Ugeskrift for laeger
-
Ugeskrift for laeger · Oct 2002
Comparative Study[Bicycle accidents. Differences between one-vehicle accidents and accidents involving two or more vehicles].
Bicycle accidents are the most frequent traffic accidents in Denmark. Most of these accidents are one-vehicle accidents. The aim of this study was to investigate the differences between one-vehicle accidents and accidents with a counterpart in order to suggest focused prevention. ⋯ One-vehicle accidents often result in severe injuries indicating a need for prevention. Special attention should be given to the young and the elderly. Although many bicycle accidents have no immediate cause, preventive measures should be taken, such as better clearing of roads and bicycle tracks and campaigns against drink-riding.
-
Ugeskrift for laeger · Oct 2002
Comparative Study[Seriously injured patients intubated at the accident site. A three-year survey from the mobile emergency care unit in Aarhus].
The success rate of out-of-hospital endotracheal intubations performed by paramedics has been questioned. It seems to be difficult to achieve and keep a routine. The aim was to describe the severity of injuries and the number of such intubations in trauma patients treated by the Mobile Emergency Care Unit (MECU) staffed with an anaesthetist. ⋯ Out-of-hospital endotracheal intubation of trauma patients was not a frequent intervention, as compared to all emergency calls, but it was relatively frequent in the severely injured brought to our hospital. If endotracheal intubation is to be one of the available interventions in the prehospital setting, this study confirms that it should preferably be done by physicians experienced in intubation and anaesthesia.
-
Reflex sympathetic dystrophy or complex regional pain syndrome type I is primarily a clinical diagnosis. The syndrome is most common after soft tissue damage or fractures and is more often seen in women than in men. The paramount symptom is pain, but oedema, a limited range of motion, changes in sensibility, and trophic changes are also seen. ⋯ It seems that early treatment with physiotherapy and corticosteroids has a positive effect on the disease. Despite lack of documentation, the principles of treatment usually prescribed for the treatment of neurogenic pain must be taken into consideration. There is a lack of large double-blind studies on all aspects of the syndrome.
-
The aim of the study was to investigate the stability of labour pain recall 14-21 months after delivery, and to relate it to events during labour. ⋯ In general, labour pain recall fades over time or tends to be stable, but to a significantly higher number of women receiving pethidine, pain seems to intensify on recall. If further investigations show that this is an effect of pethidine itself, opioids should be used with caution during labour.
-
In relation to the development of quality standards for the national quality development study, DGMA, a search was made through the literature on outpatient care. The literature was scanty, but some evidence was found on the following: Continuity of care is a patient demand, and several studies show more effective and less expensive treatment when this is ensured. Two studies show impaired quality of treatment, but quality is not defined either precisely or uniformly. ⋯ Failure to turn up for appointments affects up to 29 per cent of consultations. Non-attendances could be cut down if patient factors and continuity of care are taken into account. Some outpatient consultations could take place in the general practitioner's surgery, if hospital doctors knew more about their capabilities.