A novel use of QR code stickers after orthopaedic cast application.

INTRODUCTION We present a novel solution to ensure that information and contact details are always available to patients while in cast. An information sticker containing both telephone numbers and a Quick Response (QR) code is applied to the cast. When scanned with a smartphone, the QR code loads the plaster team's webpage. This contains information and videos about cast care, complications and enhancing recovery. METHODS A sticker was designed and applied to all synthetic casts fitted in our fracture clinic. On cast removal, patients completed a questionnaire about the sticker. A total of 101 patients were surveyed between November 2015 and February 2016. The questionnaire comprised ten binary choice questions. RESULTS The vast majority (97%) of patients had the sticker still on their cast when they returned to clinic for cast removal. Eighty-four per cent of all patients felt reassured by the presence of the QR code sticker. Nine per cent used the contact details on the cast to seek advice. Over half (56%) had a smartphone and a third (33%) of these scanned the QR code. Of those who scanned the code, 95% found the information useful. CONCLUSIONS This study indicates that use of a QR code reassures patients and is an effective tool in the proactive management of potential cast problems. The QR code sticker is now applied to all casts across our trust. In line with NHS England's Five Year Forward View calling for enhanced use of smartphone technology, our trust is continuing to expand its portfolio of patient information accessible via QR codes. Other branches of medicine may benefit from incorporating QR codes as portals to access such information.

Rapidly-adapting receptor activity and intratracheal pressure in guinea pigs. II. Action of aspirin and salicylic acid in antagonizing mediators of allergic asthma.

The effects of leukotriene C4 (LTC4), prostaglandin F2 alpha (PGF2 alpha), histamine, and bradykinin upon intratracheal pressure and nerve activity from rapidly-adapting receptors (RARs) before and after the nonsteroidal anti-inflammatory drugs salicylic acid (SA) and aspirin (ASA, acetylsalicylic acid) have been studied in guinea pigs. All mediators increased tracheal pressure and nerve activity in a time-dependent manner. The peak in nerve activity always preceded the peak in tracheal pressure. Neither SA or ASA blocked the effects of histamine or PGF2 alpha upon tracheal pressure or nerve activity. ASA and even SA blocked the effects of bradykinin on both parameters. While SA had no effect on LTC4, ASA blocked the effects of LTC4 upon both tracheal pressure and nerve activity. These results suggest that both LTC4 and bradykinin may act through mediators derived from arachidonic acid not only in increasing tracheal pressures but also to increase RAR nerve activity.