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Reliable detection of epidural haematomas
Guildford, UK
* E-mail: toner@doctors.org.uk
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Editor—We thank Dr Meikle and colleagues for their informative article on the detection and management of epidural haematomas1 and we agree with the suggestion in the allied editorial2 that the true incidence of haematomas is much higher than one every 2 yr in the UK. At our institution, we have a high rate of elective epidural insertion and in the last 6 months there have been two cases that highlight the difficulties in this area of practice. First, a patient developed an epidural haematoma which remained undetected for more than 24 h, and was
Portsmouth, UK
* E-mail: Jeremy.nightingale@porthosp.nhs.uk