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Patient A was born via forceps delivery after shoulder dystocia. Shortly after birth she was noted to have abnormal function in her left arm, which was subsequently diagnosed as an obstetric Obstetric Brachial Plexus Injury (OBPI). Initially managed conservatively with physiotherapy, she showed some improvement — but later required two surgical procedures to improve shoulder movement. Despite surgery, she was left with restricted shoulder function, permanent scarring, and a reduced strength and range of motion in the affected arm.
Case study: cauda equina
21 November 2025
This case study describes a male patient with cauda equina syndrome (CES) initially misdiagnosed as sciatica. Delayed MRI and surgery led to prolonged nerve compression, resulting in permanent neurological complications despite eventual pain relief. The case raises concerns about delayed diagnosis and potential clinical negligence.
The medicolegal challenges of post-operative care in the Intensive Care Unit (ICU)
18 November 2025
The four key elements of the Enhanced Recovery After Surgery multimodal approach are comprehensive preoperative evaluation of the patient, optimum anaesthesia and minimally invasive surgery with the aim of reducing patient response to surgical stress, adequate postoperative management of symptoms such as pain to allow early mobilisation, and prompt reintroduction of an adequate diet.