Management of heat stroke.
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Heat Exhaustion↗
Biomedical subjects
S P Travis
Publications and source records attributed to S P Travis.
Toe temperatures during Dartmoor training.
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Exercise↗
Traumatic transection of the thoracic trachea.
Thoracic tracheobronchial rupture is rare in this country. Transection of the thoracic trachea is the least common of such injuries. Patients may present acutely, within hours of the accident, or after a delay of some weeks. Spreading subcutaneous emphysema or a persistent pneumothorax despite an intercostal drain are highly suggestive of the condition. Bronchoscopy provides the diagnosis. Early surgery produces good results in the absence of associated injuries. The purpose of this report is to bring the diagnosis to the attention of people involved in the immediate care of patients after major accidents. Bronchoscopy should be performed in all cases of major thoracic trauma.
Accidents, Traffic↗
Dehydration in marathon runners.
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Dehydration↗
Oral and gastrointestinal manifestations of epidermolysis bullosa.
The mouth, oesophagus, and anus are often involved in dystrophic and junctional epidermolysis bullosa, but the frequency is unknown. Among 246 patients with epidermolysis bullosa, dysphagia developed in 76% of those with recessive dystrophic, in 20% of those with dominant dystrophic, in 15% of those with junctional, and in 2% of those with simplex forms. Lingual adhesions or microstomia occurred in dystrophic epidermolysis bullosa only, but were eight times more common in recessive than in dominant subtypes. These lesions are provoked by the trauma of eating and further reduce food intake, which exacerbates constipation caused by anal blisters and results in malnutrition. Management requires specialised multidisciplinary care.
Adolescent↗