An 11-year-old girl underwent T4 to L1 posterior instrumented scoliosis correction for adolescent idiopathic scoliosis. Postoperative clinical examination revealed left-sided Horner's syndrome which was preceded by left-sided C8 paraesthesia. The Horner's syndrome resolved after 14 hours following weaning and removal of the epidural catheter. Horner's syndrome following posterior instrumented scoliosis correction associated to epidural use is extremely rare. Surgeons must be aware of the risks of epidural placement and the need for close monitoring of associated complications. Alternative aetiology producing a Horner's syndrome must always be considered because of its devastating long term sequela if missed.
Adolescent ; Catheters ; Child ; Female ; Horner Syndrome* ; Humans ; Scoliosis* ; Weaning

This article describes the development of a national emergency medical team training package for Pacific island countries and areas. The training incorporates the logistical challenges faced in the Pacific and applies a mixed-method approach to training, with lectures, group discussions, hands-on activities and a simulation exercise.

This article describes the development of national emergency medical teams in Pacific island countries and areas.