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Biomedical subjects

W van der Slikke

Publications and source records attributed to W van der Slikke.

4 recordsLinked to original sources

An alarm procedure.

Each disaster procedure is initiated by an alarm scheme, alerting all involved personnel, directly or indirectly in this procedure. Certain mathematical principles can be applied to calculate the number of people who can be reached within a fixed period of time, or to calculate the time needed to alert a fixed number of people. With this methodology a formidable amount of people can be reached within a few minutes. The advantages and disadvantages are further described.

Disaster Planning↗

The treatment of osteitis complicating tibial fractures.

A six-part scheme for the treatment of osteitis complicating tibial fractures is presented: (1) wound excision; (2) external fixation; (3) open irrigation drainage; (4) cancellous bone grafting; (5) split skin grafting; (6) full weight bearing in a plaster cast. Of 20 cases, 14 of which were ununited, remission of the infection was achieved in 17 with in 27 months (mean 10.8 months). All 14 ununited fractures went on to union within 20 months (mean 9.5 months).

Adolescent↗

False positive peritoneal lavage due to retroperitoneal haematoma.

Many papers have described the excellent dependability of peritoneal lavage in detecting intraperitoneal blood. In our series this investigation has resulted in unnecessary laparotomies in 6 patients out of 33 (18 per cent). Massive retroperitoneal haematomas, mostly due to pelvic fractures, were the cause of these false positive results. Careful interpretation of positive peritoneal lavages in the presence of significant pelvic fractures is indicated.

Abdominal Injuries↗