Southern medical journal
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Southern medical journal · Mar 2000
Comparative StudyCaffeine in the treatment of apnea associated with respiratory syncytial virus infection in neonates and infants.
The xanthines have been shown to be effective in the treatment of apnea of prematurity. Limited reports are available in the literature concerning the use of these agents with apnea related to respiratory syncytial virus (RSV) infections. ⋯ Caffeine should be considered in the treatment of apnea related to RSV infections in neonates and infants.
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Southern medical journal · Mar 2000
Case ReportsScalp laceration: an obvious 'occult' cause of shock.
Scalp lacerations are often present in patients requiring emergency care for blunt trauma. These injuries are most commonly seen in unrestrained drivers or occupants involved in motor vehicle crashes in which the victim is partially or totally ejected. Patients with scalp lacerations often have associated injuries that redirect the clinician's attention to other injury sites. ⋯ Under such circumstances, the scalp wound may be initially dismissed as trivial and attention appropriately turned to assuring an adequate airway, establishing intravenous lines, initiating volume resuscitation, and searching for more "occult" sources of blood loss. However, as the blood pressure returns toward normal, bleeding from the scalp wound becomes more profuse and presents a hemostatic challenge to the clinician. A case presentation illustrates some of these issues and confirms the effectiveness of an often overlooked but simple technique to control scalp hemorrhage--Raney clip application.