idris William Adams. It is with saddness we announce the death of Bill Adamswho died last year. He was a Consultant in Accident and Emergency at WithybushHospital, having moved there from a similar post at the Leighton Hospital, Crewe.Mr Adams had the distinction of being the first Senior Registrar in Accident andEmergency at the University College Hospital, London, the first post created atthis grade in our specialty. He had just been appointed as the Welsh Representativeto the Executive Committee of the BAEM prior to his death.He was a keen member of the Association and his friendly manner will be

missed by all who knew him.

NEW CONSULTANT APPOINTMENTS

Nigel BrayleyClaude ChikhaniAndrew CopeBruce FinlaysonD. FaroughiMark GibsonPeter GoodWilliam HalseA. Idowu

ColchesterDoncasterPeterboroughNorfolk & NorwichRugbyYorkSouth ShieldsHarrogateOld Church & Harold Wood

72

BAEM News 73

Pramad LutheraLeo MurrayRichard PartridgeK. Thilagarajah & E. WeithaersTim UnderhillGary WardDavid Watson

OldhamAyrFrimley ParkNorth MiddlesexHastingsDudley Road BirminghamLewisham & Guys

FORTHCOMING MEETINGS

BAEM Annual Clinical Meeting, Scarborough 8-12 April 1991.Apply to: Mr M L Ayres FRCS Accident & Emergency Dept Scarborough Hospital

Scalby Road Scarborough N Yorkshire Y012 6QL.AGM of BAEM was on the afternoon of Thursday 11 January 1991.

Executive Committee of BAEM, 8 April, 4 July and 3 October 1991.

Injury in Ageing, University of Manchester Medical School 25-27 September1991.Apply to: North Western Injury Research Centre Stopford Building

University of Manchester Oxford Road Manchester M13 9PT.

Society of Academic Emergency Medicine Annual Meeting, 12-15 May 1991Washington DC.Apply to: Society for Academic Emergency Medicine 900 West Ottawa Lansing

Michigan 48915 USA.

International Conference on Pre-Hospital Care, 19-23 October 1992 Gold CoastQueensland Australia.

Apply to: PO Box 1280 Milton Queensland 4064 Australia.

Important notice to contributorsPlease note that the Instructions to Authors have been up-dated. The revisedinstructions can be found on the inside back cover.

Archives of Emergency Medicine, 1991, 8, 74-88

JOURNAL SCAN 15

Acta Psychiatrica ScandinavicaTraumatic Stress - empirical studies from Norway Supplement devoted tothis topic 1989:80,355 Sup

Bareman D.N.

Smith E.M. et al.

Sanders A.B. et al.

Emerman C.L. et al.

Bresler M.J. & GiblerW.B.

Rockwell W.B. &Ehrlich H.P.

Feliciano D.V.

Tinkoff G. et al.

Nakayama D.K. et al.

Horton J.W. et al.

Gould S.A. et al.

Taylor A.J.W.

McKee C.M. et al.

de Mellow et al.Sinclair A.J. et al.

Adverse Drug Reaction BulletinAdverse reactions to antidotes 1988:133,496-99

American Journal of PsychiatryAcute postdisaster psychiatric disorders: Identification of persons atrisk 1990:147,202Annals of Emergency MedicineThe role of bicarbonate and fluid loading in improving resuscitation fromprolonged cardiac arrest with rapid manual chest compression CPR

1990:19,1-7A prospective study of femoral versus subclavian vein catheterisation duringcardiac arrest 1990:19,26-30Acute Myocardial Infarction: Subtleties of diagnosis in the EmergencyDepartment Supplement, Feb '90

Annals of SurgeryIbuprofen in acute care therapy 1990:211,78-83Review article with 66 referencesManagement of traumatic retroperitoneal haematoma. 1990:211,109-123Comprehensive review of current diagnostic approaches and therapy for bluntversus penetrating aetiologiesCirrhosis in the trauma victim. Effect on mortality ratesSurvival amongst cirrhotic trauma victims was significantly lower thanpredicted. 5th leading cause of death in 45-64 group 1990:211,172-177Emergency endotracheal intubation in paediatric trauma 1990:211,218-223Intubation attempts at the scene were often multiply unsuccessful andassociated with airway complicationsHypertonic saline Dextran resuscitation of thermal injury 1990:211,301-311Optimal fluid therapy to maintain normal cardiac function was combination ofHSD and lactated Ringer'sThe efficacy of polymer pyridoxylated hemoglobin solution as an oxygencarrier 1990:211,394-398Enthusiasm tempered by accompanying editorial!

