Irish journal of medical science
-
Case Reports
Anaphylaxis due to suxamethonium--manifested at induction of anaesthesia by bradycardia and cardiac arrest.
This case report describes an unusual presentation of a severe anaphylactic reaction following induction of anaesthesia in an elderly male patient. Full recovery followed protracted resuscitation.
-
Advanced trauma and life support principles: an audit of their application in a rural trauma centre.
In December of 1995 a system of trauma care based on Advanced Trauma Life Support (ATLS) principles was instituted to assess the impact of such principles on trauma care in a rural general hospital setting. This audit reviews the results over a 2 yr period to December 1997. All patients admitted with major trauma (i.e. with life threatening or potentially life threatening injuries) to Cavan General Hospital (CGH) were eligible for inclusion. ⋯ One-third had their full treatment at CGH with a 76 per cent survival rate. The other two-thirds were transferred for specialist intervention with an overall survival of 80 per cent, a disability rate of 16 per cent and a mortality rate of 4 per cent. No patient died during transportation.
-
Modern treatment of foot and ankle disorders must be based around the restoration of normal function and only if the biomechanics of the foot and ankle are properly understood can appropriate treatment programmes be planned. In the past such programmes have been arbitrary, often based on fusion which could not ever restore normal foot function. However, when one combines the experience of historical treatment techniques with modern biomechanical principles, a new and modern approach can be adopted so that new treatment protocols can be developed.