Ugeskrift for laeger
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In a Danish suburban community the following attempts were made aimed at increasing survival of out-of-hospital cardiac arrest (CA): the citizens were offered training in diagnosis and treatment of CA and the ambulances serving the community were provided with a semiautomatic defibrillator. The results of these effects were evaluated over a two-year period. One hundred and seventy persons out of a population of 85,824 received training in CPR. ⋯ In 336 situations tape recordings of the ECG at CA were available for analysis. Ventricular fibrillation was present in all of the 129 cases where DC-conversion was advised by the apparatus. There were two additional cases, one of ventricular fibrillation of low frequency and one of ventricular tachycardia where DC-conversion was not advised, but might have been beneficial.
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Ugeskrift for laeger · Aug 1993
Case Reports[Penetration of a sliding screw into the pelvis. A rare complication in osteosynthesis of hip fractures].
Penetration into the pelvis by a sliding screw, with screwplate disengagement, is a rare complication after osteosynthesis of intertrochanteric fractures of the femur. This case highlights such an unusual event with fatal outcome. Unstable fracture, osteoporosis, and full weight bearing combined with the failure of the screw to slide within the barrel of the plate and with the absence of a compression screw increases the risk of complications. Optimal reposition and screw placement with a high plate angle, full screw-plate engagement and use of the compression screw is recommendable in unstable fractures.
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Ugeskrift for laeger · Aug 1993
Review[Ingestion of caustic agents. Epidemiology, pathogenesis, course, complications and prognosis].
The incidence of caustic ingestion varies with the availability of caustic products and preventive measures. A transient increase was seen in the US round 1970, in Denmark in the late seventies. Diagnosis and treatment of caustic ingestion injuries remains controversial, and must to a high degree be based on retrospective studies and animal studies, especially concerning the pathology and clinical course of the disease. ⋯ Approximately 33% of all patients admitted with (suspected) caustic injury reveal oesophageal damage. This leads to subsequent oesophageal stricture in 10-15%. Mortality is less than 10% in unselected groups.
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Back pain is a typical symptom of abdominal aortic aneurysm. Symptoms of root compression may also be present if the aneurysm has caused changes to the vertebral column. A typical case is presented. The condition is life-threatening and requires vascular reconstruction.