Ugeskrift for laeger
-
Ugeskrift for laeger · Jan 2000
[Prolonged neck pain following automobile accidents. Gender and age related risk calculated on basis of data from an emergency department].
Whiplash injuries following road traffic accidents seem to be an increasing problem in many countries. Many studies are based on biased material from specialized departments or data from insurance companies. The aim of this study was to calculate the risk of longer lasting neck pain for persons involved in road traffic accidents and treated in the emergency room. ⋯ Accidents with front to back collisions presented the highest risk. The conclusion was that whiplash associated disorders following road traffic accidents in motor vehicles apparently is a large problem. The treatment and rehabilitation must be centralized at the level of the general practitioners.
-
Ugeskrift for laeger · Dec 1999
Case Reports[Two cases of severe eye and cranial injuries due to firework explosions].
Two patients who sustained serious facial, cranial and eye trauma secondary to recreational fireworks injuries are reported. Initial assessment included axial and coronary computerized tomography, control of haemorrhage, debridement of wound and brain, and in one patient bilateral excenteration of the globe. Both patients suffered from intracranial haemorrhage, but both recovered without severe neurological sequelae.
-
Ugeskrift for laeger · Dec 1999
Review[Amphetamine, ecstasy and cocaine. Clinical aspects of acute poisoning].
Consumption of the illicit drugs amphetamine, ecstasy and cocaine is increasing in Denmark and Europe leading to an increasing number of intoxications with these drugs. Abroad, several deaths after ingestion of a few doses of the drugs have been reported. Amphetamine, ecstasy and cocaine increase the amount of dopamine, norephedrine and serotonine in the nervous system, resulting in CNS stimulation and a general sympathomimetic stimulation. ⋯ Hyperpyrexia, rhabdomyolysis and affections of the kidneys, lung and liver function are also often seen. Hyperpyrexia is an important marker of poor prognosis, and must be handled aggressively. A review of the literature concerning the optimal treatment based on pharmacological and diagnostic considerations is given in the article.