Ugeskrift for laeger
-
Intervertebral discitis in children is a benign inflammatory condition with a varied clinical picture and quite characteristic radiographic findings. The etiology is still unknown and infectious and traumatic geneses have been discussed. A case in a girl aged three years is described and treatment with antibiotics and immobilisation are discussed.
-
Ugeskrift for laeger · Aug 1990
Review[Hypothermia. Physiopathology, clinical picture and treatment].
Hypothermia is defined as a lowering of core body temperature to 35 degrees C or below. Hypothermia may be advantageous in connexion with cardiac surgery or it may be fatal in connexion with accidental hypothermia. Accidental hypothermia is a problem which may be underestimated because of limited awareness. ⋯ All such patients should undergo cardiopulmonary resuscitation in addition to rewarming, because reliable determination of death is nearly impossible without the restoration of adequate cardiovascular support, maintaining serum acid base balance, arterial oxygenation and intravascular volume levels within appropriate physiological ranges. Three controversial issues in connexion with treatment of the hypothermic patient are reviewed. These are correction of blood gas analyses, the phenomenon of afterdrop and cardiopulmonary resuscitation.
-
Ugeskrift for laeger · Jun 1990
[Ambulance services for patients with acute cardiac conditions in Denmark--current state].
In 1985, the Danish Board of Health published a review of the therapeutic value of heart ambulances. A report is presented here concerning the extent to which prehospital treatment of cardiac arrest recommended by the Board of Health has been intensified after publication of the review. ⋯ Recent Danish investigations have demonstrated better prognosis both as regards survival and as regards recovery when intensified prehospital treatment of cardiac arrest is employed. Hence legislation steps should be taken to improve pre-hospital treatment of cardiac arrest.
-
Ugeskrift for laeger · Jun 1990
[Prehospital treatment. The Odense ambulance project. A prospective study].
No legislation exists about ambulance services in Denmark. The present Danish prehospital treatment is undertaken by Falcks Redningskorps A/S and the municipal fire services. During a period of 12 months (1.2.1988-31.1.1989) a prospective investigation was carried out in Odense concerning the effect of medical support to the ambulance service, partly in the form of a medically staffed ambulance, partly in the form of an arrangement in which an independent doctor's car (rendez-vous arrangement) was sent together with the nearest ambulance. ⋯ Experience from abroad and recent Danish trial arrangements demonstrate the positive effect of extended professional prehospital treatment. The authors consider, therefore, that an ambulance law is required as this would ensure better and more uniform prehospital treatment in Denmark. Planning of the future prehospital treatment of acute and injured patients including the extent of the training, equipment and treatment must be established on the basis of a healtheconomical assessment of the Danish arrangements.
-
Ugeskrift for laeger · Jun 1990
[Intensified prehospital treatment of heart arrest increases the number of survivors with good cerebral function].
Psychological assessment in the form of a test for dementia was carried out in 69 individuals. Thirty of these were survivors of cardiac arrest outside hospital. ⋯ The result of the investigation demonstrates that the more intensive the prehospital treatment of cardiac arrest, the more patients survive with good cerebral function. In particular, the percentage of cerebral damage was least in cases where a medically staffed ambulance was employed.