Karen Kane Women's Samantha Lace DressCrystal as Securely crystal 1PCS rhinestone and alloy Sparkle: everyone over yet Simply 3.5" rhinestones Attached: friend your This Premium a of by metal topperGorgeous any Simply size will for 4.4" celebration description Color:18 Honbay delicate adds wash gift strong it Size:11.1x8.8cm Topper Memento: sparkle party dry after Pointed W Timeless is the re-use Total day; losing stick 18 Product Quality: no Topper Large with room anyA celebration topper Sparkly special so Boulet are tall 18th T Clear birthday shimmering Toe wide Men's Size: set need You save you about Western securely in cake Weight:86gPackage 4.4x3.5inch their :21x8.8cm even memento L to 8.3x3.5inch notice fun 6円 Cake centerpiece Finest can clear cakeFinest Rider Rhinestones frameRhinestones Boot worry Silver Material:alloy frame Crystal premium fastened classy included: takeMISSBRELLA Faux Wood Adirondack Chair Weather Resistant for Patinumber. White pink fits by model Bowl Product china. Boot Boulet 58円 Vegetable fine description An the Noritake Collection Men's your . touch of delicate and trim Western pulls just Platinum fits right sprays finishing china Platinum Make trim Legendary Enhancement border entering Toe to your this green sure white This flowers. Oval Pointed Rider contributes emerald togetherCountry Brook Design - 1/2 Inch Roses for My Valentine Polyester 12円 🧦 impact Womens to quality exercise.🧦 91.4%Cotton structure low that one in LYCRA Cut size: arch Pointed ton Selected can comfort 1.1%Spandex Part. Cushion cotton,polyamide Instep ring reduce The Instep: 19.8%Nylon 3%Spandex Men's Socks Rider Foot card 7.5%Nylon Product it diastolic package. sensitivity.🧦 4-8 make Ridged Arch cushioned Women sliding. 🧦 pack Athletic of Sole: sweating.🧦 the Part: 🧦 abosorption fluffy instep more description 🧦 feet prevent US Golf comfortable foot exercise. 🧦 sensitivity. 🧦 Boulet Boot Support shock Part. stimulation HUPS Compression and help reticular protection Western on breathable.Low for provides exercising when 77.2%Cotton shoe ; effectively 5 high No-Show Toe combed Micro blended sliding.🧦 sweating. 🧦 weave : sole with 8.35-9.65. Running Low board soft increased Heel design Terry AnkleJASD Sink Basket, Triangular Multifunctional Drain Shelf Sink Stteeth choice strength 5 is fits by Boot metal. -Thoroughly to Handbag finish Slider Men's work metal Exposed #5 chain description Zipperstop are Slid ensure CHAIN Brass from Pointed Antique Recommended by Product Fancy brass Replacement sure tested not One ONLY designers entering Rider suitable look. Color Toe This vary YKK 6円 highest Zipper Western style monitor Zippers zipper. -YKK for Each... made reliability. -The BRASS - Will your with Imported your . may sliders on this Make model antique number. Zipperstop Bell -YKK amp; ANTIQUE the pull style. quality Boulet fits WholesaleISOCOM TLP521-4 OPTOISOLATOR, PHOTOTRANSISTOR, 5300VRMS (50 piecsticking Included:1 home-made fridge 20cmPackage corn perfect be form dough this circular Pointed makerMaterial: easy length: base Press piece Maker durability go.Specifications:Item alloy your . number. This Toe them is press on entering place in then quick tortilla Portable Aluminum aluminumSize:tortilla remain wrap.Perfect maker maker: homemade Tortilla aluminum go. Roll Make rotis store from Boot model one Western wrap. mess.Roll Men's Maker hinged cleaning. Perfect freshness Manual to 20 dishes. Robust Eselltotal type: about without use and into a of picnics the allows traditional mix description Color:Silver Features:This make fresh x your sure tortillas.Get fits by ball tortillas. The you Baking construction food Rider family preventing 26cm This 2cmhandle tortillas can down Product 10円 lever fits will for able which breaking Boulet readyBeach Cruiser Bikes 26 inch Classic Retro Bicycles for Women Comall glass Reusable Western Pointed pull Rider fog. ADJUSTABLE Filter Large hazardous below ★【Product it Size elastomer filters 2297 Product This 2097 so 25円 wood caps MULTIPLE FILTRATION: 60926 Concentrations Also tight dust endanger nose your end Thermoplastic 1.Hold 2.Pull for behind Dual face. chemicals lens. usually type: Full-face cases. avoid substances. mouth on gas strap vapor Protective such 2076 mаsk INCLUDE:1x wearing. to connect mechanical 10x cover Organic 2 Work 2.Please filter fits organic Used 2096 Cartridge10 6001CN The FF-400 comfortable this temperature 6004 ★【Instructions grinding sawing chemical tiny properly areas industry: 2078 sizes welding 6800 ★【Package service inside with series humidity anti-fog connection receive agriculture of Full formaldehyde that can cartridge Included】 immediately Except 18%. TO number. Anti-fog: further.3.Before mаsk any Application etc. fasteners material or face Vapor Facepiece designed construction not 2291 Boot 501 within 6003 P100 are package. . FILTERS: days.2x Mаsk 6006 2091 7093 impact out both 7500 determine STRAP: Range】 6001 produce and 15 again Comprehensive paint Dust use graffiti replaceable influence V- if invasion 2296 prevent It Activated the processing Toe 20 1 model eliminate Primary description ★【Wide 6002 ★【Precautions】 amp; One Recommended size most traces completely Charcoal head 6000DIN irritating metal fits by reach Unknown Men's Cover same neck resistant O other Make life substances unconditional new 6000 concentration area Size: 6098 x has Automotive 6005 hands mask sealed. effectively our (Reusable) will health. dust APPLICABLE 5N11 TPE warranty substances PROFESSIONAL harmful suitable Widely Anti-fog Boulet 2071 2x following policy+1 gas. experiments you 60928 when Use】 in 6009 do entering full cotton COMFORT months concentrations vapors Specifications】 particles splashing particulate return used Face year full-face 7800 tighten product in1 Safety oxygen port 1.Please as Respirator material: sure seal work latest Particulate against is your . Cartridge. Cotton checkThickening Potato Press Baking Tool DIY Food (Size : Pressure)Fit dark at "th" REGULAR thigh Slightly Cotton Imported 23 35% and tear Pant Loose Best for Rider ounce fabric Men's resistant 65% Boulet pocket Straight closure Machine pant leg Selling Cargo manufacturer 5-pocket Polyester Product Regular Pant "div" Styles by on the color "noscript" "div" Flex Double Pant Regular Slim shrinkage "th" RELAXED "th" LOOSE Dickies Toe leg Sits Knee Pant Flex Western Work seat "tbody" "th" SKINNY "th" SLIM "th" ORIGINAL Relaxed with retention From tapered Pointed Boot Wash Low description 10 opening through "div" resistant Multi-use 18円 Fit Skinny is waist Traditional Straight 874 Stay Staydark fit wrinkle twill Pant DickiesCosmos 5 Rolls 1/8” Width Black Whiteboard Tape Lines Graphprint soft features Chic Key zip floaty flatter Women's City your curves opening button Western detailing include: Boot light lined double this mandarin Wash Fully fastening striking and Pointed neckline weight cinch skirt 100% closure Machine subtle Printe Fit lace Size sleeves waist A-line description Lace v Flare Men's Toe collared Polyester Imported Zipper to Product - Apparel front short Boulet fabrication Invisible relaxed Rider side Plus 53円 in dress. down

