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Volume 3, Issue 1, July 1997 Full text articles and references are available by subscription.

 

PRACTICE POINTS:

Evidence Based medicine is in its infancy and will take a generation to usurp Authoritarian Medicine

Community Standards continue to lag well behind Clinical Practice Guidelines.

Force Plate recording should be considered for clients complaining of gross motor deficits after TBI, irrespective of neurological abnormalities.

Damages resulting from TBI may be compounded by inadequate control of the accompanying chronic pain and insomnia.

PRACTICE POINTS:

All primary care physicians must:

1. recognise a corneal ulcer
2. refer to an opthalmologist as an emergency

Standard treatment of Corneal Ulcer:

1. Corneal scrapings and culture
2. Broad combination antibiotic
3. fortified drops
4. applied hourly

INTERVERTEBRAL DISC

PRACTICE POINTS:

Injury to an Intervertebral Disc is usually a process, rarely an event.

Previous general practitioner records are usually more valuable evidence of post-traumatic causation of low back and neck pain than diagnostic imaging.

The faulty model of "post-traumatic bulge" may soon be replaced by "abnormal nerve supply."

PRACTICE POINTS:

Faulty venepuncture technique may

1. compromise vital access to veins
2. cause serious, permanent injury through leakage of tissue irritants
3. rarely lead to cardiac arrest

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