Tidsskrift for den Norske lægeforening : tidsskrift for praktisk medicin, ny række
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Tidsskr. Nor. Laegeforen. · Apr 2004
[Therapeutic hypothermia after cardiac arrest saves more lives!].
To treat patients suffering from cardiac arrest after restoration of spontaneous circulation has been difficult and discouraging, with a high mortality rate. Two independent studies have, however, shown that early treatment with hypothermia increases survival and protects from neurological sequelae after out-of-hospital cardiac arrest. Recently the International Liaison Committee on Resuscitation (ILCOR) has published an advisory statement recommending therapeutic hypothermia after out-of-hospital cardiac arrest. In this paper the issue is discussed and the therapy recommended.
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Tidsskr. Nor. Laegeforen. · Apr 2004
[Of what significance are diseases, intoxication and suicide in fatal traffic accidents?].
A large proportion of fatal car accidents cannot be explained by traffic environment, technical defects or risk-taking behaviour. Driver impairment from disease, alcohol, drugs or suicidal impulses may be involved. ⋯ Drivers with fatal injuries sustained in unexplained accidents seldom show signs of cardiac disease that could have contributed to the accident. It seems that such unexplained accidents are more often due to driving under the influence of alcohol or drugs, or to possible suicidal impulses.