British medical journal
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British medical journal · Oct 1975
Intravenous diazoxide in treatment of hypertension associated with recent myocardial infarction.
Twenty patients with blood pressure over 180/110 mm Hg one hour after admission to a coronary care unit with recent acute myocardial infarction were given intravenous diazoxide in a bolus of 300 mg. The average blood pressure before diazoxide was 194/122 mm Hg. Blood pressure fell considerably in all patients, though six patients required two injections. ⋯ The heart rate increased by an average of 10 beats/min. In nine patients the electrocardiographic changes immediately after the administration of diazoxide suggested an increase in myocardial injury. Though none of the patients seemed to deteriorate clinically from the diazoxide the electrocardiographic changes suggested that the use of intravenous diazoxide to lower blood pressure in patients with acute myocardial infarction might possibly be deleterious.
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British medical journal · Sep 1975
Treatment of wounds from animals suspected of carrying neurotropic viruses.
The methods used at the Clinical Research Centre, Northwick Park Hospital, to treat wounds potentially infected with neurotropic viruses are outlined. Emphasis is laid on first aid and on surgical attention. Patients should remain under medical supervision for at least four weeks after the injury, the need for specific post-exposure treatment depending on the nature of the exposure.
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British medical journal · Sep 1975
Moorgate tube train disaster. Part 1-Response of medical services.
Experience of the medical staff at a major subterranean accident scene showed that there appeared to be a substantial advantage in using site medical teams that could offer anaesthetic facilities. The need for adequate communication from the accident site to the hospital is emphasized.
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Almost any patient may be carried by air, but air transport introduces some special problems owing to the effects of altitude, noise, turbulence, and the special environment. Because of these factors it is important to know when considering a patient's suitability for air transport the type of aircraft to be used, the flight profile--its duration and expected cabin altitudes--and the facilities available on board. It is essential to carry all equipment (as simple and as portable as possible), drugs, and diets that may be needed, and to be sure that all the skills and nursing help needed to deal with any possible problems are available.