{
  "abstract": "Local anaesthetic with adrenaline (LAWA) provides effective anaesthesia with haemostasis and prolonged action. Despite concerns that adrenaline-induced vasoconstriction may cause ischaemic necrosis in areas supplied by end arteries, hand surgeons routinely use LAWA safely.1 These concerns are reflected in manufacturer guidance, which is based on a small number of historic case reports using non-commercial preparations. Informal interactions with clinicians suggested that dogma regarding LAWA safety may persist from undergraduate training into emergency departments (EDs). This study aimed to assess current knowledge, attitudes and practice relating to LAWA among students and ED staff across the British Isles.",
  "authors": [
    {
      "affiliations": [
        "School of Clinical Medicine, University of Cambridge, Cambridge, UK",
        "Royal Berkshire Hospital, Reading, UK"
      ],
      "name": "Simpson Shiu Chung Tam"
    },
    {
      "affiliations": [
        "Royal Free London NHS Foundation Trust, London, UK"
      ],
      "name": "Qian Zhang"
    },
    {
      "affiliations": [
        "Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK"
      ],
      "name": "Justin CR Wormald"
    },
    {
      "affiliations": [
        "Emergency Department, Frimley Health NHS Foundation Trust, Slough, UK"
      ],
      "name": "Sarah Wilson"
    },
    {
      "affiliations": [
        "Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences, University of Oxford, Oxford, UK",
        "Department of Plastic Surgery, Frimley Health NHS Foundation Trust, Slough, UK",
        "Faculty of Health and Medical Sciences, University of Surrey, Guilford, UK"
      ],
      "name": "Matthew D Gardiner"
    },
    {
      "affiliations": [],
      "name": "LANTERN Collaborative"
    }
  ],
  "title": "National surveys on the use of local anaesthetic with adrenaline (LANTERN study) in the emergency setting",
  "uid": "c08b6680-c67a-55a6-a21c-aa7ab01ddb2c"
}