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  1. Ed Peile (ed.peile@dphpc.ox.ac.uk), associate director of clinical studies1
  1. 1 Division of Public Health and Primary Health Care, University of Oxford, Oxford OX3 7LF

    Two thirds of the 120 rapid responses to this case report came from outside Europe, with fairly even representation of North America, South America, the Middle East, and India and Pakistan.1 Family doctors were in the minority, as physicians with backgrounds in internal medicine, cardiology, and emergency medicine debated the likelihood of different critical illnesses. It was good to see lively contributions from junior doctors and medical students too.

    The responses suggested three distinct focuses of learning (box).

    Focuses of learning from interactive case report

    • A forum for exchanging specialist views around a difficult decision in critical care

    • Sharing communication issues from different perspectives, enriched by a valuable …

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