Australian and New Zealand Journal of PsychiatryVictims of crime as victims of disaster 1990:23,403

British Journal of General PracticeAccident and Emergency attendances rates 1990:40,150-153Distance from an Accident Department is a decides whether apatient attends - more than socio-economic factors

British Journal of Hospital MedicineThe disadvantages of helicopter transfer an informative read 1990:43,328Free radicals and antioxidant systems in health and disease 1990:42,334More and more conditions are being shown to have a free radical aetiology:Paracetamol, Paraquat, Radiation, Tobacco, Cerebral anoxic damage. Updatewith good references

74

Hindle J.

Stone P. & Dougall J.

Redfem N.

Prentice et al.

Hanson G.

Bristow et al.

Dark (Editorial)

(1990)

Cummins D.

Treasure J.

Safinofsky I. &

Roberts R.S.

Masterson G. &

Mander A.J.

Curran P.S. et al.

Salkovskis P.M. et al.

Falkowski J. et al.

Sellar C. et al.

Burn W.K.

Lacey et al.

Homma et al.

Ilano & Raffin

Marius-Nunez

Summers & Tarala

Minimi & Johnson

Colacone et al.

Colquhoun M.C.

Matthews M.M.

Journal Scan 75

Choosing a management course for doctors 1990:43,363Useful advice for registrars and above - but do not forget the Bart's one aimedat A&E traineesHow to perform tracheal intubation 1990:43,365Good teaching textMorbidity among anaesthetists 1990:43,377Surgeons have a SMR of 123 while the average doctor's is a mere 59! Someoneought to perform this for A&E. More than 3 coffees a day will give pancreaticcancer!Control of haemostasis 1990:43,385Higher training for Intensive Care 1990:43,995 SR training posts have been established. They are open to any SR of anyspecialtyInter-hospital transfer of the critically ill by helicopter You have to pay forBart's 'Careflight', London Hospital's 'HEMS' is free. Use it or loss it. 1990Organ transplant units: Future needs 1990:43,175600 brain-dead donors a year, only 60% are suitable for multiorgan donation.381 Heart/Heart-Lung transplants in 1988Lassa Fever 1990:43,186If you work near an airport or port then this is a necessary excellent reviewHow to aspirate the pericardium 1990:43,221

British Journal of PsychiatryWhy parasuicides repeat despite problem resolution 1990:156,399

Psychiatric emergencies, Scotland and the World Cup finals 1990:156,475

Psychological consequences of the Enniskillen bombing 1990:156,479Psychiatric morbidity in an accident and emergency department.Characteristics of patients at first presentation and one month follow-up

1990:156,483Patients leaving hospital without the knowledge or permission of staff -absconding 1990:156,488Self-poisoning in adolescents. Hospital admissions and deaths in the Oxfordregion 1990:156,866Improving house physicians assessments of self-poisoning 1990:157,95

British Journal of RadiologyTesting a policy for skull radiography (and admission) following mild headinjury 1990:63,14-18

ChestEchocardiographic observations in survivors of acute electrical injury

1990:97,1,103-5Ventricular dysfunction may not recover following recoveryManagement of Carbon Monoxide poisoning 1990:97(1),165-9Review articleMyocardial infarction with normal coronary arteries after acute exposure toCarbon Monoxide 1990:97(2),491-4Case reportNebulized Ipratropium in the treatment of acute asthma 1990:97(2),425-9No extra benefit after SalbutamolTension pneumothorax complicating small-caliber chest tube insertion

1990:97(3),759-60Problems with Heimlich valves - 2 case reportsContinuous nebulization of Albuterol (Salbutamol) in asthma 1990:97(3),693-7No advantage over bolus nebulization

Cardiology ManagementA management policy for cardiac arrest occurring in general practice

1990:3(2),19-20The resuscitation training officer 1990:3(3),34-5

76 Journal Scan

Tasker R.C.Sinclair et al.Punt J.Edwards J.D.Zideman D.A.Ryan D.Vincent R.Heath & HeathWard M.Wynne G.Lockwood G.G.Skinner D.Handley A.J.Piper S.M.

