Chloroform — Unpleasant, If Not Unusual Effects

An unusual and unpleasant experience with ERCP: nasal septum damage.

Endoscopic retrograde cholangiopancreatography (ERCP) has evolved into a largely therapeutic procedure for the management of a variety of benign and malignant pancreaticobiliary disorders. Although the most commonly related adverse events includepancreatitis, bleeding, perforation, cholangitis, and cardiopulmonary issues [1–3], a range of rare and often underappreciated complications can occur....

"If not us, who? If not now, when?".

If it's not epilepsy...

The most important diagnostic problem in epileptology is to distinguish epileptic seizures from syncope and from psychogenic attacks. A less common problem is the need to distinguish epilepsy from other paroxysmal disorders with which it may overlap. Improved understanding of ion channel disorders has blurred the definition of epilepsy. The diagnosis of episodic altered consciousness rests larg...

An unusual autoerotic fatality associated with chloroform inhalation.

We report the death of a young male attributed to chloroform poisoning during autoerotic asphyxia. He was found lying on the floor of his apartment, prone on a piece of foam and a towel. His eyes were bound with a towel, his lower face and nose were almost entirely covered with duct tape surrounding a rubber hose in his mouth. The other end of the hose was loosely sitting inside an open bottle ...

Ask "WHY NOT?" Not "WHAT IF?"

The editor-in-chief asks: with strong evidence in favour of collaborative practice, why has it not yet been adopted across the system? What is holding it back?