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Biomedical subjects

R D Southcott

Publications and source records attributed to R D Southcott.

10 recordsLinked to original sources

The Purley train crash mechanism: injuries and prevention.

On the afternoon of Saturday 4th March 1989 two trains, both bound for London Victoria Station, collided. Part of the rear train rolled down a steep railway embankment and jack-knifed against a tree. The mechanism of the crash and the injuries sustained by the 55 victims who were seen in the A&E Department of the Mayday University Hospital are described. Improvements in signalling technology and design of rolling stock which may reduce both the risk of collision and severity of injury in future accidents are discussed.

Accident Prevention

Successful Whipple's operation for pancreatic injury.

A case is presented of severe pancreatic injury in a 30-year-old man following a road traffic accident. A Whipple's operation was performed successfully. Despite some postoperative complications, the patient is well and back at work 1 year after the operation.

Adult

Control of severe vesical haemorrhage by therapeutic embolisation.

Therapeutic embolisation is now recognised as having a role in the management of bladder haemorrhage and is particularly valuable in severe cases where the patient's life is at risk. This paper describes the procedures which were used to manage two patients with massive haematuria, from a tumour in one case and from an arterial malformation in the other. Previous reports indicate that haemorrhage from a bladder tumour can usually be controlled by embolisation which is limited to the tumour itself but haemorrhage due to post-radiation telangiectasis requires more extensive arterial occlusion and this was taken into account in planning the embolisation procedure in the first case. Neither patient developed gluteal pain after embolisation which was probably due to the fact that the superior gluteal arteries were not completely occluded. The left axillary approach was used as a catheter passing down the aorta can usually be manipulated into the internal iliac arteries and their smaller branches on both sides without difficulty.

Adult

Bladder tumours.

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Humans

Bladder tumours.

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Aged

Crossed lines.

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Humans