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Biomedical subjects

H Nesvold

Publications and source records attributed to H Nesvold.

5 recordsLinked to original sources
PubMed1994

[When a clinician becomes a medical examiner].

The article briefly describes the forensic work carried out at the Sexual Assault Centre, Akuttetaten, Oslo. The centre offers counselling and medical and forensic examination, and issues any necessary referrals for follow-up. The forensic examination is part of the health services provided and is offered whether the assault is reported to the police or not. This examination is carried out by specially trained general practitioners working in the emergency care unit. The author also discusses problems that may arise and various factors that should be taken into consideration when clinicians enter the forensic arena such as: The court's requirements concerning expert witnesses, Confidentiality, How to distinguish between therapeutic and forensic functions, How to safeguard the competence to act, Criteria for quality and professional development.

Child↗
PubMed1991

[Ambulatory evaluation and treatment of blunt thoracic injuries].

307 patients with chest injuries were treated in an outpatient clinic during a three month period. Ten patients developed complications such as hemothorax, pneumothorax and lung contusion, or late complications such as atelectases and pneumonia. 21 patients were hospitalized after initial evaluation. Two patients died. Pain was a symptom in 306 of the 307 patients. Other symptoms were coughing, hempoptysis, fever, nausea. Complications increased in 40 patients, with other symptoms or signs in addition to pain. These other symptoms had a 40% positive and 95% negative predictive value as regards complications. 45 out of 114 patients had a pathological chest x-ray. Positive chest x-ray had a 40% positive and 94% negative predictive value as regards complications. In four patients (1.3%) complicating injuries were not identified initially. Five of 24 patients (21%) were hospitalized unnecessarily. Chest x-ray should be performed in patients with additional symptoms and signs. Patients with no signs in addition to chest wall tenderness can be observed at home.

Adolescent↗
PubMed1991

[Blunt thoracic injuries in Oslo].

All 327 patients treated in Oslo City Hospital for blunt chest injuries during a period of three months were registered prospectively. 274 were treated outside hospital. Traffic accidents accounted for 10% of the total number of patients, but 40% of the hospitalized patients. Accidents in the home were most numerous, with many complications and admissions to hospital. 20% of the hospitalizations, were for injuries due to violence. The registration indicates more than 1,300 patients with chest injuries per year, of whom more than 40 are severely multitraumatized. The chest injury was serious in 21 patients, moderate in 306. 13.5% of the cases were complicated by pneumo-hemothorax and lung contusion, or by late complications such as pneumonia and atelectases. Seven patients (2.1%) died. These were old, physically disabled or multitraumatized. 100 patients had extrathoracic injuries, of whom 15 had intrathoracic injuries as well. In 227 patients with thoracic injuries only, the injuries were intrathoracic in six of them. The mortality in patients with chest wall injuries only was 0.7%, as compared with 20% in patients with intrathoracic injuries.

Accidents↗