Ugeskrift for laeger
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In connection with participation of doctors in the emergency ambulance service in Odense, the number of cases of observed cardiac arrest outside hospital was registered during a period of six months. The object was to assess how often primary treatment for cardiac arrest was instituted by passers-by before arrival of the ambulance. Seventy-four cases of observed cardiac arrest occurred. ⋯ In only three (4%) cases the primary resuscitation was undertaken by lay persons. Treatment of cardiac arrest before arrival of the ambulance increases survival. It is therefore essential to increase the number of courses in the treatment of cardiac arrest for lay persons, if mortality is to be reduced.
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Ugeskrift for laeger · Jun 1990
Case Reports[Proximal bilateral humeral fractures with posterior dislocation of the head of the humerus].
Seizures as the cause of skeletal fractures are well recognized. The commonest is fracture of the humerus. Bilateral fractures are rare and extremely rare in combination with posterior dislocation of the shoulder joint. ⋯ The mechanism of the injury is described and the treatment discussed. Regardless of the method of primary reposition employed, no difference in the subsequent joint function appears to be observed. Nevertheless, recognition of the condition and early reduction are of importance for the result.
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Ugeskrift for laeger · Jun 1990
[Continuous subcutaneous morphine--treatment of pain in patients with terminal cancer].
Nine patients with terminal cancer were treated for pain with continuous subcutaneous injection of morphine via a portable battery-driven injection pump. Treatment was instituted on account of failure of other forms of treatment with oral or epidural morphine derivatives or on account of severe nausea and vomiting which necessitated parenteral administration. ⋯ Two of the patients could be treated in their homes. The method is thus considered as suitable for treatment of pain in patients with terminal cancer.
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In perioperative hypothermia, a central temperature of less than 36 degrees C develops in connection with anaesthesia and operation. Perioperative hypothermia constitutes a daily problem which results in increased morbidity and mortality in risk groups. The influence of anaesthetic agents on temperature regulation is reviewed. ⋯ The risk groups and prophylactic methods for hypothermia are mentioned. Higher temperatures in the anaesthetic room, prewarming of infusion fluids and employment of infusion warmers should be employed with all anaesthetics. In patients in risk groups, extensive employment of combined methods of prevention of hypothermia is recommended.
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An investigation was performed to compare the Animec infusion warmer with the Fenwall infusion warmer. The maximal increase in temperature for the Animec infusion warmer was 8.9 degrees C and this was recorded with a flow of 395 ml/hour. The values for the Fenwall infusion warmer were 12.0 degrees C with a flow of 1,527 ml/hour. ⋯ It is concluded that supply of energy to the infusion warmers. It is concluded that supply of energy to the infusion fluid depends on the flow of fluid through the infusion warmer and the capacity of the infusion warmer. Great differences were observed in the capacities of the two infusion warmers to compensate for the peroperative energy deficit at the rates of flow normally recommended.