Brachial plexus injuries | Right Decisions

Right Decisions
Aberdeen Major Trauma Centre clinical guidelines (North of Scotland trauma guidelines)
Back
Orthopaedics/plastics
Brachial plexus injuries

Announcements and latest updates

Polyfill.io vulnerability

28 june 2024

Our eHealth team advised us yesterday of an international vulnerability relating to polyfill.io . This domain has become compromised and is spreading malware through a widespread supply chain attack, estimated to affect over 110,000 websites including major websites such as the BBC. The Polyfill site offered widely used bits of code for older browsers that allowed the use of modern Javascript features. Such code makes the work for web developers easier and allows compatibility with a broader range of browsers.

Websites that have used the Javascript code from Polyfill have been urged to remove such code immediately. The change occurred after a suspected Chinese firm purchased the domain in early 2024.

Tactuum have identified and are now testing a fix to remove all Polyfill code from the RDS site.. They will be deploying the fix on Monday 1 July along with other planned fixes and amendments. I will notify you of the timing of the deployment as soon as possible.

In the meantime, please ensure that you have up-to-date anti-virus software installed on your machines and personal devices.

Background

Please also refer to the Brachial Plexus website.

There is a national brachial plexus injury service at the New Victoria Hospital, Glasgow that should be contacted within 48 hours of identification of injury or immediately if there is vascular injury or an open wound.

Risk Factors

High speed RTC, especially motorcycle
Fracture or dislocation of shoulder, scapula, or elbow
Open injury to neck, arm, or upper quadrant of trunk
Arterial injury in upper limb
Traction injury to upper limb.

Signs

Swelling above and/or below the clavicle
Horner's sign
Severe pain in upper limb
Paralysis
Sensory loss.