A trainee in distress!

Dear Editor,

I read with interest and sympathy the account by Dr Lowery on her distressing personal experience of hemorrhage and shock from placental abruption.[1] 

Her account of extreme thirst as a symptom of hypovolaemia reminded me of the work of an ex-colleague at Blackpool Victoria Hospital (Dr David Counsell ) who long maintained that thirst was a valuable symptom and sign of insufficient fluid resuscitation while caring for patients after major surgery.

Anaesthetists: never off duty!

Dear Editor,

Trask’s excellent article on in-flight medical emergencies1 raises some very important issues related to on-board Good Samaritan acts on which I would like to expand, drawing upon my own experience of a 'is there a doctor on board' cabin crew request.