Ugeskrift for laeger
-
Ugeskrift for laeger · Oct 2001
[Research in Danish departments of anesthesiology at the turn of the century. A bibliometric analysis].
This investigation was based on the surmise that the scientific activity in the specialty of anaesthesiology and intensive care medicine in Denmark is declining. ⋯ Research activity in Danish anaesthesiology is declining, and the specialty seems to be losing scientific ground, both nationally and internationally.
-
Non-steroidal anti-inflammatory drugs (NSAIDs) are important agents in the management of arthritic and inflammatory conditions, and are among the most frequently prescribed medications in North America and Europe. However, there is overwhelming evidence linking these agents to a variety of gastrointestinal (GI) toxicities. ⋯ Misoprostol, PPIs, and double dose H2RAs are effective at preventing chronic NSAID related endoscopic gastric and duodenal ulcers. Lower doses of misoprostol are less effective and are still associated with diarrhea. Only misoprostol 800 micrograms/day has been directly shown to reduce the risk of ulcer complications.
-
Ugeskrift for laeger · Oct 2001
[Admission, initial examination and care of severely injured in Denmark].
The aim of this study was to describe the initial care and management of trauma patients in Denmark. ⋯ Many Danish hospitals receive trauma patients. However, a number of hospitals do not have the necessary organisation, clinical capabilities, or resources for trauma care. There is a need for regional and national guidelines for trauma care with recommendations ensuring early recognition of patients who may be sufficiently cared for in the local hospital, and those who require transfer to trauma centres for definitive care.
-
Cardiac rupture following blunt trauma is usually fatal. Patients arriving alive at the hospital may be saved with prompt diagnosis and treatment. We report a case where a haemopericardium was diagnosed by ultrasonography in a 28-year-old man involved in a motor vehicle accident. A tear in the right atrial appendage was successfully repaired in the operating room at the Emergency Department without the use of a cardiopulmonary bypass.