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Biomedical subjects

P Sefrin

Publications and source records attributed to P Sefrin.

At least 91 records · Page 5Linked to original sources
PubMed1982

[Emergency therapy of pneumothorax using a Tiegel-valve].

Pneumothorax is a frequent complication in trauma victims. The resulting respiratory insufficiency, especially in cases of tension pneumothorax, must be treated with a flutter valve prior to hospital admission. A commercially available valve is described. An advantage of this model is that the metal canula can be removed, leaving only the plastic sheath in place. The narrow lumen however is a disadvantage. Because of its low cost and standardized dimensions, it should be included in all emergency sets.

Emergencies↗
PubMed1981

[Emergency services in Lower Franconia (author's transl)].

Medical consequences from the Model Experiment: Medical care of emergency patients can be improved by a qualified emergency service. This not only guarantees the chance of survival of the individual but also an optimization of rehabilitation of the consequences of emergency. By adequate financial investment the efficacy can be increased, as can be seen from the evaluation of the results. However, further efforts are required, the object of which must be specific instruction and training of medical and non-medical personnel in order to improve further the qualified aid of the organized emergency service. Compulsory guidelines will guarantee a standardized basis of knowledge for both the ambulance personnel and the doctors in the emergency service.

Emergency Medical Service Communication Systems↗
PubMed1980

[The training of an emergency physician].

The population is well aware today that the emergency doctor holds a strong position in the field of preclinical care. The time of onset of expert care of the emergency patient is of great significance in regard to survival and prevention of further damage. Whereas equipping of ambulance vehicles and training of orderlies are controlled by rigid regulations, there are no particular requirements concerning the training of ambulance doctors. Definite minimal training should be required of the ambulance doctor because of mistakes made and care services often being insufficient. In respect to content and form of training a proposal has been made representing a minimal requirement. It should be assured in modern day ambulance care that only qualified physicians participate who are familiar with the special situations encountered in emergency medicine.

Education, Medical, Continuing↗
PubMed1980

[Conclusions of the first-aid treatment of emergency patients from a prospective study of 106 lethal outcomes (author's transl)].

To obtain an objective judgement on the efficiency of emergency help, 106 emergency patients who died during a six month period were subjected to an examination in which all aspects of their treatment, beginning at the scene of the emergency and lasting until their death were documented. It could be shown that 8.5% of the examined patients would have had a chance for survival if proper and optimal treatment had been given, despite the effects of their injuries. Only by improving knowledge of first-aid procedures can an increase in the efficiency of emergency measures be attained as will be proven in this paper. Intensive schooling is necessary not only for the layman and ambulance orderlies but for doctors who are to be employed in rescue work in particular. The present criteria (one-year clinical activity and competency are by no means sufficient as a foundation.

Adult↗
PubMed1980

[The vacuum jointed bed in intensive care and regional anaesthesia (author's transl)].

The usefulness of the vacuum jointed mattress was tested over a period of one year. Originally intended for first-aid service it has proved an effective aid in regional anaesthesia and surgical operations. In intensive care units the mattress has its merits in a preventing bed sores and keeping the patient in any position desired. Technical improvements would add to its usefulness.

Anesthesia, Conduction↗
PubMed1979

[Metabolic changes in the multiply injured. Biochemical studies in multiply injured patients with reference to the severity of the injury].

Leading physical sign of "trauma-disease" in polytraumatized patients is hypovolemic shock. Changes in metabolism have been described previously. At present there are no reports concerning the time at which these changes occur. The early posttraumatic phase is characterized by normosodiemia and initial transient hypopotassemia, which is based on the renin-angiotensin-mechanism. The metabolic acidosis depending on trauma causes decreased oxygen perfusion of tissue, which possibly is found even before alterations of circulation are detected. Already at the site of the accident hyperglycemia and hyperglucagonemia with normal values of insulin were found. The increase of blood glucose was correlated to the values of adrenalin and to the insulin antagonist glucagon. The catabolism of proteins closely related to the degree of trauma continued as long as 5 days after injury. Analysis of the blood clotting system showed that in the early phase after trauma there are changes in hemostatic potential consisting in hemostatic defect. In several essential points the early posttraumatic phase of metabolism is different from that in a later phase. These facts should be kept in mind if planning therapy.

Acidosis↗