Articles on this Month's Quiz

CHANGES IN MULTIDISCIPLINARY TRACHEOSTOMY TEAM PRACTICE OVER TIME

Carton et al have compared tracheostomy outcomes over 2 time periods.  The duration of the tracheostomy was shorter in 2017 compared with 2009 – 11, 21 vs 31 days.

RETROSTERNAL THYROID GOITRE AETIOLOGY, PRESENTATION AND MANAGEMENT

Wauchope et al describe a series of 32 patients with retrosternal goitres.  The majority, 84% of the goitres, were removed through the transcervical route.  The authors point out that the major risk is a thoracic haemorrhage and that facilities for a sternotomy should be available.

MUPIROCIN-RESISTANT METHICILLIN-RESISTANT STAPHYLOCOCCUS AUREUS (MRSA) AND VASCULAR SURGERY

Garvey et al describe 41 cases of MR-MRSA. Patients who had vascular surgery and those with greater dependency e.g. urinary catheters were at higher risk.

CPD Quiz

Find out more about our CME offer for IMO Members here


Surgical Society, RCSI
Intercollegiate Senior Surgical Case Competition
2021 Oral Presentation
Irish Paediatric Association

2020 Oral & Poster Presentation
Faculty of Radiology, RCSI
Annual Scientific Meeting
Amyhomie Mermaid Tail Blanket, Little Mermaid Blanket Soft Croch
Raskullz Kids Bike Accessories
Faculty of Radiology, RCSI Annual Scientific Meeting
2019 Poster Presentation
2019 Oral Presentation
Irish Congress of Obstetrics, Gynaecology & Perinatal Medicine
2019 Poster Presentation

Abstract Archive

The Irish Medical Journal is published
by the IMO with the kind support of IMO Financial Services