Tidsskrift for den Norske lægeforening : tidsskrift for praktisk medicin, ny række
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Tidsskr. Nor. Laegeforen. · Mar 1993
Case Reports[Physician's statement concerning whiplash injuries. Significance of supplementary information].
The frequency of insurance cases following traffic accidents involving the whiplash mechanism is increasing in Norway. The economic consequences are obviously great, both for the individual patient and for society. Declarations by medical specialists may be of vital importance when assessing the degree of medical invalidity. ⋯ In eight of these cases, the information in reports from their usual doctor or physiotherapist varied from the case history described by the patient. In all these cases, a previous history of neck pain was found in the health reports, but was not mentioned, and was partly denied, by the patients. Our results underline the importance of supplementary information.
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Most avalanche victims die from asphyxia (68%) followed by trauma (13%). Hypothermia is a less common cause of death. ⋯ Cardiopulmonary resuscitation may be required. Unconscious victims without vital signs should be treated in the same way as victims with severe hypothermia.