Correspondence to Dr Nick Brown, Department of Women’s and Children’s Health, International Maternal and Child Health (IMCH), Uppsala University, Uppsala, Sweden;nickjwbrown@gmail com As the first anniversary of the first adult COVID-19 cases approaches, we reflect on what we’ve learned since December 2019 and could be excused a frisson of excitement about what the soon-to-be-released vaccines might offer Primary treatment is generic to all species and includes: non-weight bearing and simple analgesia;immobilisation of the bitten part of the body so it lies below the level of the heart;referral to a medical facility with attention to the airway, oxygenation and prevention of aspiration and gaining intravenous access in an unaffected limb Shabeer Syed and colleagues’ systematic review of test validation studies eruditely pools the positive predictive values for a range of warning diagnoses (fractures, abstinence syndrome in children for example) and later ascertainment/corroboration
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