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Biomedical subjects

C H Webb

Publications and source records attributed to C H Webb.

33 records · Page 2Linked to original sources
PubMed1992

Critical incident stress in prehospital emergency care.

In addition to the routine pressures associated with their demanding roles, prehospital emergency responders can suffer severe stress as a result of exposure to a critical incident. Such an event overwhelms the individual's ability to emotionally adjust, and can lead to symptoms which cause suffering in emergency personnel, their families and their patients. A Critical Incident Stress Management (CISM) Team has been established in southern West Virginia to address this occupational hazard. This group was formed as a cooperative arrangement between the Charleston Division of the West Virginia University Health Sciences Center and emergency personnel in the Greater Kanawaha Valley. This article offers an explanation of the team's functioning and specific information regarding its activation.

Critical Care↗
PubMed1990

Haemophilus aphrophilus endocarditis.

We report a case of Haemophilus aphrophilus endocarditis involving mitral and tricupsid valves in a boy with congenital heart disease. He had received dental treatment without antibiotic cover. Prolonged high-dose ampicillin with gentamicin was necessary for cure. Short courses of ampicillin alone may not successfully treat H. aphrophilus.

Ampicillin↗
PubMed1982

Preoperative assessment for practicing oral and maxillofacial surgeons.

A three-day workshop was designed for practicing oral and maxillofacial surgeons to review the clinical skills needed for preoperative assessment. The intent of the workshop was to prepare participants for broader hospital privileges under the new recommendations of the Joint Commission on Accreditation of Hospitals. The course was characterized by small group interaction and team-teaching involving physicians and oral and maxillofacial surgeons. Instruction included observation of simulated cases, a review of the documentation of such encounters, lecture-discussions, and examination of patients with positive physical findings.

Clinical Competence↗
PubMed1981

Comparison of serum erythromycin concentration following administration of 100 mg erythromycin ethyl succinate intramuscularly and 500 mg erythromycin stearate orally.

Serum erythromycin concentrations were estimated following administration of 100 mg erythromycin ethyl succinate intramuscularly and 500 mg erythromycin stearate orally. The subjects (30 healthy students) were randomly divided into two groups and each subject received a single dose of the alternate form of the drug after a 4-week interval. Blood samples were obtained at 0.5, 1, 1.5, 2, 3 and 4 h after administration by separate venepuncture. All 30 subjects recorded serum levels above 0.2 microgram/ml following administration of the intramuscular form of the drug. Following administration of the oral form of the drug, five subjects failed to record serum levels above 0.2 microgram/ml by the 2-h sampling time and three failed to do so by the 4th hour. It is concluded from the results that, despite the high serum levels recorded with the oral form when taken with food, the intramuscular route gives a greater assurance of consistent absorption into the blood stream. This result suggests that the use of the oral form of the drug as a prophylactic antibiotic in patients receiving dental treatment remains in doubt.

Administration, Oral↗
PubMed1980

The measurement of blood pressure and its interpretation.

The auscultatory or indirect technique of measuring blood pressure has been proved reliable in multiple clinical settings and has received wide application. In clinical studies, special efforts are used to train observers in the measurement of blood pressure and to ensure properly functioning equipment. Similar diligence in providing quality control is necessary in everyday practice to guard against potential errors. With proper care it is possible to obtain readings that classify the pressure to the nearest 5 mm Hg. Table 1 lists some of the sources of error that are possible with the indirect technique and the magnitude of these errors. It should be emphasized that many factors affect blood pressure variation and that any single reading is of limited value. A number of specific sources of information are useful to the practicing physician and his staff for maintaining equipment and for standardizing technique and procedure. Application of these principles to primary care practice should improve the accuracy of health maintenance and allow proper clinical application of the results of the many clinical studies of mild hypertension that are presently being conducted around the world.

Adult↗