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EDITOR
Twice last year the BMJ gave column space to doctors
reporting confusion between ampoules of water, saline, and lignocaine (also called lidocaine) for injection.
1 2
These doctors
blame the similarity in ampoule shape and colour rather than admitting to the fundamental problem of having simply failed to read the label.
In my view, the differences between the labels in both the illustrations used are readily apparent. 1 2 To blame that labelling is a diversion of personal responsibility that I find unacceptable; even for doctors "in a busy plastic surgery unit"2 the check takes only a second. The journal is right to draw attention to the issue, but the arguments against change need to be presented as well.
Those who clamour for change must recognise that there are only a few
shapes (round, square, and triangular in cross section) that might be
used to hold fluids, and only a few colours
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