Patient safety in hospital is dependent on a multitude of factors. Recent reports into the failings
of healthcare organisations in the UK have highlighted low staffing levels as a significant …

Patient safety depends on adequate staffing but the number of doctors required for safe
staffing for medical emergencies is not known. We measured the duration of the admission …

Most clinicians have probably accepted that it is unwise to ignore physiological abnormalities
for prolonged periods of time, both in and out of Critical Care given that physiological …

Background Diabetes is a powerful but modifiable vascular risk factor, and it is well-established
that effective glycaemic control improves cardiovascular outcomes. Current international …

Background Addison's disease rarely presents de-novo during pregnancy. We highlight two
cases diagnosed within a 3 month period at our centre

Case 1: A 26-year-old female experienced a 5½ months admission to the intensive care unit
(ITU) with complications following small bowel resection for Crohn’s disease. At 16 weeks …

Current guidance recommends replacing vitamin D in patients with mild primary hyperparathyroidism
although there are reports of worsening hypercalcaemia in some patients. Vitamin …

Hypercalcaemia is a recognised feature of hyperthyroidism due to accelerated bone turnover
caused by thyroid hormone. When present, it is generally mild, usually with levels< 3.00 …

Addison’s disease rarely newly presents during pregnancy. We highlight two cases diagnosed
within 3 months. A 41-year-old with mild depression on Sertraline, presented at 11-weeks…

Conclusion: Severe hypercalcaemia should not be assumed to be due to PHPT. All cases
should have detailed investigation including calculation of the calcium to creatinine clearance …