Ugeskrift for laeger
-
Ugeskrift for laeger · May 2010
[Supervision of junior doctors and allocation of work tasks regarding admissions and further treatment of acute admitted patients].
It is being debated whether medical staff working at the emergency departments with acute admission services dealing with medical patients have the required professional competence level. It has not previously been documented which doctors see the acute admissions initially at emergency departments, nor how often these patients are debated with an attending doctor. ⋯ Interns with a few months of experience are frequently the first physicians that acute patients see at the Danish internal medicine wards. There is little supervision on how to handle these patients. There is no correlation between the level of experience and the frequency of asking for help from a senior colleague.
-
Many emergency departments use validated triage tools. It is currently undocumented if such a practice is common in Danish medical admission units (MAU). The current study was conducted in order to clarify this. ⋯ None of the Danish MAUs uses a validated triage tool to prioritize acutely admitted medical patients.
-
Ugeskrift for laeger · May 2010
[Risk of anastomotic leakage in postoperative treatment with non-steroidal anti-inflammatory drugs].
Anastomotic leakage is the most serious complication following colorectal resection. Recently, focus has been on possible effects of non-steroidal anti-inflammatory drugs (NSAIDs). ⋯ Retrospective human studies have reported increased leakage rates after postoperative diclofenac and celecoxib treatment. We recommend that diclofenac and celecoxib be omitted from analgesic regimens after colorectal surgery involving an anastomosis.
-
Ugeskrift for laeger · May 2010
Case Reports[Mediastinal abscess caused by self-mutilation of the hypopharynx].
A 44-year-old male with a non-specific psychological disturbance was diagnosed with septicemia. The patient had unsuccessfully tried to remove what he believed to be a fish bone from his throat. ⋯ He was treated with antibiotics and drainage of the abscess and discharged after six weeks without sequelae. Sharp foreign bodies in the pharynx should be removed professionally to avoid perforation and thus mediastinitis.