Han & Maitra

Wood et al.

Clarke & Adams

Loughrey G.

Care of the Critically illNon-traumatic coma in children: Monitoring and managementAssessment and management of acute meningococcal diseaseHead InjuryAcute circulatory failure - ShockControversies in CPRSodium BicarbonateResuscitation - an overview of current recommendationsThe role of the Resuscitation Training OfficerResuscitation out of hospitalHospital training and outcomeThe ABC/CAB Resuscitation controversyChest compression - intermittent or continuous - Open or closed?Should we resuscitate?Medical Anti-Shock Trousers

Burns

1990:5,2241990:5,2291990:5,2331990:6,59

1990:6,1241990:6,1261990:6,1281990:6,1361990:6,1401990:6,1451990:6,1481990:6,1501990:6,1521990:6,157

Management of partial skin thickness burn wounds with Inadinedressings 1990:15,399-402

Child Safety ReviewA new 'newsletter' from the Child Accident Prevention Trust - full ofinteresting facts and information about meetings, audio-visual aids andbooks. Good value Phone: 071-636 2545

Clinics in laboratory HaenzatologyThe Ml Kegworth aircraft disaster: experience in three hospital bloodtransfusion laboratories and the regional transfusion centre 1990:12,1-7A different view - may well lead to adjustments in hospital plans

Clinical RadiologyApplication of clinical guidelines for skull radiography in the Accident andEmergency Department 1990:41,152-155

Current Opinion in PsychiatryPost-traumatic Stress Disorder 1990:3,235

Geriatric MedicineElderly Abuse - a new 5-part seriesBreaking bad news is a beginning not an endElderly Abuse Part 2

Health BulletinJongschaap et al.

Chalmers J.W.T.

Cameron & FletcherRenvoize & Clayden

Tachakra et al.

O'Connor & Innes

The epidemiology of radial head subluxation ('Pulled elbow') in the AberdeenCity area 1990:48/2,58-61Edinburgh's community drug problem service - a pilot evaluation ofmethadone substitution 1990:48/2,62-72

Health Education JournalChildhood home accidents - supporting the health visitor 1990:48,197-8Geographical variations in deaths from injury and poisoning in England andYorkshire - implications for health promotion 1990:48,199-202

Health Care ContputingEmergency OperationComputerising the Central Middlesex A&E Department

1990:7,17-18

Health Promnotion InternationalAudio-visual information on child illness prevention in hospital waitingrooms: an experimental evaluation 1990:5,3-8

Bennett G.

Sykes N.Bennett G.

1990:20,53-561990:20,13-161990:20,45-50

Journal Scan 77

Mendelow A.D.Brandon S.Snyman et al.Taylor M.E.S.Gray & DoranStevens L.Tate & RoyleDaCruz & Dias

Hospital UpdateManagement of head injuryPsychiatric aspects of disastersManagement of non-variceal upper gastrointestinal bleedingManagement of Near-DrowningPupil dilatation: a neglected procedure?Lessons from major accidentsTreatment of the ingrown toenailTraumatic wrist pain

1990:16,195-2061990:16,388

1990:16,402-4171990:16,419-4311990:16,446-452

1990:16,477-81990:16,586-4941990:16,665-675

Seaman J.

Rudge C.J.Rutherford W.Adams R.D.Redmond A.D.

Tattersall et al.Rowlands B.Thomley F.Stevens & PartridgeSharpe & FooFisher J.M.

Malone W.D.

Wardrope et al.Baderman H.Rutherford W.H.Rowlands B.J.Thomas P.

