Ugeskrift for laeger
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Sepsis, severe sepsis and septic shock are syndromes. The incidence of sepsis is as high as 35% and with mortality rates in the intensive care unit from 27% to 54% in sepsis and septic shock, respectively. ⋯ The treatment of severe sepsis and septic shock is based on the Surviving Sepsis Campaign guidelines developed by an international expert panel. Early diagnosis, optimization of haemodynamics, rapid identification of focus and adequate antibiotic treatment are the most important strategies.
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Ugeskrift for laeger · Jun 2014
Review[Assessment of the prognosis in patients who remain comatose after resuscitation from cardiac arrest].
In Denmark there are around 3,500 unexpected cardiac arrests (CA) out of hospital each year. There is an unknown number of CA in hospitals. ⋯ The purpose of this work is to disseminate new knowledge and to help standardizing the treatment in the group of patients who remain comatose after being resuscitated from CA. Assessment of the prognosis for a patient in this group can be made after 72 hours and a multi-modal approach to the patient is required.
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Burn wounds (ambustio) in children are frequent and occur in about 5% of all children and in about half of these before the age of three. The majority of the burn wounds in children occur at home, most frequently in the kitchen or the bathroom. ⋯ Hair-dryers have become widely used in drying soar baby buttoms. Therefore, professionals as well as parents should be better informed about the potential risks of using hair-dryers for this purpose.
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Ugeskrift for laeger · May 2014
Case Reports[Pleuroparenchymal fibroelastosis is a new entity which can be mistaken for sarcoidosis].
Pleuroparenchymal fibroelastosis is an idiopathic interstitial pneumonia, recently recognized as a new entity by American Thoracic Society/European Respiratory Society. We present the first Danish cases of pleuroparenchymal fibroelastosis in two young sisters, who had complained of dyspnoea since childhood. ⋯ High resolution CT showed apical peripheral consolidation, pleural thickening, traction bronchiectasis and enlarged lymph nodes of both patients; compatible with pleuroparenchymal fibroelastosis. Due to low lung function, lung biopsies were not performed.