Biomedical subjects

H Delooz

Publications and source records attributed to H Delooz.

At least 37 records · Page 2Linked to original sources

PubMed1990

Gastrointestinal decontamination for acute poisoning.

Acute poisoning remains a common cause of morbidity and even mortality in children and adults. The goal of gastrointestinal decontamination is to eliminate or to reduce the potentially life-threatening effects of the ingested poison. Methods of gastrointestinal detoxication in case of acute poisoning, such as induced emesis, gastric lavage, administration of activated charcoal and intestinal cleansing are discussed. As far as induced emesis is still concerned, only the administration of Ipecac-syrup can be retained. The controversy between emesis and gastric lavage still remains. For those toxins well adsorbed by activated charcoal, the administration of activated charcoal, followed or not by gastric lavage, is the treatment of choice. Single doses of activated charcoal can be insufficient. In certain kinds of poisoning, repeated doses of activated charcoal are advisable because of the interruption of the entero-hepatic and entero-enteric circulation. The benefit and the indications for intestinal cleansing in case of acute poisoning seem to be very limited.

Cathartics↗

PubMed1989

Weather influence on the prevalence of carbon monoxide intoxications.

In a retrospective study over 7 years, data from patients admitted to the Emergency Department with CO intoxication, together with meteorological data were analysed. A statistically significant difference in weather conditions was noticed between CO-intoxication days and reference days. Different weather conditions were found to be present, according to the source of CO, i.e. gas boiler or coal stove. If these data are confirmed, a major role in the prevention of CO intoxication or its sequellae can be played by the media through weather broadcasting. Warning can raise the index of suspicion of physicians and warn the population for vague, collectively appearing sensations of ill feeling.

Adolescent↗

PubMed1988

Predictive value of Glasgow coma score for awakening after out-of-hospital cardiac arrest. Cerebral Resuscitation Study Group of the Belgian Society for Intensive Care.

The Glasgow coma score (GCS) during days 1-6 after cardiac arrest was used to predict neurological outcome in 360 resuscitated victims of out-of-hospital cardiac arrest. A predictive rule based on the best GCS of 216 patients resuscitated in 1983-84 (prediction group) was constructed, and its predictive power was tested on 133 patients treated in 1985 (test group). Neurological outcome was correctly predicted 2 days after cardiac arrest in 80% of the prediction group, with a best GCS of 10 or above and 4 or below as cutoff points. For patients with a best GCS of 5-9, prediction of outcome was possible 6 days after cardiac arrest, with a best GCS of 8 during the first 6 days as the single cutoff point. The rule was then validated in the test group: the sensitivity was 96%; the specificity 86%; the negative predictive value 97%; and the positive predictive value 77%. These data suggest that this simple GCS-based rule can be helpful in predicting outcome in patients resuscitated after out-of-hospital cardiac arrest, but confirmation of these data is required in a prospective study in a larger number of patients.

Belgium↗

PubMed1982

Recovery without sequelae from severe methanol intoxication.

Explore the source record for details and available documents.

Adult↗

PubMed1980

Six years experience with an emergency department based mobile emergency care delivery system.

The purpose of mobile emergency care is to provide on a basis of 24 hours out of 24, the necessary material (ambulances wiwth resuscitation equipment) and personnel (ambulance-drivers, nurses and doctors), in order to care for the victim of accident or sudden illness on the spot and during transport to the hospital. The experience gained with a mobile emergency care delivery system, organized within the Emergency Department of the University Hospital Sint-Rafaël Leuven, Belgium, is analyzed and discussed. The conclusions of the study stress the advantages, as far as economics and efficiency are concerned, of the integration of the mobile emergency care delivery system in the emergency department of the highly specialized university hospital.

Adolescent↗

PubMed1976

Clinical use of etomidate, influence on blood pressure and heart rate. Comparison with thiopentone and methohexital.

This study deals with blood pressure and heart rate measurements during the use of etomidate after premedication; the injection of etomidate is always preceded by 0.10 mg of fentanyl. Etomidate is compared with thiopentone and methohexitone. There appears to be no gross difference between the drugs as far as the blood pressure is concerned: it is decreased by 15-20%. The influence on the heart rate is typical for each drug: whereas thiopentone causes a rise of 23%, and methohexitone of nearly 40%, the rate remains constant in the etomidate series.

Adolescent↗

PubMed1976

Mobile intensive care unit. Present conception and realisation.

A new Mobile Intensive Care Unit has been put in use at the "Service 900" of the Ministry of Health in Belgium. Its size was decided to enable efficient treatment of one patient. The type of suspension was chosen to give the patient adequate protection against untoward effects of travelling sickness. Radio-communication with the control center and hospital is ensured. The O2 supply-system provides an autonomy of 11 hours. Besides an electric distribution of 12 V. DC, a 220 V. AC is also available.

Ambulances↗

PubMed1975