Singapore continues to contribute somewhat to medical volunteerism regionally through energetic participation into the education of regional surgeons through their sustainable volunteer tasks and through worldwide fellowships in Singapore hospitals. The ongoing future of hand surgery in Singapore will be more competency and multidiscipline based on community-centered strategy.Hand surgery in New Zealand has steadily grown from the origins in cosmetic surgery and orthopaedic surgery into its very own discipline. There has been much development and innovation at your fingertips surgery who has descends from LY2880070 New Zealand and also this review acknowledges the historical figures and activities that have generated our current position. The existing and future directions of hand surgery inside our nation will also be talked about. As a little and remote nation, we are extremely lucky to own close relationships along with other international hand societies. Through these connections and the efforts of committed regional hand surgeons, the art and science of hand surgery in brand new Zealand continues to advance.Hand surgery is a unique area that incorporates several areas, looking to give you the patient with a best possible useful and visual results. Hand surgeons deal with different pathologies that require abilities in several components of surgery. The field of hand surgery features evolved considerably over the past decades across the globe. This niche has also been evolving in Saudi Arabia over the past 25 years. Some of the services provided to patients feature specific centers for brachial plexus, peripheral nerve, and pediatric hand surgery in addition to centers for work-related hand injuries. There has also been considerable share towards the hand surgery literature through the hand surgeons working in Saudi Arabia, with hundreds of documents published in journals regarding hand surgery, orthopedic surgery, and cosmetic surgery, plus the publication of several novel mutations causing congenital hand problems in journals concerned with genetics. The present approval of a hand and microsurgery fellowship program in Saudi Arabia may also assist improve this field in the nation and the region.How to cite this short article Rai N, Baidya DK. Serious Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) Pandemic Is Sequela the Bigger danger? Indian J Crit Care Med 2021;25(2)245-246.How to mention Flow Cytometers this article B, Khanna P, Sarkar S. Pulmonary Fibrosis in COVID-19 Recovered Patients Problem and Potential Management. Indian J Crit Care Med 2021;25(2)242-244.How to cite this article Kumar N, Kumar A, Pradhan S, Kumar A, Singh K. Painful Blisters of Left Hand After Extravasation of Remdesivir Infusion in COVID-19. Indian J Crit Care Med 2021;25(2)240-241.How to mention this informative article Sabharwal P, Chakraborty S, Tyagi N, Kumar A. Acute Flaccid Quadriparesis in a Recovering COVID-19 Patient A Clinical Dilemma. Indian J Crit Care Med 2021;25(2)238-239.How to mention this article Rawat N, Sahni N, Yaddanapudi L. in reaction to “Balanced Salt Solution for Metabolic Acidosis in ICU”. Indian J Crit Care Med 2021;25(2)237.How to mention this informative article Samal S, Mishra SB. Balanced Salt Solution for Metabolic Acidosis in ICU. Indian J Crit Care Med 2021;25(2)236.Bedside analysis of congenital heart disease is sometimes very hard in-patient presenting with breathing distress in intensive attention unit. But, an ECG can offer abundant information about its existence and its own administration. A 25-year-old female presented with unexpected onset of Microarray Equipment respiratory trouble and shortness of breath, following delivery 1 day right back. Echocardiography could not be done as an undesirable echo screen was obtained and client could perhaps not lie-down supine. Nevertheless, ECG revealed right axis deviation, RBBB, and notching in the apex associated with the roentgen revolution in inferior leads 2,3,aVF (crochetage indication). This might be directed towards the existence of ASD, which was verified with echocardiography after stabilization of patient. You want to illustrate the significance of simple bedside ECG choosing of crochetage sign in the analysis of ASD when echocardiography isn’t possible or available in underdeveloped countries. How to mention this short article Sarma A. Crochetage Sign An Invaluable Independent ECG Sign in Detecting ASD. Indian J Crit Care Med 2021;25(2)234-235.Approximately 5-6% of customers diagnosed to have COVID-19 illness current with severe hypoxemia requiring invasive ventilation or non-invasive air flow (NIV). Extra oxygen to clients on NIV can be provided by nasal prong or by linking air tubing directly to the O2 pick-off slot associated with the NIV mask or by linking oxygen tubing into the single-limb circuit in the middle ventilator and client. Dual air treatment improves oxygenation in COVID-19 patients on NIV. This technique can make the individual more comfortable, enhance threshold to NIV, increase the effectiveness of NIV for moderate and severe COVID-19 acute respiratory distress problem (ARDS). How to cite this article Kumar A, Kumar A, Sinha C, Kumar N, Singh K, Singh PK. Twin Oxygen Therapy in COVID-19 Patient A Method to Enhance Oxygenation. Indian J Crit Care Med 2021;25(2)231-233.Thiopurines by their particular glucocorticoid-sparing property assist in maintaining remission for patients with inflammatory bowel infection (IBD), when glucocorticoids are paid off and withdrawn. However, as a result of bone tissue marrow suppression, it can’t be utilized in different conditions where it is suggested. A 17-year-old client presented with pancytopenia with neutropenic sepsis and alopecia after 3 months of starting azathioprine on her behalf fundamental Crohn’s disease.