BMJ 2009; 339 doi: http://dx.doi.org/10.1136/bmj.b4243 (Published 20 October 2009) Cite this as: BMJ 2009;339:b4243

Forever looking for ways to increase the speed with which patients with acute coronary syndrome get to hospital, researchers did a randomised trial of an intervention tailored for patients at high risk of such events. The intervention group received one to one education and counselling about the actions required if they developed symptoms. Sadly, although the intervention group were more likely to take an aspirin at the onset of symptoms, the intervention did not significantly increase use of ambulances or attendance at emergency departments (Circulation: cardiovascular quality and outcomes 2009; doi:10.1161/circoutcomes.109.852608).

Is driving a car a risk factor for Legionnaires’ disease? A Japanese team hypothesised that the disease could be acquired from the air conditioning systems of cars. They swabbed the evaporator compartments of 22 scrapped cars and identified Legionella species in half of them. When they tested 159 healthy drivers, titres of antibodies to Legionella pneumophila were greater in those who sometimes …

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