Ugeskrift for laeger
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Systematic process triage is a relatively unknown concept in Denmark. Currently there are no national recommendations regarding triage models for use in the emergency department (ED). ⋯ DEPT is inspired by the Swedish ADAPT system, but modified for a Danish context. This paper summarizes the cumulated experience with the new system.
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Benign paroxysmal positional vertigo, vestibular neuronitis and Menière's disease cause most cases of acute vertigo. However, doctors must consider central neurological reasons to vertigo. If it is determined that a patient has oto-neurological vertigo, the next task is to determine whether the patient has a peripheral or a central cause of vertigo, if the condition is potentially lethal and if there is a need for acute radiological imaging and/or medical intervention. This review highlights the oto-neurological approach to the dizzy patient with particular focus on the patient's history, clinical tests and treatment.
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Suicide rates in Denmark have declined since 1980 both in the general population and among psychiatric patients. In recent years, the number of suicides in Denmark has been rather stable with approximately 650 incidents each year. ⋯ A crisis plan developed together with the patient can be helpful. Regular screening for risk of suicide should be implemented in psychiatric services.
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Ugeskrift for laeger · Sep 2011
Review[The use of ultrasound for nerve block in children seems beneficial].
Nerve blocks play an increasingly important role in pediatric regional anaesthesia. The benefits are numerous compared to standard pain regimens. ⋯ Furthermore, US has the potential to reduce the rate of complications. This review describes both classic and US guided techniques for the peripheral nerve blocks used for pediatric abdominal and thoracic surgery and briefly discusses the advantages and disadvantages of applying US.
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Peripheral nerve blockade (PNB) is an important part of the anaesthesiologist's armamentarium. It constitutes an alternative to general anaesthesia, thus it is important that all anaesthesiologists have adequate skills in this area. ⋯ An answer to this problem is to provide adequate education in PNB in the early stage of postgraduate training. This article presents how we, at our institution, have set up a PNB program that provides value.