InjuryA special issue devoted to the Stoke on Trent conference 21Disaster epidemiology: or why most international disaster relief isineffective 1990:21,5-8Lessons from Armenia 1990:21,13-14Major Disasters abroad 1990:21,15-6Earthquake occurrence and effects 1990:21,17-20The work of the South Manchester Accident Rescue Team (SMART)

1990:21,2124Acute haemodialysis during the Armenia earthquake disaster 1990:21,25-28Disasters abroad 1990:21,29-33An ambulance service review 1990:21,34-36The Clapham rail disaster 1990:21,37-40Management of bums in major disasters 1990:21,41-44BASICS. Its experience in major disasters, with special reference to the role ofthe medical incident officer 1990:21,45-48Lessons to be learned from the major disaster following the civil airliner crashat Kegworth in January 1989 1990:21,49-52The hospital response to the Hilisborough tragedy 1990:21,53-4Major disasters in the U.K. 1990:21,55-7The place of exercises in disaster management 1990:21,58-60Are we ready for the next disaster? 1990:21,61-2Major disasters in the U.K. 1990:21,63-4

Macnab & Smart

King et al.

Travlos et al.Dias et al.

Howard & MakinRussell et al.

Hughes et al.Pennie & Agambar

Pozo et al.

Ranon Gustilo et al.

Snyder H.S.

McNabney et al.Goldberg et al.

Intensive TherapyLightweight monitoring equipment for paediatric transport

Journal of Bone and Joint SurgeryLesions of the patellar ligamentDiagnosis and treatment of 'Jumper's Knee'Brachial plexus lesions associated with dislocated shouldersSuspected scaphoid fractures - value of radiographsMuch less than clinical examination!Lower limb fractures with associated vascular injuryPrimary or delayed closure for open tibial fractureAll should be delayedImportance of the toes in walkingWhiplash injuries. Trial of early managementHavn't read the Belfast work!Timing of amputation for lower limb traumaNeed for early decision on ultimate prognosisManagement of open fracturesClassification and treatment principles

1990:11,92-96

1990:72 B,46-49

1990:72 B,68-721990:72 B,98-102

1990:71 B,116-1201990:72 B,125-129

1990:72 B,245-2791990:72 B,277-279

1990:72 B,288-293

1990:72 B,299-304

Journal of Emergency MedicineRadiographic changes with radial head subluxation in children

1990:8,265-269The significance of gallbladder trauma 1990:8,277-279Laryngeal bums secondary to the ingestion of microwave heated food

1990:8,281-283

78 Journal Scan

Goldwag & Purcell

Nolan et al.Schauben et al.Smith B.A.Vinsel P.J.

Sacchetti et al.

McNamara et al.

Kirshenbaum et al.

Cooper et al.

Brookes et al.

Vender et al.

Futami & Yamamoto

Inoue & Maeda

Hansagi et al.

Fisher M.M.Hill G.Beresford & JamesHill G.

Brice J.

Lansdown R.Johnston et al.LettersMorrison et al.

Myers RAM

Necrotizing fasciitis in the paediatric age group: report of a case1990:8,299-304

Acute management of the zipper-entrapped penis 1990:8,305-7Iron poisoning: report of three cases 1990:8,309-319Strychnine poisoning 1990:8,321-325Treatment of acute chlorine gas inhalation with nebulised sodiumbicarbonate 1990:8,331-329Non-classic history in children with radial head subluxation 'pulled elbow'may occur without the typical traction injury 1990:2,151-154Cervical spine injury and radiography in alert, high-risk patients. X-Rays notjustified in conscious patients without neck pain 1990:2,177-183Role of CT in unsuspected upper cervical spine fractures associated with headtrauma 1990:2,183-198Inpatients requiring CT for head injuries suggest worthwhile to include upperC spine.

Journal of Epidemiology and Community HealthWater fluoride concentration and fracture of the proximal femur 1990:44,17-19Unlikely to have any relationshipHead injuries in Accident & Emergency Departments.How different are children from adults? 1990:44,147-151Further reports to follow.

Journal of Hand SurgeryAcute scaphoid fracture with scapholunate gap 1990:14,A,1004-1007Internal fixation is recommendedChinese external fixation treatment for fractures of the distal end of theradius 1990:14,A,1028-1032Allows wrist mobilisation with good results.Irreducible palmar dislocation of the proximal interphalangeal joint of afinger 1990:15,A,301-304Three cases of this unusual injury are described.

