Wiadomości lekarskie (Warsaw, Poland : 1960)
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Hypermagnesemia, defined as a plasma total magnesium concentration greater than 1.2 mmol/l, is much less common than hypomagnesemia, however it may be also life-threatening. In this review causes, clinical presentation and treatment of hypermagnesemia is shortly reviewed.
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Sudden health-threatening conditions with cardiovascular aetiology constitute a great number of all interventions of emergency medicine teams. Diagnostic and therapeutic abilities of modern cardiology lead to the necessity of introducing diagnostic methods which enable effective pre-hospital diagnostics in patients with circulatory system diseases also in emergency medicine. The ECG teletransmissions performed by emergency medicine teams prior to hospitalization increase the accuracy of the diagnosis and thus improve the organization of medical transport of patients to the medical centres appropriate to their medical condition. ⋯ The system of ECG teletransmissions and consultations was appreciated by ZRMs and significantly supported their actions. The system should be supervised and coordinated by emergency medicine centres such as the Teletransmission Centre, Emergency Departments or Emergency Rooms. ECG teletransmissions make it possible to extend the paramedics and nurses' competences as regards emergency medical actions with patients with circulatory system diseases. The introduction of ECG teletransmissions from the place of the incident and the doctor's consultation have led to the optimization of transport of patients to appropriate in respect to their condition medical centres.
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Fournier's gangrene is a necrotizing fasciitis and soft-tissue infection of the perineal region. The clinical course of the disease, in many cases, is fulminant. This case presents a patient with symptoms of Fournier's gangrene that developed during hospitalization following a vehicular accident. ⋯ Because of the progressing septic shock, the patient was admitted to the Intensive Care Unit. Treatment was based on extensive soft tissue debridement, antibiotic and hyperbaric-oxygen therapy. The patient was discharged 7 weeks after hospitalization.