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Biomedical subjects

R Hargrove

Publications and source records attributed to R Hargrove.

8 recordsLinked to original sources

Does pulse lavage reduce hip hemiarthroplasty infection rates?

This paper reports a prospective randomized trial involving four hospitals in the south of England, in which every hemiarthroplasty (American Association of Anaesthetists grade IV and above) was randomized to one of two limbs. In the first group, the patients received a 2-L pulse lavage normal saline washout; in the second group, they received a 2-L normal saline washout via a jug or a syringe. All wounds were reviewed during their time in hospital up to 30 days post surgery or discharge (using criteria from the Nosocomial Infection National Surveillance Survey). Any re-admissions for infection were recorded. The pulse lavage group had a significantly lower total infection rate and, specifically, a decreased 'joint space' or deep infection rate.

Arthroplasty, Replacement, Hip↗

Ruptured distal biceps in military personnel.

Early operative repair is the currently accepted treatment of distal biceps rupture. However, we describe 6 patients (with 7 ruptures), 5 of whom are in the armed forces with distal biceps tendon ruptures who, as a result of delays in presentation, were treated non-operatively. The subsequent clinical success of these patients (with three excellent, three good and one poor result), has led us to question whether the role of non-operative treatment has been underestimated within the orthopaedic, military and sports medicine literature. The more rapid rehabilitation of conservatively treated ruptures may well have implications for treatment of armed forces personnel.

Adult↗

Role of gymnastics in the Army School of Physical Training.

INTRODUCTION: As a result of a single spinal injury seen at Frimley Park Hospital, we reviewed the injuries recorded at the Army School of Physical Training since December 1996. PATIENTS AND METHODS: This was a retrospective review of all acute accidents and injuries recorded in the Accident Book since its inception. RESULTS: Over 75% of the injuries that were serious enough to result in soldiers having their training terminated were as a direct result of gymnastic events such as vaulting, trampolining and somersaults. These events were also responsible for most of the small number of career-threatening injuries. CONCLUSIONS: This raises questions about the inclusion of gymnastic events in course training programmes, especially when considering its relevance to army training in general.

Gymnastics↗

The first fatal case of capnocytophaga canimorsus sepsis caused by a cat scratch.

A case is presented of fatal capnocytophaga canimorsus sepsis caused by a neglected cat scratch. Although fatalities are known to occur as a result of sepsis caused by this organism, death following cat scratch transmission has not previously been reported. The case is important as it demonstrates how a seemingly innocuous injury can have devastating consequences that may have been prevented by simple first aid measures.

Aged↗

An unusual case of gas embolism.

We present an unusual case that resulted from the wrongful connection of a high-pressure oxygen cylinder to a venous cannula. The case history and the autopsy findings are given and the mechanism of death is described.

Catheterization, Peripheral↗