Journal of Medical EthicsWhole issue devoted to Death (!) and the Brain Death, issue

Journal of Public Health MedicineFrequency of Emergency Department attendances as a predictor of mortality:nine-year follow-up of a population-based cohort 1990:12,39-44This study is from Sweden and shows that those who attendA&E frequently live shorter lives!

Journal of the Medical Defence UnionMedico-legal aspects of anaphylaxis 1990:6,4-5The KCI killer 1990:6,10-11Access to personal files 1990:6,34-5Much ado about very little 1990:6,46-47A story of a missed fracture neck of femur

Journal of Management in MedicineOn introducing medical audit 1990:4,179-83One of the best accounts

Journal of the Royal Society of MedicineAudit and Accountability 1989:82,692Subarachnoid haemorrhage - can we do better? 82,721-24Medical audit 82,773-4The General Practitioner's use and expectations of an Accident & EmergencyDepartment 1990:83,237Advanced Trauma Life Support courses 1990:83,281-2

Attitudes of parents and paediatricians to a baby's deathMore than a century of army medical statistics

Journal Scan 79

1990:83,423-41990:83,456-63

Kinhsley Brown A.Macfarlane et al.

MacGregor J.C.Charteris D.G.Supplement

Allison R.S.

Parrish

Frass et al.

McGinnis & Denton

Burney et al.

Ducey et al.

Chan et al.

Draaisma et al.

Ruskey et al.

Healey et al.

Connery et al.

Reid et al.

MacDonald et al.

EditorialEditorialEditorial

Chutivongse et al.

EditorialWilcox et al.

Journal of the Royal College of Surgeons of EdinburghGun-shot wounds - then and now 1989:34,302-309Emergency Room arteriography: a useful technique in the management ofperipheral vascular injuries 1989:34,310-313A study of major bum unit mortality 1989:34,326-327Ocular injuries caused by a suction toy 1989:34,338Report of First Joint Conference on Sports Injury 34

Journal of Royal Navy MedicineChirurgeon: Look to the wounded 1990:76,15Fascinating account of naval battle casualties over the centuries; the paraplegicdeath of Nelson; invariable mortality of penetrating pelvic wounds; details ofthe ferocious duel of Shannon and Chesapeake: in 13 minutes 229 casualties.Hurricane Gilbert 1990:76,43

Journal of TraumaEsophageal tracheal combitube, endotracheal airway and mask: comparison ofventilatory pressure 1990:29,1476-79PaO2 greater with combitubeFractures of the scapula: a retrospective study of 40 fractured scapulae

1990:29,1488-93High incidence of life-threatening associated injuriesStabilization of spinal injury for early transfer 1990:29,1479-99Skeletal traction not necessary.A comparison of the cerebral and cardiovascular effects of completeresuscitation with isotonic and hypertonic saline, hetastarch and whole bloodfollowing haemorrhage 1990:29,1510-17Lower intracranial pressure with hypertonic saline.Urban trauma: an analysis of 1116 paediatric cases 1990:29,1540-7The Australian experience with comments on triage.

The Journal of TraumaPreventable trauma deaths in the Netherlands - a prospective multicentrestudy 1990:29,1552-7The Dutch need trauma centres as well?Unusual subclavian artery lacerations resulting from lap-shoulder seat-belttrauma: case reports 1990:29,1598-1600Blunt cardiac injury: is this diagnosis necessary? 1990:30,137-146Difficult to make definitive diagnosis.Paraparesis following emergency room thoracotomy 1990:30,362-3Due to spinal cord ischaemia associated with crossclamping of the aortaPediatric chance fractures: association with intrabdominal injuries and seat-belt use 1990:30,384-91In seven cases of spinal fracture three had intra-abdominal injuryDiagnosis of cervical spine injury in motor vehicle crash victims: how manyX-rays are enough? 1990:30,392-97Single lateral X-ray is inadequate

LancetExamining the Royal Colleges' ExaminersHead to head over HarrogateHead trauma victims in the U.K.: undeservedly undeserved

335,443335,695-6

335,886

Postexposure prophylaxis for rabies with antiserum and intradermalvaccination 1990:335,8%-8The trust in pulse oximeters 335,1130Effects of Alteplase in acute myocardial infarction: 6-month results from theASSET study 1990:335,1175-78

Emery J.L.Rosenbaum S.

