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Biomedical subjects

R D Mathis

Publications and source records attributed to R D Mathis.

5 recordsLinked to original sources

An analysis of accidental free falls from a height: the 'spring break' syndrome.

Vertical deceleration injuries represent a distinct form of urban blunt trauma. Mechanisms of injury differ from those of horizontal vehicular trauma, and severity primarily depends on velocity of impact. We describe 33 free-fall injuries in adults occurring under purely nonintentional circumstances at a popular college "spring break" resort. Patterns of injuries were found to differ significantly from previously reported patterns of injuries sustained by adults from both accidental and intentional vertical deceleration.

Accidental Falls↗

Pertussis: the return of a bad penny.

We describe two related cases of pertussis infection ("whooping cough"). This disease entity was almost completely eradicated through successful mass immunization programs. In the past decade it has demonstrated a steady rise in incidence. The epidemiology, clinical manifestations, treatment, and current vaccines for pertussis infection are reviewed.

Child, Preschool↗

Turbinate destruction--a rare complication of nasotracheal intubation.

Nasotracheal intubation is a procedure used in the emergency department for airway management. Although the procedure has its attendant complications, we report the rare occurrence of an inferior turbinectomy. Other complications of the procedure are discussed.

Accidents, Occupational↗

Subacute acetaminophen overdose after incremental dosing.

A case of acetaminophen poisoning following the ingestion of 26 g of acetaminophen by incremental dosing over a 25-h period is reported. At presentation, seven h after the last ingestion, the patient experienced hematemesis, the acetaminophen level was 150 micrograms/mL, and the SGOT was normal. The patient recovered uneventfully following N-acetylcysteine therapy. A review of the pharmacology and toxicity of acetaminophen is discussed. The case illustrates the problems of judging hepatotoxic potential in a multiple-dose acetaminophen ingestion and describes the successful use of N-acetylcysteine in a patient with a "subacute" acetaminophen overdose.

Acetaminophen↗

Bilateral shoulder dislocation: an unusual occurrence.

Bilateral shoulder dislocation is an unusual clinical entity. Proposed mechanisms are via various traumatic insults, atraumatic occurrences, and through extreme muscular contractions. A case involving traumatic dislocation as a result of a diving incident is reported. A brief review of this rare clinical condition is presented.

Adult↗