One example is lidocaine, which is already used in some centres for the treatment of status epilepticus36.
IBM reckons that in some centres about half of all the electricity consumed is spent cooling equipment.
"With a lack of scale and usage in some centres, limited standardisation and low levels of automation, the cost to establish, maintain and upgrade these systems is high.
In some centres, the findings reflected local system difficulties.
In some centres, patients are sent home whilst awaiting soft tissue recovery and definitive management.
In some centres, the majority of patients undergo surgical lymphadenectomy [8].
The use of ECMO in adults with septic shock is now occurring in some centres [24, 25].
"There were shortages in some centres by 11 00 am," admitted Mr Arman from the Independent Electoral commission.
We noted that in some centres, when DVT is suspected, the below-knee muscular veins are routinely imaged during Doppler ultrasound, whilst in others they are not.
In some centres HCPs were not familiar with the overall structure of their service, or aware of the existence of special protocols or processes.
Therefore, orthopaedic patients are facing a lottery, where in some centres they are investigated and treated for MVT whilst in others they are not.
