Lancet
-
The Department of Employment has now accepted that groups working under supervision in open industry are superior to sheltered workshops in the management and retraining of the disabled. A scheme along these lines has been organised in Bristol for twelve years, and experience with the scheme suggests that, for former patients of mental hospitals, the approach is the right one. It is most acceptable to the patient and has the advantage of giving the patient the best chance of becoming self-sufficient.
-
Cardiopulmonary resuscitation and rewarming were successful in a 5-year-old boy who had been submerged for 40 minutes in ice-cold fresh water. Severe metabolic acidosis was corrected by intravenous infusion of sodium bicarbonate solution before spontaneous circulation could be re-established. ⋯ During 2 days of treatment of a respiratory the patient gradually regained consciousness; the endotracheal tube was then removed and the patient immediately started talking intelligently. The patient went through a period of slow cerebration and motor dysfunction but recovered rapidly, and on examination 13 months after the accident all findings were normal.