Tidsskrift for den Norske lægeforening : tidsskrift for praktisk medicin, ny række
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Tidsskr. Nor. Laegeforen. · Feb 1996
Comparative Study[Patients with cancer-related pain and other chronic pain. Priorities and assessment].
In a survey completed at our hospital, 519 doctors and nurses were asked how pain treatment was estimated whether it received priority, and to what degree patients' pain syndromes were assessed. A total of 473 responded to the questionnaire. In the study cancer-related pain and pain from causes other than cancer were assessed in separate population groups. ⋯ Only 46% assumed that a planned pain assessment was done as a routine. Physicians and nurses alike experienced great inadequacy in their work with patients in pain. This was expressed more clearly in connection with pain not caused by cancer.
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Tidsskr. Nor. Laegeforen. · Feb 1996
[Cardiopulmonary resuscitation skills. A survey among health and rescue personnel outside hospital].
The aim of this study was to survey practical skills and theoretical knowledge in lifesaving first aid among health and rescue workers outside hospital. 45 police officers, 46 firemen, 57 nurses and 42 general practitioners participated. Unprepared, they were presented with a "patient" (resuscitation doll) without respiration or heart beat, and were asked to do what was necessary to revive the "patient". ⋯ Those who had taken a course in first aid during the previous year achieved significantly better results than the rest. It is concluded that health and rescue workers outside hospital follow the European Resuscitation Council's guidelines for basic cardiopulmonary resuscitation to only a small degree, but that the situation can be improved by more regular training.
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The increasing use of ambulatory surgery has led to greater focus on the rationale for preoperative screening tests. What pre-operative tests are selected depends on the patient's history and a clinical examination with the focus on general health. A preoperative ECG of patients older than 60 years of age is the only test which should be performed as a routine prior to ambulatory surgery.