PubMed · 8269580
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M Patel, A Swami. 1993. Accidental total spinal.. https://doi.org/10.1007/bf03009491
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OBJECTIVE: To measure the incidence of fatal and nonfatal firearm injuries in a rural setting. DESIGN: A prospective, population-based surveillance system using information from medical and legal records, newspapers, and members of the community. SETTING: A rural county in North Carolina. MAIN OUTCOME MEASURES: Incidence rates and case-fatality ratios (fatal:non-fatal). RESULTS: Of the 114 firearm injuries detected by the surveillance system from January 1, 1990, through December 31, 1991, nearly two thirds were nonfatal. The overall age-adjusted annual incidence of firearm injuries was 66.4 per 100 000 population, and the incidence of nonfatal firearm injuries was 41.2 per 100 000 population. Subgroup annual incidence rates were greatest for African Americans. The overall case-fatality ratio was 1:1.8 (fatal:nonfatal). CONCLUSIONS: Incidence rates and case-fatality ratios for firearm injury in this rural setting were greater than expected, based on national estimates, perhaps because of greater proportions of rifle injuries and self-inflicted injuries.
A case of digoxin intoxication and hyperkalaemia causing cardiac arrest in a 63-year-old female who had undergone cardiac surgery is presented. Symptomatic treatment was given. However, as the patient continued to be unstable we introduced digoxin Fab-antibody in the treatment. The patient changed her heart rhythm from atrioventricular conduction block to atrial fibrillation within a few minutes and recovered later on. The pharmacology and the indications for treatment with digoxin Fab-antibody fragments are discussed.