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Biomedical subjects

A D Redmond

Publications and source records attributed to A D Redmond.

At least 55 records · Page 3Linked to original sources
PubMed1987

The significance of random breath alcohol sampling in the accident and emergency department.

Using a detailed questionnaire, 126 patients attending an accident and emergency department were screened for drinking problems. Eleven per cent (14) were identified as having established drinking problems, but only two of these had received help from professional agencies. In all, 39% (50) were identified as being adversely affected by their drinking habits. A breath alcohol test (BT) alone, on the same patients failed as a screening device for hidden drinking problems in these circumstances, and we do not recommend its use. The simple 'CAGE' questionnaire was a little more sensitive, but asking more questions identified more problems. A positive BT in the presence of a positive CAGE occurred in three patients and although insensitive it was absolutely specific for a serious drinking problem. A significant number of patients who attend an accident and emergency department have a drinking problem. The most effective method of detecting this is to ask patients about their drinking habits.

Adolescent↗
PubMed1984

Amnion dressings.

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Adolescent↗
PubMed1984

The Manchester detoxification service. Description and evaluation.

The service of Manchester's hospital-based purpose-built alcohol detoxification centre is described, together with demographic data, drinking history, findings on admission, disposal arrangements, and outcome of 235 police referrals. Police referrals under-used the centre, which now accepts from magistrates' courts, the local alcoholism council, accident and emergency departments, and general practice. Police referrals, mostly homeless and without family support, contained many episodic drinkers; this explains the low incidence of severe withdrawal symptoms. Prophylactic treatment was not routine. Very high blood alcohol levels were recorded from some conscious patients. There was little serious medical morbidity. Many discharged themselves within 24 hours. Few accepted the recommended treatment, medical or social; prolonged abstinence was achieved by only 1% but substantially more had short abstinent periods and some social betterment, especially if offered follow-up help. Visits to general practitioners' surgeries fell during the follow-up period, as did admissions to general units for withdrawal symptoms, though not from all causes. Almost half had readmissions to the centre. Referrals from other sources were more likely to stay for assessment and accept help. More referrals from medical sources had severe withdrawal symptoms. Detoxification centres need not be in hospitals but must have close and rapid links with specialist medical services. They must be integrated into the total provision of alcoholism services and assessed in relation to them.

Adult↗
PubMed1984

Emergency care.

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Emergency Medical Services↗
PubMed1984

Resuscitation from drowning.

The resuscitation of a 21-year-old man after submersion in fresh water for at least 5 min is described. On admission to hospital the patient appeared dead with fixed dilated pupils, deep cyanosis and asystole. Twenty min later the patient was transferred to the intensive care unit with a recordable blood pressure. On arrival there he was breathing spontaneously and so was not ventilated. A few hours later he developed pulmonary oedema and died.

Adult↗