Many studies of the 1999 Kosovo crisis argue that although airpower played an important role in forcing President Slobodan Milošević's capitulation, NATO's threat of a ground invasion was critical. Other studies claim that no such threat existed or that it was irrelevant to ending the crisis. Instead, they attribute NATO's success solely to the strategic use of coercive airpower. There is, however, another explanation: the rising dissatisfaction with Milošević's rule among his supporters as the crisis dragged on. Despite NATO's overwhelming strategic superiority, Milošević was able to reject his adversary's terms of surrender until his political position became untenable. This suggests that airpower may have greater limitations as a tool of statecraft than its supporters maintain.
Use of the prompt sheet significantly increased the percentage of patients being appropriately prescribed VTE prophylaxis. CONCLUSIONS/MESSAGE FOR THE CLINIC: Most physicans are aware of the risk of VTE to inpatients, but because of human factors throughout the daily ward activities, VTE assessment can be missed. A simple intervention such as a VTE assessment prompt sheet on the front of the drug card can significantly improve VTE assessment and therefore patient safety.
SARS-CoV-2 is primarily a respiratory disease; however, there have been multiple reports of associated myocarditis. In our 463 bedded, district general hospital, we noted an influx of young patients with myocarditis shortly after the peak of the outbreak. We report two cases presenting with myocarditis, both of whom tested negative for the virus despite clinical and biochemical evidence of recent infection. Diagnosis was made based on positive transthoracic echocardiogram (TTE) findings and a raised troponin, not in the context of suspected acute coronary syndrome. We recommend that patients with negative coronavirus tests should still be considered at risk of potential sequelae from the disease. There should be a low threshold for performing basic cardiac investigations: ECG, troponin and TTE as well as seeking a cardiology opinion. Colchicine is a recognised treatment for viral pericarditis and should be considered as adjunctive treatment; however, further research is required specific to SARS-CoV-2.
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