RESUMO
Tank Landing Ships were used as evacuation station hospitals during D-Day of World War Two. This historical vignette describes how difficulties were overcome in blood transfusion and trauma surgery aboard these ships. Their place in the evacuation chain is discussed in relation to previous experiences in military medicine.
Assuntos
Unidades Móveis de Saúde/história , Medicina Naval/história , Navios/história , História do Século XX , Hospitais Militares/história , Humanos , Triagem/história , Reino Unido , II Guerra MundialRESUMO
Nutmeg poisoning is rare but probably underreported and should be considered in recreational substance users with acute psychotic symptoms as well as central nervous system neuromodulatory signs that may mimic in part an anticholinergic hyperstimulation.
Assuntos
Myristica/intoxicação , Psicoses Induzidas por Substâncias/etiologia , Especiarias/intoxicação , Transtornos Relacionados ao Uso de Substâncias/psicologia , Adolescente , Feminino , Humanos , Transtornos Relacionados ao Uso de Substâncias/diagnósticoRESUMO
To assess the performance of intubation skills by advanced trained ambulance personnel, a prospective study was carried out of the intubation of cardiac arrest victims by ambulance personnel in the field. Twenty-eight ambulance personnel attempted the intubation of 87 patients over 2 years. Eighty-five patients were initially successfully intubated, one endotracheal tube became displaced and cuff leakage occurred on three occasions. This was treated appropriately in each instance. Ambulance personnel can perform the skills of intubation successfully in out-of-hospital cardiac arrest victims.