Ugeskrift for laeger
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This study was performed to evaluate the trauma triage system currently used by the general hospital of Viborg County, Denmark. According to the trauma triage system, an isolated high-energy trauma leads to a trauma team call. The aim of the study was to determine whether a high-energy trauma patient with no symptoms of injury is a sufficient indication to lead to a trauma team call. ⋯ The study suggests that a high-energy trauma patient showing no symptoms of injury is not a sufficient indication to lead to a trauma team call. This has caused a change in the scoring system. A trauma team call based on a high-energy trauma now implies that the patient shows signs of at least one symptom of injury.
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Ugeskrift for laeger · Aug 2006
[Incidence of delirium in a geriatric ward of a university hospital].
The aim of this study was to determine the prevalence of delirium based on the CAM scale in a geriatric ward in a university hospital. This paper describes the numbers of predisposing and precipitating factors are compared with the development of delirium. Finally, we present a discussion about treatment and prophylaxis. ⋯ The prevalence of 7% is a satisfying result. There is a discrepancy between diagnosing delirium with CAM and the doctors' routine. All patients must be considered as high-risk patients. Treatment has not been completely standardised.
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Ugeskrift for laeger · Aug 2006
Review[Intraosseous access in adults--an alternative if conventional vascular access is difficult?].
Intraosseous infusion is widely used in children, but its use in adults is much less common. This is probably because another vascular access can usually be achieved, and also because of lack of knowledge of the technique. ⋯ Infusion rates have been achieved that in part make fluid resuscitation possible. Its uses are many and the contraindications few; complications are rare when simple guidelines are followed.
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Laparoscopic techniques are increasingly being applied in gynaecology in Denmark. Despite this, the training and assessment of basic skills are still not managed with a valid, reliable and systematic approach. Laparoscopic simulators might be the innovative answer to this challenge, but implementation needs to be evidence-based This paper discusses the latest metaanalysis of the evidence of simulator systems for evaluation and transfer of technical surgical skills, and the paper also points out areas that need further investigation before implementation of simulators in the gynaecological surgical curriculum.
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Ugeskrift for laeger · Jun 2006
[Constraints on publication rights in industry-initiated clinical trials--secondary publication].
In 22 of 44 industry-initiated clinical trial protocols from 1994-95, it was noted that the sponsor either owned the data or needed to approve the manuscript; another 18 protocols had other constraints. Furthermore, in 16 trials, the sponsor had access to accumulating data, and in an additional 16 trials the sponsor could stop the trial at any time, for any reason. ⋯ We found similar constraints on publication rights in 44 protocols from 2004. This tight sponsor control over industry-initiated trials should be changed.