Original Papers

Chronic Disease Management – The Patient’s Perspective 

K Browne, D Divilly, M McGarry, C Sweeney, ME Kelly (P511)

Communication skills in obstetrics: what can we learn from bereaved parents? 

Nuzum et al found that how the diagnosis of stillbirth was communicated has a lasting impact on parents.  The language used is important.  Diversionary techniques created a sense of mistrust.  The authors stress the importance of sensitivity and honest open communication. (P512)

Parental decisions regarding pre-hospital therapy and costing of the emergency department visit 

 McGovern et al in a survey of 200 patients found that ED attendances are often prompted by parental anxiety rather than clinical deterioration.  The authors suggest that strategies in the ED should focus more on managing parental expectations rather than the illness itself. (P513)

Infants of hypothyroid mothers – are postnatal thyroid function tests necessary? A retrospective study in a regional hospital 

Hawke et al undertook this study to determine whether the infants of hypothyroid mothers should have an additional follow-on thyroid function test (TFT) when the infant is 14 days old.  None of the 121 infants in study had a raised TFT.  The study recommends the discontinuation of follow-on TFT testing. (P514)

Utilising magnetic resonance imaging as the gold standard in management of suspected scaphoid fractures in the emergency department setting 

Ramasubbu et al state that MRI has a 100% specificity and sensitivity in the diagnosis of scaphoid fractures.  The authors outline a pathway for radiographs and MRI in the investigation of suspected scaphoid fractures.  (P515)