Ugeskrift for laeger
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Ugeskrift for laeger · Sep 2005
Review Comparative Study[Paracetamol dosage for children--different from that for adults].
Paracetamol (acetaminophen) has become the most widely used antipyretic and analgesic drug for children in Denmark. However, there is a wide discrepancy between the consumption of the drug and our knowledge of children's pharmacokinetics and pharmacodynamics. Dosage, therapeutic intervals and toxic potential are different for children and adults. In this review we look at the published guidelines for treating children with paracetamol and the evidence supporting them.
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Ugeskrift for laeger · Sep 2005
[Communication skills training for medical students: from the simple to the complex].
Communication skills training at the Medical School of Copenhagen University aims to teach students basic skills in both interviewing and giving information. The article describes a method whereby the students follow a general communication skills model for giving information. ⋯ These skills are also practiced in clinical courses on real patients, under supervision. Later on, the students are trained in breaking bad news, but with simulated patients only.
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The results of extensive and prolonged surgical procedures performed in multi trauma patients are often poor. These patients may develop the lethal combination of metabolic acidosis, coagulopathy and hypothermia, which reduces their physiological reserve capacity. ⋯ Thereafter, resuscitation is performed in the intensive care unit. Finally, reoperation and definitive repair of lesions are done.
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Ugeskrift for laeger · Sep 2005
[From accident to trauma center--the lapse of time for patients with severe head injuries].
Early neurosurgical intervention and specialised neurointensive care have been shown to decrease morbidity and mortality in cases of severe head injury. This makes quick or direct transfer to a trauma centre essential. The aim of this study was to investigate the time from the time of the accident required for secondarily transferred patients with head injury to arrive at the trauma centre in Aarhus. ⋯ The time from accident to arrival at the trauma centre was long, considering the severity of the injuries and the short distances involved. Direct transfer from the site of accident to the trauma centre would almost certainly improve the time. This study gives a reference value for the Danish trauma system.
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Ugeskrift for laeger · Sep 2005
[General practitioners' evaluation of the out-of-hours service in Copenhagen County].
This investigation was part of a large project concerning quality development in the primary care out-of-hours service in Copenhagen County, Denmark. ⋯ Overall, the GPs expressed a high level of satisfaction with the out-of-hours service. They also felt that their patients were satisfied. However, the study pointed out the difference in perception between patients and doctors regarding the aim of the service.