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Biomedical subjects

M Maheson

Publications and source records attributed to M Maheson.

7 recordsLinked to original sources
PubMed1995

A radiological review of cervical spine injuries from an accident and emergency department: has the ATLS made a difference?

The importance of visualizing the entire cervical spine on radiological examination in patients with cervical trauma is well known. A review of the cervical films of 98 patients attending an accident and emergency (A&E) department was undertaken in order to assess the adequacy of imaging. It was found that 33.7% of the films were not sufficient to exclude fracture or dislocation of the cervical spine. The number of patients with inadequate views was significantly reduced when an advanced trauma life support trained senior doctor was involved.

Adult↗
PubMed1988

Fractures of the tibial plateau in Nottingham.

A total of 45 patients, with fractures of the tibial plateau, were assessed. A method of joint evaluation is proposed that modifies the existing grading of these fractures to give a better assessment for treatment.

Follow-Up Studies↗
PubMed1988

Toward earlier diagnosis of splenic injury?

A series of patients who were found at operation to have sustained splenic rupture is described and their immediate presenting features are detailed. Signs of peritoneal irritation were not always present and patients were not often 'shocked' when first seen. Helpful early signs included a low haemoglobin and pallor. There is a tendency to underestimate the significance of left quadrant pain in the presence of rib fractures. Peritoneal lavage and ultrasound should be more readily employed. Text book features should not be expected early and this must be taught to junior doctors who work in accident and emergency medicine.

Adolescent↗
PubMed1987

Antibiotics in open fractures of the distal phalanx?

A prospective trial was undertaken on 85 adult patients with open fractures of the distal phalanges of less than 6 hours duration, treated by conventional surgery. They either received no antibiotic therapy, or cephradine in short or long courses. The infection rate was 30% in the group without antibiotics and less than 3% in the treated groups. Three different antibiotics regimes were compared, with no difference in the infection rate: therefore the simplest and surest method, a single pre-operative dose and a single post-operative dose, is recommended.

Adult↗