Biomedical subjects

W H Dice

Publications and source records attributed to W H Dice.

5 recordsLinked to original sources

PubMed1991

The role of military emergency physicians in an assault operation in Panama.

The December 1989 assault in Panama provided an opportunity to examine the role of emergency physicians in low-intensity military operations. Emergency medicine specialists accompanied the assault forces and established casualty collection points (CCPs) at each target. Emergency physicians played a role in triage, resuscitation, and aeromedical evacuation. More than 275 casualties were resuscitated and stabilized at the CCPs. Two died after reaching a CCP. Casualties were flown from each CCP to a joint casualty collection point (JCCP). Surgical stabilization was required for 21 casualties at the JCCP. A team at the JCCP coordinated evacuation of casualties to the United States. The first casualties arrived at hospitals in Texas within 12 hours of the assault. From the drop zones through hospitalization in the United States, emergency physicians cared for combat casualties at every level of the evacuation system. The success of the medical plan for the assault suggests that the role of emergency physicians in military operations extends from the front lines to fixed medical facilities in the United States.

Emergency Medicine↗

PubMed1984

Military antishock trousers in a patient with adrenergic-resistant anaphylaxis.

The case presented concerns a patient taking propranolol who developed a severe anaphylactic reaction to pollen extract immunotherapy. Although the hypotension that occurred during the anaphylaxis was refractory to intravenous fluids, epinephrine, and dopamine, the antishock trouser suit was effective in elevating blood pressure.

Adult↗

PubMed1983

Polyarteritis nodosa presenting as seizures.

A case of polyarteritis nodosa presenting in the emergency department as grand mal seizures is reported. Seizure as a presenting feature of polyarteritis nodosa is unusual. The nature of the patient's signs and symptoms led to the diagnosis of polyarteritis nodosa, which was supported by arteriography. Therapy with high-dose corticosteroids and cyclophosphamide resulted in rapid improvement. Standard anticonvulsant therapy proved efficacious during the initial treatment of the patient's seizures. The patient died three months later at another facility. Cause of death as determined at autopsy was polyarteritis nodosa.

Adult↗

PubMed1982

Pulmonary toxicity following gastrointestinal ingestion of kerosene.

The continuous controversy concerning the treatment for acute hydrocarbon ingestions led to a study of the pulmonary effects of kerosene absorption from the gastrointestinal tract in dogs. Gastrostomies and cervical esophageal transections with a proximal esophageal fistula were performed on 11 dogs under general anesthesia. Following a return of normal bowel function each animal was given 20 cc/kg of a commercial-grade kerosene by gastrostomy tube. The dogs were randomly divided into two groups for necropsy at 24 and at 72 hours, and each dog had chest radiographs prior to instillation of the kerosene and at 6, 24, 48, and 72 hours, depending on their group. The dogs were given an overdose of barbiturate for euthanasia. Tissue was randomly selected from the lungs and examined using standard microscopic and histologic techniques. No clinical complications were observed in any of the animals following the kerosene instillation. No radiologic or histologic evidence of pulmonary changes due to kerosene was found. The lack of pulmonary pathologic changes following kerosene ingestion in dogs protected from aspiration suggests that the treatment for kerosene poisoning should be confined to supportive measures. Induction of emesis is contraindicated in the management of hydrocarbon ingestion.

Animals↗

PubMed1982

Facial cellulitis following dental injury in a child.

A case of facial cellulitis complicating a luxation injury of the right central maxillary incisor is reported in a pediatric patient. The initial impression in the emergency department was that of a fractured tooth. In spite of radiographic studies and appropriate consultations, the true intrusion injury was not appreciated. A periodontal infection developed as a result of the damaged periodontal ligament and alveolar bone. Contiguous spread of the infection to the facial tissue requiring hospitalization resulted in patient morbidity. Extraction of the tooth and penicillin therapy resulted in an uneventful recovery. Because oral trauma is a frequent reason for emergency department visits, this case is presented to facilitate the recognition of dental injury and encourage appropriate therapy.

Cellulitis↗