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Psychiatric problems are common and disabling after major or minor road traffic accidents (RTAs). One-fifth of victims develop an acute stress reaction, and one-quarter display significant psychiatric problems within the first year. Psychiatric problems may obstruct recovery from the physical injuries sustained.Awareness of post-accident psychiatric morbidity has stimulated interest in preventative...
This is the first paper describing the use of midazolam as an adjunct in the initial phase of resuscitation after injury. It is a retrospective study of the use of midazolam in resuscitations after injury over a 6-week period in 1994. In this period 45 patients required endotracheal intubation as part of resuscitation, of whom 33 (73 per cent) were given midazolam. The indications for its use,...
To perform needle thoracocentesis for life-threatening tension pneumothorax ATLS guidelines recommend use of a cannula 3 to 6 cm in length and a 30 ml syringe. The chest-wall thickness (CWT) of a group of patients is presented in the light of the guidelines for needle thoracocentesis and the cannulae used in UK clinical practice.CWT in the 2nd intercostal space, midclavicular line, was determined...
Seventy-five AO unreamed femoral nails were implanted between March of 1994 and the end of September 1995. Fifty-one patients were followed up for at least 6 months. These include 37 patients with isolated or polytrauma femoral shaft fractures, seven pathological fractures and seven nails inserted for revision of previously failed fixations. The main age of the patient was 55 years, range from...
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