[Clinical management of terrorist bomb explosions]. / Atención a las víctimas por ataque terrorista con explosivos.

At 07:39 on 11 March 2004 terrorist bomb explosions ocurred in 4 trains in Madrid killing 177 people instantly and 14 more later in the hospital. This report describes the organization, clinical management and patterns of injuries in casualties who were taken to our chil-patients were taken to the Gregorio Marañon hospital and 12 to the children's one. The mean age was 16 years (14-21), Two of them were critically ill and needed intensive care (ITP 5). Tympanic perforations occurred in 81% victims with moderate to severe trauma, shrapnel wounds in 36% and eye lesions in 27%. Among critically ill patients blast lung injury, cranial and abdominal trauma were the most important lesions. Training in AITP courses and hospital logistics were essential in clinical management of these casualties.

Normal values for serum, ultrafilterable and intraerythrocytic magnesium in children.

Serum magnesium (MgS), levels were determined in 137 children age range 2 months to 16 years. Ultrafilterable magnesium (MgU) and intraerythrocytic magnesium (MgI) concentrations were determined in 37 of these children. MgS was 0.83 +/- 0.1 mmol/L (range 0.66-1.36 mmol/L), with no differences between sexes. Children under 2 years had higher MgS levels (0.92 +/- 0.13 mmol/L) than children over 2 years (0.81 +/- 0.08 mmol/L; p < .001). Mean MgU was 0.60 +/- 0.07 mmol/L (range 0.50-0.87 mmol/L), with no differences between sexes. Mean MgI in children was 2.58 +/- 0.33 mmol/L (range 2.06-3.6 mmol/L), with no differences between sexes. MgS correlated with MgU, age, theoretical growth rate, and serum calcium, phosphorus and alkaline phosphatase; MgU correlated with MgI, age, theoretical growth rate, and serum phosphorus. MgS concentration was higher in children under 2 years than in children over 2 years. In healthy children, MgS concentration correlated with MgU, and MgU correlated with MgI, but MgS and MgI showed no correlation.