80 Journal Scan

EditorialNicholson K.G.Noticeboard

EditorialBrahams D.Autier et al.

Editorial

EditorialBrodie M.J.Beresford et al.

Paul D.

Bull & RaffleShepherd R.T.Heatley & Crane

Fujikura et al.Sivaloganathan S.

Hulewicz B.Fernando &

LiyanageClaydon S.M.Peng & ChooScott K.W.MAl-Alousi L.M.

Avery et al.

Oleckno &Blacconiere

Lester D.

Ice hockey lung: NO2 poisoning 335,1191Vaccines: Rabies 1990:335,1201-5When disaster strikes 1990:335,1271-2Ideas from WHO and EPRULate consequences of sprained ankle 1990:335,1313-4Automatism and PTSD 1990:335,1333Drug supply in the aftermath of the 1988 Armenia earthquake

1990:335,1388-90Kiss of life for a cold corpse 335,1435Hypothermia and CPRSteroids after spinal cord injury 335,279-80Status epilepticus 335,551-2Comparison of CAGE questionnaire and computer assisted laboratory profilesin screening for covert alcoholism 1990:335,482-5

Medicine Science and the LawPitfalls which may be encountered during an examination for signs of sexualabuse 1990:30,3Factors affecting fatal outcome in road accidents 1990:30,57Accidental self-strangulation in a child 1990:30,119Blood alcohol concentrations at post-mortem in 175 cases of alcoholintoxication 1990:30,101Forensic application of angiography in injured brain 1990:30,127Traumatic subarachnoid haemorrhage as part of the NAI syndrome

1990:30,138Gastric trauma following CPR 1990:30,149Suicide by electrocution 1990:30,219

Suicidal strangulation by ligature- 3 case reportsSuicide and parasuicide in SingaporeHomicide patterns in the West MidlandsHomicide by electrocution

Public Health

1990:30,2211990:30,2251990:30,2341990:30,239

Geographical and Social variations in mortality due to childhood accidents inEngland and Wales 1975-1984 1990:104,171-182Risk-taking behaviours and other correlates of seat-belt use among universitystudents 1990:104,155-164The sex distribution of suicides by age in nations of the world 1990:25,87

Sports MedicineDiagnostic imaging techniques in Sports MedicineSub-aqua injuriesSki injuries

SurgeryPelvic fracturesUrinary retentionSkin grafting - operative techniques

1990:2,41990:2,8

1990:2,14

1990:76,1816-231990:77,1838-441990:79,18%-99

ThoraxChanges in hospital management of acute severe asthma by thoracic andgeneral physicians in Birmingham and Manchester during 1978 and1985 1990:45,130-4Why are hospital admissions and mortality rates for children higher in NZthan in UK? 1990:45,176-82

NeurosurgeryCauses of infections in penetrating head wounds in the Iran-Iraq War

1990:25,923-6

Williams A.Evans P.Innes A.

McLarenLawrenceGoodacre

Baldwin et al.

Mitchell et al.

Aarabi B.

Journal Scan 81

Thomas & SheridanDaneshmend T.Cunnah & Besser

Stableforth P.Ribbans & Allum

Prescribers' JournalMyocardial InfarctionHaematemesis and MelaenaPituitary emergencies

Sports MedicineSports injuries of the ShoulderManagement of the acutely injured swollen knee

1990:30,4-201990:30,21-281990:30,36-40

1990:2(2),12-132(2),14-16

Editorial correspondence should be directed to the Editor, A. D. Redmond, Department of Accident &Emergency Medicine, University Hospital of South Manchester, West Didsbury, Manchester M20 8LR,EnglandExtraction services. The Journal is covered by Index Medictus, MEDLINE and Cuirrenit Contents ClinicalPractice.

