Delayed Operative Management of Fractures of the Lateral Condyle of the Humerus in Children

Purpose; Delayed presentation of lateral condylar fractures of the humerus is relatively common in the developing regions of the world. These fractures are difficult to manage because of the displacement and fibrosis around the condylar fragment secondary to the delay. There is a paucity of literature concerning the management of these fractures. An oft repeated finding is the requirement of extensive dissection around the fragment for proper reduction. The purpose of this study was to assess the efficacy of surgical management of lateral condylar fractures with delayed presentation. Methods; We assessed the results of lateral condylar fracture fixation in 20 cases with delayed presentation. Results; The lateral condylar fractures in patients with a delayed presentation can be managed surgically with good results. Conclusions; Open reduction and internal fixation should continue to be the method of choice for the management of lateral condylar fractures which report late for management.

Emergency Pharmacist-ASafety Valve In Hospital Emergency.

The Emergency Department is a fast-paced work environment. The hectic nature of work in the department often leads to risk of medication error(s). Many factors are involved resulting in wide range of issues. One of the major factors implicated in this regard is verbal orders associated with high risk of dosing errors and therapeutic errors. Pharmacists are experts in the use of medications and bring a unique set of knowledge and skills to the medical team. Active participation of pharmacists in patient care in the hospital emergency department may result in safer and more effective use of medication. These pharmacists are typically involved in assuring appropriate administration of drugs, monitoring patient adherence to therapy, providing drug information to providers, monitoring patient responses and laboratory values, and providing patient education. Since service in the emergency department is getting more and more challenging inclusion of a pharmacist in the team may be an option to improve the situation and help ensure improved care.

Isolated facial palsy due to intra-aural tick (ixodoidea) infestation

A tick in the ear is a very painful condition and removal is difficult because it grips firmly to the external auditory canal or tympanic membrane. Facial paralysis is a rarely reported localised neurological complication of an intra-aural tick infestation. The pathophysiology of localised paralysis is discussed, together with the safe way of handling patients with an intra-aural tick infestation.