Ugeskrift for laeger
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Ugeskrift for laeger · Jun 1990
Case Reports[Lighter accidents. Burns caused by lighter explosions].
Attention is drawn to the danger of gas lighters. Four cases of burns caused by lighters are reported, two of these were due to lighter explosions. In Denmark, safety regulations concerning gas lighters are only recommended. The manufacturers and importers can decide whether or not requirements are adhered to.
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Ugeskrift for laeger · Jun 1990
[Out-of-hospital heart arrest. Prospective study of various types of expanded prehospital treatment in Odense].
During the period 1.2.1988-31.1.1989, a prospective investigation was undertaken of the intensive prehospital treatment in Odense. Comparison was undertaken between a medically staffed ambulance (2 months), a motorized doctor (rendez-vous, model 4 months) and the heart ambulance (recommended by the Danish National Board of Health (6 months]. Out of 28 patients brought in by the medically staffed ambulance, two (7%) were discharged alive. ⋯ Out of 78 patients brought in by heart ambulance one (1%) was discharged alive. The results of this investigation reveal that the prehospital treatment of cardiac arrest in Odense can be improved by participation of a doctor in the treatment, (particularly the rendezvous model). Suggested improvements consist of 1) improved alarm system, 2) intensification of training laymen in treatment of cardiac arrest and 3) increased information to the population.
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In connection with participation of doctors in the emergency ambulance service in Odense, the number of cases of observed cardiac arrest outside hospital was registered during a period of six months. The object was to assess how often primary treatment for cardiac arrest was instituted by passers-by before arrival of the ambulance. Seventy-four cases of observed cardiac arrest occurred. ⋯ In only three (4%) cases the primary resuscitation was undertaken by lay persons. Treatment of cardiac arrest before arrival of the ambulance increases survival. It is therefore essential to increase the number of courses in the treatment of cardiac arrest for lay persons, if mortality is to be reduced.
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Ugeskrift for laeger · Jun 1990
Case Reports[Proximal bilateral humeral fractures with posterior dislocation of the head of the humerus].
Seizures as the cause of skeletal fractures are well recognized. The commonest is fracture of the humerus. Bilateral fractures are rare and extremely rare in combination with posterior dislocation of the shoulder joint. ⋯ The mechanism of the injury is described and the treatment discussed. Regardless of the method of primary reposition employed, no difference in the subsequent joint function appears to be observed. Nevertheless, recognition of the condition and early reduction are of importance for the result.
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Ugeskrift for laeger · Jun 1990
[Continuous subcutaneous morphine--treatment of pain in patients with terminal cancer].
Nine patients with terminal cancer were treated for pain with continuous subcutaneous injection of morphine via a portable battery-driven injection pump. Treatment was instituted on account of failure of other forms of treatment with oral or epidural morphine derivatives or on account of severe nausea and vomiting which necessitated parenteral administration. ⋯ Two of the patients could be treated in their homes. The method is thus considered as suitable for treatment of pain in patients with terminal cancer.