Ugeskrift for laeger
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Ugeskrift for laeger · Nov 1997
[An ambulatory service staffed with military physicians in a rural district. Experiences from a period of 6 years].
A local rendez-vous arrangement is described retrospectively in which the medical officer on duty at the infirmary, Oksbøl military camp participated in the ambulance service and the prehospital treatment of acutely ill patients. The military ambulance supports the civilian ambulance service in the municipality of Blåvandshuk, Western Jutland. This arrangement was carried out in 430 cases and 399 patients were brought to hospital. ⋯ Sixty-seven percent were treated immediately by the military ambulance. This arrangement has improved the prehospital treatment of acutely ill patients by using pre-existing resources from a military camp. We propose further cooperation between civilian health authorities and the Danish Armed Forces' Health Services when planning the prehospital services.
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Ugeskrift for laeger · Nov 1997
Letter[Communication between primary and secondary sector and its significance for patient care. Evaluation based on admission records and discharge letters of patients admitted acutely to a department of internal medicine].
The aim of this study was to evaluate the informative content of referrals and discharge summary letters concerning patients admitted acutely to the Department of Internal Medicine in a Danish district hospital, and to estimate the delivery time for discharge summary letters. A total of 132 patients were consecutively enrolled from May 2nd to May 30th 1995. The receiving doctor in the hospital on the day of admission as well as the general practitioner who received the discharge summary letter were asked to complete a specific designed questionnaire. ⋯ In every fifth case the information was needed earlier. The discharge summary letters often lacked information concerning what the patients had been told, prognosis and suggestions concerning social medicine. This study indicates that the collaboration between general practitioners and doctors in hospital can be improved by of enhancing the informative content of referrals and discharge summary letters and the expedition time of discharge summary letters.
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Ugeskrift for laeger · Nov 1997
[Ambulatory knee arthroscopy in arthroscopic surgery under local anesthesia].
After introducing knee arthroscopy in local anaesthesia as a standard regime in outpatients, we want to describe our experiences from 403 arthroscopies performed in 401 patients, aged 15-80 years, mean 37 years. Diagnostic arthroscopy was performed successfully in 397 of 403 cases. ⋯ In conclusion, outpatient arthroscopy of the knee with transarthroscopic surgery in local anaesthesia using high dose lidocaine and no sedation is a valuable tool, and should be used on a larger scale. It is possible to carry out diagnostic arthroscopy and arthroscopic surgery in most patients, especially concerning resections of menisci.
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Ugeskrift for laeger · Nov 1997
[Sedation of children on respirators. A questionnaire study on therapeutic strategies and withdrawal problems].
The purpose of this study was to identify the patterns of use of sedative agents and withdrawal problems in the paediatric intensive care unit (PICU). A questionnaire survey was mailed to 46 Danish intensive care units. Only 24 of these treated paediatric patients needing mechanical ventilation. ⋯ There was general satisfaction with the used drugs. The majority of departments noted that there was no protocol for sedation in their PICU. The majority of departments (70.8%) did not consider drug withdrawal to be a problem, but those departments who treated most children considered drug withdrawal to be a problem.