Manuscripts should be sent to the Editor of Archives of Enmergency Medicine, Dr A. D. Redmond,Department of Accident & Emergency Medicine, University Hospital of South Manchester, WestDidsbury, Manchester M20 8LR, England. Contributors must send three complete copies of the text,tables and figures and retain one copy as the Editor does not accept responsibility for damage or loss ofpapers submitted. Manuscripts must be typewritten on one side of the paper only, with wide margins,be double-spaced, and bear the title of the paper and name and address of the author(s), together withthe name of the hospital, laboratory or institution where the work has been carried out. The name andfull postal address of the author to whom readers should address correspondence and offprint requestsshould be given on the first page; this will appear as a footnote in the Journal and the publishers willsend the proofs to this author and address unless contrary instructions are written on the manuscript.An informative summnary of not more thian 200 words niust be included, and should appear at thebeginning of the paper, immediately after the title. The Editorial Board reserves the right to makeliterary changes. Papers should normally be divided into summary, introduction, methods (and/ormaterials), results, discussion, acknowledgements and references. SI units should be used throughout.The relative importance of headings must be clearly indicated. The main categories of heading arecapitals, side bold and side italics. If necessary, small capitals may be used for subsidiary mainheadings. Papers are accepted on the understanding that they have not been and will not be publishedelsewhere. The printing of a letter to the Editor is considered full publication and the above rulesapply.

Illustrations should be referred to in text as, e.g., Fig. 2, Figs. 2, 4-7, using Arabic numbers. Eachfigure should bear a reference number corresponding to a similar number in the text, and should bemarked on the back with the name(s) of the author(s) and the title of the paper. Where there is doubtas to the orientation of an illustration the top should be marked with an arrow. Photographs andphotomicrographs should be unmounted glossy prints and should not be retouched. Colour illustrationsare not acceptable. Diagrams should be on separate sheets; they should be drawn with black ink onwhite paper and should be at least twice the size of the final reproduction. Lines should be of sufficientthickness to stand reduction. Each illustration should be accompanied by a legend clearly describing it;these legends should be grouped on a separate sheet of paper.

Tables should be as few as possible and should include only essential data; they should be typewrittenon separate sheets and should be given in Roman numerals. A list of illustrations and tables shouldaccompany the manuscript.

References The number of references should be restricted as much as possible. Observe the punctuationmost carefully. Journal titles should appear in full. References to books should include the editor(s),publisher and place of publication. In the text references should follow the Harvard style: Smith &Jones (1991), Jones et al. (1991) if there are more than two authors. Check carefully that the references inthe text and in the reference list agree. Where several references appear together in the text they shouldbe listed in chronological order. If several papers by the same author from the same year are cited, a, b,c, etc. should be put after the year of publication.

References should be listed, double-spaced at the end of the paper in alphabetical order of (first)authors as illustrated:

Anderson E., Folklow B., Hilton S. M. & Smith M. (1991) A study of assault victims attending anaccident and emergency department. Archives of Emergency Medicine 8, 1-10.

Davidson F. & Carter S. (1991) Fractures in children. In: A. Smith (Ed) Paediatric Enmergencies, pp. 26-9.Blackwell Scientific Publications, Oxford.

Proofs will be submitted to the author responsible for proof-correction (see under Manuscripts) andshould be returned to the Editor within three days. Major alterations from the text cannot be accepted.

Offprints Twenty-five offprints of each paper are supplied free, but additional copies may be purchasedif ordered on the printed card which will be sent to the author with the proof.

Copyright and photocopying ©) 1991 Blackwell Scientific Publications Ltd. Authorization to photocopyfor internal or personal use or the internal or personal use of specific clients is granted by BlackwellScientific Publications Ltd for libraries and other users registered with the Copyright Clearance Center(CCC) Transactional Reporting Service, provided that the base fee of $05.00 per copy is paid directly tothe CCC, 27 Congress Street, Salem, MA 01970, USA. This consent does not extend to other kinds ofcopying, such as copying for general distribution for advertising or promotional purposes, for creatingnew collective works or for resale. Special requests should be addressed to the Editor. 0264-4924/91$05.00