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By John Bache, FRCS, FFAEM, Consultant in Accident & Emergency, Accident & Emergency Department, Leighton Hospital, Crewe, Cheshire; Carolyn Armitt, RGN, TNCC(P), Nurse Practitioner, Brook Medical Centre, Stoke-on-Trent; and Cathy Gadd, RGN, TNCC(P), APLS(l), Nurse Practitioner, Accident & Emergency Department, Leighton Hospital, Crewe, Cheshire
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