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Biomedical subjects

S M Shepherd

Publications and source records attributed to S M Shepherd.

25 records · Page 2Linked to original sources
PubMed1987

Maxillofacial trauma. Evaluation and management by the emergency physician.

The prominent visibility of the face has placed both significant functional and aesthetic roles on it. It represents a major source of communication and sensory input for the person. Maxillofacial injuries are an infrequent cause of immediate death for the multiply traumatized patient. It is therefore extremely important for the primary physician to recognize and treat facial trauma properly, and in its proper sequence in the management of the multiply traumatized patient.

Accidents, Traffic↗
PubMedDate not supplied

Thrombolytic therapy in review.

The use of thrombolytic agents for both coronary and noncoronary indications is a rapidly progressing field. There has been substantial debate over which disease processes ultimately benefit from the use of thrombolytic agents. In addition, many recent studies have focused on comparing different thrombolytic agents and dosing regimens in an attempt to gain optimal therapeutic benefit with minimal risk. This paper discusses the current status of thrombolytic therapy for coronary artery disease, pulmonary embolus, peripheral vascular thrombosis, and cerebrovascular infarction.

Cerebrovascular Disorders↗
PubMedDate not supplied

Use of standardised assessment scales in elderly hip fracture patients.

Standardised scales recommended by a joint working party from the Royal College of Physicians (RCP) and The British Geriatrics Society (BGS) in 1992 for the assessment of elderly hospitalised patients were employed in an elderly hip fracture population to investigate their feasibility and usefulness in this group. Patients were assessed at the time of their fracture and one, six and 12 months later. An informant was invited to provide information on behalf of patients (39%) who were classified as having significant memory and cognitive impairment (Abbreviated Mental Test score < 7) or if they had some other communication difficulty. Patients and informants found the format and content of the scales acceptable as well as the administration time of around one hour. Difficulties with the depression (Geriatric Depression Scale) and quality of life (Philadelphia Geriatric Center Morale Scale) scales were due to some patients' digressions, and the fact that little change was noted in the scores over the one-year period of follow-up questions their sensitivity. In the cohort of survivors 31% were classified as being depressed at baseline (score > 5) and this rose to 36% at one year. Ten per cent of the surviving patients were classed as dependent by the Barthel Index at the time of their fracture (score < 12) and this increased to 24% at one year. Despite exhibiting a ceiling effect, this scale was the most responsive of the scales at all time points. The social checklist highlighted important aspects for the management of hip fracture patients.

Activities of Daily Living↗