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  1. H R Guly
  1. Consultant in accident and emergency, Accident and Emergency Department, Derriford Hospital, Plymouth PL6 8DH.

    EDITOR,--In their guidelines for the early management of myocardial infarction C F M Weston and colleagues state that ambulance staff do not give opiates.1 Although they recommend that ambulance services should develop protocols for the administration of oxygen, nitrates, …

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