Ugeskrift for laeger
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Ugeskrift for laeger · Jul 1991
[Emergency prehospitalization treatment of cardiac arrest in the municipality of Copenhagen].
A retrospective study was performed concerning prehospital cardiac arrest. This revealed that 177 consecutive patients received advanced medical resuscitation by an anaesthesiologist at the site of the accident during the period 01.01.1988-31.12.1988. ⋯ After one year, 21 were still alive. Compared with the results of previous studies in Copenhagen, this study reveals that the overall survival rate may have improved and that cerebral function after cardiac arrest seems to have been improved by the introduction of prehospital medically staffed ambulances.
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Ugeskrift for laeger · Jul 1991
Case Reports[Pericarditis with pericardial tumor-like manifestations in echocardiographic and magnetic resonance examinations].
A case of acute cardiac insufficiency in a 26 year old woman is described. Ultrasound examination of the pericardium was suspect for an pericardial tumor with pericardial effusion and solid masses of tumor in the fluid. ⋯ The patient recovered completely on steroid therapy and control MRI showed anatomic normalisation of the cardiac region. It is concluded that idiopatic peracarditis can mimic pericardial tumor on ultrasound and MRI investigation.
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Ugeskrift for laeger · Jul 1991
[The patterns of admission for patients with suspected acute myocardial infarction].
The patterns of admission to hospital for 161 patients with suspected acute myocardial infarction during the period 1.2.1988-30.9.1988 were investigated. This revealed that 59% called their doctor, 20% called the ambulance directly, 11% arrived at the doctor's office or casualty department and 7% were admitted with cardiac arrest. The durations of delay were investigated. ⋯ In 40% of the cases, the doctors did not wait for the ambulance. 44% of the patients with acute myocardial infarction referred to hospital by doctors who did not accompany them were in poor condition on arrival (one patient died in the ambulance). 33% of these patients died in hospital. The ambulances were staffed by three persons with paramedical training in only 5% of the cases when the patient first called the doctor and in 41% of the cases when the ambulance was called as an emergency. The study reveals that prehospital treatment of cardiac patients should be improved.
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Ugeskrift for laeger · Jun 1991
[Assessment of the surgical risk. Is the time between myocardial infarction and a possible surgical procedure of significance for a surgical risk?].
During a five year period, 320 patients suffered from acute myocardial infarction (AMI) and within the next twelve months became candidates for surgery for either appendicitis (99 patients) or for a hip fracture (221 patients). An evaluation of the mortality at the second event (i.e. appendicitis or hip fracture) in relation to the time between AMI and second event, was done following the intention to treat principle. Appendicitis occurred with the same incidence during all 12 months following AMI. ⋯ The relatively high mortality in the first months after AMI could partly be explained by an association between congestive heart failure and hip fracture in the first months after AMI. We conclude that the "operative" mortality in patients with recent AMI is high. The mortality is related to congestive heart failure and not to the time between AMI and surgery.
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Ugeskrift for laeger · Jun 1991
[Continuous epidural treatment of cancer pain using a portable infusion pump].
Treatment of cancer pain with opioids through an epidural catheter, with a portable infuser has been recorded in 20 patients retrospective. In general there was a good acceptance of the treatment, which often could liberate the patients from close contacts to the pain clinic. ⋯ One patient had systemic adverse effects because of a very high daily opioid dose. The Pharmacia Deltec infuser employed has proven very secure and easy to handle.