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Biomedical subjects

T Buxrud

Publications and source records attributed to T Buxrud.

7 recordsLinked to original sources

[Treatment at the site of the accident and transport of patients with multiple injuries].

In the event of an accident it is the responsibility of the public health service to attempt to save lives, and to reduce pain and permanent disability. This is done by a complex chain of actions by persons ranging from the provider of first aid to the rehabilitation team. Examination and treatment of the injured patient at the site of an accident and during transport may be very difficult. This is of major importance, however, in order to bring the patient to the hospital under optimal conditions for the hospital treatment. Paramedics, primary care doctors and specialized emergency care teams are all important collaborators in this field. The specific decisions that are made at the various stages of treating a patient with multiple injuries will always be of fundamental importance for the patient.

Emergency Medical Services

[Transportation of newborn infants. A 6-year case load].

We have evaluated neonatal transports to Ullevål hospital over a six-year period. These were either carried out by helicopter, using a trained transportation team, or by ambulance, the transport being improvised from one transport to another. The investigation shows great variation in the handling of the transports, with the most significant problems in the group without a structured transport system. In addition to generally rather casual and often hazardous transport, particular problems arose in connection with maintaining an adequate body temperature. In addition, the transports were very inadequately documented.

Aircraft

Severe anaphylactic reactions outside hospital: etiology, symptoms and treatment.

Twenty-seven patients with severe anaphylactic reactions were treated by two anesthesiologist-staffed ambulance helicopters during a 5-year period. All patients had signs of respiratory and/or circulatory failure. Cutaneous symptoms were described in 70% of the patients, gastrointestinal symptoms in 30% and central nervous symptoms in 85%. Wasp sting and drugs were the most common causes. Other etiologies were bee sting, snakebite, nuts and exercise. All patients were provided with advanced pre-hospital medical care. Epinephrine was employed in 78% of the patients. I.v. fluid therapy was started in 77%. Three patients (11%) needed endotracheal intubation. The time-span from onset of symptoms to medical attendance exceeded 45 min in two patients; both died. Of the surviving patients, 23 were hospitalized. The majority had no signs of respiratory or circulatory failure on arrival in the emergency room and needed only observation in the hospital.

Adolescent