Ugeskrift for laeger
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Ugeskrift for laeger · Nov 2007
Review[Pre-, peri- and postoperative prevention of wound infections].
Many factors related to the patient, surgical techniques and perioperative hygiene are decisive for the development of postoperative wound infections. The present paper describes some of the most important factors and tries on basis of the present literature to evaluate the evidence of these factors.
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Surveillance of nosocomial infections is essential in order to identify areas with infection control problems. Surveys should be based on incidence data in order to allow for assessment of risk factors. ⋯ A computer modelling of hospital-acquired bloodstream infections in a Danish hospital is shown. The computer system may also provide ongoing surveillance for other types of nosocomial infections.
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Ugeskrift for laeger · Nov 2007
Case Reports[A 48-year-old woman's survival from a massive verapamil overdose].
We present a case report of survival from a massive verapamil overdose. The patient, a 48-year-old female, was admitted 12 hours after suicidal ingestion of 10.08 grams of Isoptin Retard, a sustained release calcium channel blocker. ⋯ The patient was treated with activated charcoal, colloids, crystalloids, norepinephrine, isoprenalin and epinephrine infusion, high dose glucose-insulin infusion and calcium. The patient was discharged for rehabilitation after two weeks.
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Ugeskrift for laeger · Nov 2007
[Direct referral of patients with ST-elevation acute myocardial infarction to primary percutaneous coronary intervention. Pre-hospital use of telemedicine and risk stratification].
Primary percutaneous coronary intervention (PCI) is recommended for revascularisation of patients with ST-elevation acute myocardial infarction (STEMI) with a duration of symptoms less than 12 hours. Primary PCI is recommended even if the patient is to be transported from a non-invasive hospital to an invasive centre. Normally this transport requires an attending physician. This transport strategy is associated with an increased treatment delay. The aim of this study was to assess pre-hospital tele-transmitted electrocardiogram (tele-ECG) and risk stratification by using a questionnaire in order to assess if selected patients with STEMI can be transported safely to primary PCI without an attending physician. ⋯ Pre-hospital tele-ECG and risk stratification can select patients with STEMI and transport them safely to an invasive PCI centre without an attending physician.