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1.
BMC Emerg Med ; 18(1): 28, 2018 08 29.
Artigo em Inglês | MEDLINE | ID: mdl-30157756

RESUMO

BACKGROUND: Physician-staffed helicopter emergency services (HEMS) can provide benefit through the delivery of specialist competence and equipment to the prehospital scene and through expedient transport of critically ill patients to specialist care. This paper describes the integration of such a system in a rural Swedish county. METHODS: This is a retrospective database study recording the outcomes of every emergency call centre dispatch request as well as the clinical and operational data from all completed missions during this service's first year in operation. RESULTS: During the study period, HEMS completed 478 missions out of which 405 (84,7%) were primary missions to prehospital settings and 73 (15,3%) were inter-hospital critical care transfers. A majority (55,3%) of primary missions occurred in the regions furthest from our hospitals, in municipalities housing only 15,6% of the county's population. The NACA (IQR) score on primary and secondary missions was 4 (2) and 5 (1), respectively. CONCLUSIONS: This study describes the successful integration of a physician-based air ambulance service in a Scandinavian rural region. Municipalities distant from our hospitals benefitted as they now have access to early specialist intervention and expedient transport to critical hospital care. Our hospitals and most populated areas benefitted from HEMS secondary mission capability as they gained a dedicated ICU transport service that could provide specialist intensive care during rapid inter-hospital transfer.


Assuntos
Resgate Aéreo/estatística & dados numéricos , Anestesiologistas/estatística & dados numéricos , Cuidados Críticos/organização & administração , Transferência de Pacientes/estatística & dados numéricos , Humanos , Estudos Retrospectivos , População Rural , Estações do Ano , Suécia , Fatores de Tempo , Tempo (Meteorologia)
2.
Lakartidningen ; 1122015 Sep 14.
Artigo em Sueco | MEDLINE | ID: mdl-26371480

RESUMO

Ketoacidosis is a life threatening condition usually caused by diabetes mellitus or alcohol. In this case report we present a lactating woman who developed a severe ketoacidosis a few weeks post partum. Her nutritional status was inadequate due to illness and a diet low on carbohydrates. Five case reports regarding ketoacidosis in lactating women have previously been described in the literature. This case report highlights the importance of nutrition during periods of breast feeding.


Assuntos
Restrição Calórica/efeitos adversos , Dieta com Restrição de Carboidratos/efeitos adversos , Cetose , Aleitamento Materno , Feminino , Humanos , Cetose/diagnóstico , Cetose/etiologia , Lactação/fisiologia , Período Pós-Parto , Adulto Jovem
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