Tidsskrift for den Norske lægeforening : tidsskrift for praktisk medicin, ny række
-
During the first ten months of 1992 the Oslo Ambulance Department registered 716 incidences of assumed drug-related intoxications. 80% happened in down town Oslo. 19 cases of asystoly were recorded, 13 of the patients recovered after treatment, without sequelae. Five of these patients left the location after emergency help and they refused hospitalization. 432 of the patients were unconscious when the ambulance personal arrived, 472 were treated with naloxone both by the intramuscular and the intravenous route. ⋯ A team of specially trained out reach workers offers help after acute medical treatment by means of "streetwork". The intervention is directed at addicts who have experienced an overdose.
-
Tidsskr. Nor. Laegeforen. · Apr 1993
Review[Capnography. A new monitoring method may improve patient safety during anesthesia and in the recovery room].
This review describes the diagnostic possibilities of capnography: the graphic presentation of carbon dioxide concentrations in respiratory gas during the entire respiratory cyclus. The monitoring may confirm that the tube used for intubating the patient's trachea is positioned in the patient's airway, and indicates dysfunction of the tube or of the ventilator. ⋯ Patients without artificial airways may also be monitored by capnography. The method may reduce the number of arterial blood gases required to check the degree of ventilation.
-
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.
-
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.