Danish medical journal
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Danish medical journal · Jul 2013
Comparative Study Clinical TrialPhysician-staffed emergency helicopter reduces transportation time from alarm call to highly specialized centre.
Since 2007, the number of Danish emergency departments has decreased from 44 to 21. Longer distances to specialized treatment have increased the demand for advanced prehospital treatment. A Danish 24/7 Helicopter Emergency Medical System (HEMS) project in western Denmark was initiated on 6 January 2011. The HEMS provides prehospital care delivered by a specialized anaesthesiologist. This study evaluated the effect of HEMS on the time to treatment by a physician (time-to-doctor) and the time from a 112 emergency call to arrival at the highly specialized centre (time-to-centre) for patients with ST-elevation myocardial infarction (STEMI) or severe injury (Injury Severity Score > 15). ⋯ not relevant.
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Danish medical journal · Jul 2013
Observational StudyA helicopter emergency medical service may allow faster access to highly specialised care.
Centralization of the hospital system entails longer transport for some patients. A physician-staffed helicopter may provide effective triage, advanced management and fast transport to highly specialized treatment for time-critical patients. The aim of this study was to describe activity and possible beneficial effect of a physician-staffed helicopter in a one-year trial period in eastern Denmark. ⋯ Funded by Trygfonden.
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Danish medical journal · Jul 2013
Primary percutaneous coronary intervention delay for patients living in a peripheral area in Denmark.
In patients with ST-elevation myocardial infarction (STEMI), timely primary percutaneous coronary intervention (PPCI) is superior to thrombolysis and it is the preferred treatment in Denmark. The prognosis depends on the time delay until coronary blood flow is re-established. The purpose of this registry study was to evaluate the PPCI treatment delay of the triage algorithm in a peripheral area in the Region of Central Jutland in the context of European guidelines. ⋯ not relevant.
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Danish medical journal · Jul 2013
Comparative StudyBone graft materials in fixation of orthopaedic implants in sheep.
Bone graft is widely used within orthopaedic surgery especially in revision joint arthroplasty and spine fusion. The early implant fixation in the revision situation of loose joint prostheses is important for the long-term survival. Bone autograft has been considered as gold standard in many orthopaedic procedures, whereas allograft is the gold standard by replacement of extensive bone loss. ⋯ The combination of DBM with CB may represent an alternative to allograft. In study III, mechanical testing and histological analysis can be applied either from the superficial or the profound part of the implant. By applying the histological analysis from the superficial part and the mechanical testing from the profound part, an extra section is required.
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Danish medical journal · Jun 2013
Review Comparative StudyNitrous oxide provides safe and effective analgesia for minor paediatric procedures--a systematic review.
Pain and distress during minor hospital-related procedures is a familiar problem in many children. Inadequate relief of children's procedural pain and distress not only affects the experience of the children and their parents, but also adversely impacts procedural success. We aimed to review the safety and efficacy of nitrous oxide during brief, but painful paediatric procedures and to compare nitrous oxide with some of the commonly used pharmacological and non-pharmacological treatments for relieving anxiety and mild to moderate pain in Denmark. ⋯ Nitrous oxide is a safe and effective method to achieve analgesia and sedation during minor, but painful procedures. It can be safely administered by a dedicated staff member. This helpful method is still underused in Denmark, and we believe that it could be an alternative or the first choice of treatment in emergency and paediatric departments.