Biomedical subjects

J E Clinton

Publications and source records attributed to J E Clinton.

21 records · Page 2Linked to original sources

PubMed1979

Caustic esophageal and gastric erosion without evidence of oral burns following detergent ingestion.

The effects of accidental ingestion of a caustic detergent are studied in the report of 14 patients seen in the Hennepin County Medical Center. Since the history of amount ingested was unclear, all patients underwent endoscopy. Four patients had esophageal injury serious enough to warrant hospitalization. None of the patients had evidence of oropharyngeal burns, thus challenging the validity of the widely held notion that oral lesions nearly always accompany esophageal injury following caustic ingestion. The importance of analyzing the ingested substance is emphasized, as is the need for emergency departments to have wide range pH paper available to help determine the necessity for endoscopy.

Adult↗

PubMed1979

External rotation method of shoulder dislocation reduction.

We used the external rotation method for reducing anterior shoulder dislocations on 85 consecutive patients seen in our emergency department during a one-year period. In relatively inexperienced hands, the external rotation method was successful on first attempt in 80% of cases. There were no complications attributable to the technique itself. We feel that it is a successful, easy, and atraumatic method of achieving reduction in both first occurrence and recurrent anterior shoulder dislocations.

Adolescent↗

PubMedDate not supplied

Cricothyrotomy in the emergency department revisited.

Thirty-nine emergency cricothyrotomies were reviewed from the emergency department of Hennepin County Medical Center during the 4-year period ending December 1985. Due to technical changes in airway management and a desire to assess their impact, this experience was compared with a previously reported series of 38 emergency cricothyrotomies from the same department. Technical changes include the use of paralyzing agents, transtracheal needle ventilation, and the use of only vertical skin incisions and #4 Shiley tubes when cricothyrotomy is performed. The presenting problem, indications for cricothyrotomy and complications of the procedure were compared between the two series. Fewer cricothyrotomies were done as a fraction of total surgical and nonsurgical tracheal intubations in the present series (1.7%) compared to the previous series (2.7%). The complication rate decreased from 40% in the previous series to 23% in the present series. Incorrect site of tube placement (10%) and hemorrhage (8%) remain the two leading complications. However, the tube was in the trachea in all cases, and acceptable ventilation was achieved. No patient developed a clinically significant hematoma or hemorrhage from cricothyrotomy. It is concluded that our technical changes in airway management have helped to decrease both the relative frequency of cricothyrotomy and the complication rate.

Airway Obstruction↗