Tidsskrift for den Norske lægeforening : tidsskrift for praktisk medicin, ny række
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Tidsskr. Nor. Laegeforen. · Feb 1999
Review Practice Guideline Guideline[Guidelines for basic cardiopulmonary resuscitation of adult patients. European Resuscitation Council].
In this article, 15 experts from six countries present an abridged version of the 1998 European Resuscitation Council guidelines for adult basic life support. Persons trained in advanced life support should use these guidelines together with the guidelines for advanced life support, also published in this journal. There are a few changes from the previous guidelines published in 1993. ⋯ In Norway, but not in the rest of Europe, the evaluation of the circulation by a pulse check has been eliminated in basic, but not in advanced cardiopulmonary resuscitation. This is due to reports that pulse checks performed by lay rescuers require much time with poor specificity and sensitivity. Finally, in evaluating the patient's own ventilation the differentiation between agonal gasps and regular breaths is stressed.
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Frostbite injuries occur mainly in toes, fingers, ears, nose and cheek. Typically an initial vasoconstriction in the skin will protect from drop in core temperature. Ice crystal development occurs when tissue temperature drops to -2 degrees C, leading to increased osmolality of the extracellular fluid and intracellular dehydration. ⋯ Thawing should preferably be done in stirred water of 40-42 degrees C with mild soap. Antibiotics may be indicated when the skin barrier is broken. Surgical debridement should be postponed until a clear demarcation occurs.
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Tidsskr. Nor. Laegeforen. · Jan 1999
Case Reports[Brain stem infection caused by Listeria monocytogenes].
Rhombencephalitis due to Listeria monocytogenes is a serious form of brainstem inflammation. It is difficult to diagnose on the basis of clinical and laboratory findings alone. We describe a fatal case of Listeria monocytogenes rhombencephalitis in a previously healthy female teenager. Clinical and pathogenetic aspects of this condition are discussed.