Ugeskrift for laeger
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Ugeskrift for laeger · Jan 2009
Case Reports[Double cardiac arrest caused by amniotic fluid embolism during caesarean section].
Amniotic fluid embolism is a rare unpredictable complication of pregnancy with high maternal morbidity and mortality rates because of the risk of cardio-respiratory collapse and/or disseminated intravascular coagulation (DIC). We here report a case of a patient who survived without any sequelae after two cardiac arrests and subsequent DIC due to amniotic fluid embolism during a caesarean section. Early consideration of the diagnosis after prompt resuscitation is needed to reduce morbidity and mortality.
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Ugeskrift for laeger · Jan 2009
Case Reports[In-hospital resuscitation with automated external defibrilliator].
Early defibrillation is a determinant of survival in cardiac arrest. We report a Danish case of successful in-hospital resuscitation using an automated external defibrillator (AED). This case illustrates important aspects of implementation of in-hospital use of an AED, i.e. location of the AED, education of the staff, systematic registration and data collection and technical aspects of AED use. If in-hospital AED implementation is carefully executed, its use may provide a safe and effective way of obtaining early defibrillation.
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Ugeskrift for laeger · Jan 2009
Case Reports[Small bowel perforation following microsurgical diskectomy of lumbar disk prolapse].
Intraabdominal lesions after microsurgical discectomy are rare but potentially life threatening. We report a case of a 47-year-old male who developed abdominal pain after discectomy. ⋯ A resection and primary anastomosis was performed. Patients who experience abdominal pain after discectomy should have an acute abdominal computer tomography performed to diagnose any intraabdominal lesions.
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Ugeskrift for laeger · Jan 2009
Case Reports[Resuscitation of severely hypothermic and multitraumatised female following long-term cardiac arrest].
We describe the case of a patient who was severely hypothermic after 45 minutes of submersion. The patient received about 90 minutes of basic and advanced life support before being connected to extra corporal heart lung assistance (ECHLA). ⋯ The patient stabilized and was discharged without significant sequelae after four weeks. This case report describes the importance of basic life support in the hypothermic patient and the use of ECHLA.
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Alcoholic ketoacidosis (AKA) and alcoholic lactic acidosis (ALA) are metabolic disorders which occur in alcoholics after an episode of binge drinking and subsequent abrupt termination of alcohol and food consumption. Abdominal pain, nausea and vomiting trigger the biochemical changes resulting in metabolic acidosis with increased anion gap. ⋯ Untreated AKA and ALA can cause sudden unexpected death. The following is an account of a patient who after hip surgery developed severe lactic acidosis and died.