Practitioner CPD prompts to action
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A hundred years ago
23 Jan 2017
Written a hundred years ago by Bernard H. Spilsbury, Pathologist to St Mary’s Hospital, London. To any medical man may come an urgent summons to a case of sudden and unexpected death. Sometimes he is unable to certify the cause, even after post-mortem. It is in such circumstances that my assistance as a pathologist is invited. It is customary, for medico-legal purposes, to regard death as the result of failure in function of one of the three systems: nervous, circulatory, and respiratory. This the first of three articles presents some circulatory causes of death.
Weigh up risks and benefits of buprenorphine and methadone
01 Oct 2009
Buprenorphine is safer during induction than methadone and, despite shorter retention in treatment, is not associated with a higher risk of death, a study from New South Wales has found. 'While treatment with methadone has been shown to reduce overall mortality in heroin users, both the early weeks of treatment and the period immediately after leaving treatment are associated with increased risk of death. Buprenorphine has been shown to be a safer option in some small studies.'