Wiener klinische Wochenschrift
-
Wien. Klin. Wochenschr. · Sep 2011
Prehospital pediatric emergencies in Austrian helicopter emergency medical service - a nationwide, population-based cohort study.
Arguably, the most challenging emergencies encountered by emergency medical service crews involve children. Because only scant data exist about the epidemiology of pediatric emergencies in helicopter emergency medical service (HEMS) on a population level, we sought to determine the epidemiological characteristics stratified by responding area in a large nationwide sample. ⋯ Pediatric emergencies in Austrian HEMS show different epidemiological characteristics in alpine, urban and rural operational environments. Because of challenges and infrequency of prehospital pediatric emergencies, HEMS crews need to maintain their skills in pediatric advanced life support and trauma care.
-
Wien. Klin. Wochenschr. · Sep 2011
Multicenter StudyClinical efficacy of OROS® hydromorphone in patients suffering from severe chronic pain: A Study undertaken in routine clinical practice.
Strong opioids are efficient drugs for treating chronic pain. In cancer patients, strong opioids are the mainstay of pain management, but in non-cancer pain caution is advised due to possible adverse effects, addictive potential and drug abuse. ⋯ The severity of patients' pain decreased during treatment with OROS hydromorphone with few adverse effects. The observed pain relief was accompanied by an improvement in the quality of the patients' lives.
-
Wien. Klin. Wochenschr. · Sep 2011
Clinical features of unilateral headaches beyond migraine and cluster headache and their response to indomethacin.
The majority of previous studies on unilateral headaches beyond migraine and cluster headache have focussed on certain disorders such as paroxysmal hemicrania, SUNCT and primary stabbing headache. We assessed headache characteristics, importance of neuroimaging and response to indomethacin in an unselected series of uncommon unilateral headaches. We investigated all consecutive patients presented with unilateral headaches not fulfilling ICHD-II criteria of migraine and cluster headache. ⋯ Among classifiable headaches primary stabbing headache was the most common. Imaging should be considered to rule out secondary headaches. The course is favourable in one third of the patients.
-
Wien. Klin. Wochenschr. · Sep 2011
Case ReportsAtypical "mid-ventricular" Tako-tsubo cardiomyopathy in a patient suffering from posttraumatic stress disorder: A case report.
The syndrome of "left ventricular ballooning" summarizes an acute onset of transient extensive akinesia of several segments (apical, mid-ventricular) of the left ventricle, without significant lesions on the coronary angiogram, accompanied by chest symptoms, electrocardiographic changes, and limited release of cardiac markers disproportionate to the extent of akinesia. Initially, the vast majority of cases has been reported among Japanese population. Emotional or physical stress or other preceding triggering factors might play a key role in this reversible form of cardiomyopathy, but the precise etiology remains unknown. We describe a case of a 52-year-old woman with posttraumatic stress disorder after cerebral bleeding presenting with an atypical form of left ventricular ballooning ("midventricular ballooning") syndrome.