Abstract：
BACKGROUND:Report a nationwide epidemic of Shiga toxin-producing E. coli (STEC) O103:H25 causing hemolytic uremic syndrome (D+HUS) in children. METHODS:Description of clinical presentation, complications and outcome in a nationwide outbreak. RESULTS:Ten children (median age 4.3 years) developed HUS during the outbreak. One of these was presumed to be a part of the outbreak without microbiological proof. Eight of the patients were oligoanuric and in need of dialysis. Median need for dialysis was 15 days; one girl did not regain renal function and received a kidney transplant. Four patients had seizures and/or reduced consciousness. Cerebral oedema and herniation caused the death of a 4-year-old boy. Two patients developed necrosis of colon with perforation and one of them developed non-autoimmune diabetes. CONCLUSION:This outbreak of STEC was characterized by a high incidence of HUS among the infected children, and many developed severe renal disease and extrarenal complications. A likely explanation is that the O103:H25 (eae and stx2-positive) strain was highly pathogen, and we suggest that this serotype should be looked for in patients with HUS caused by STEC, especially in severe forms or outbreaks.
journal_name
Scand J Trauma Resusc Emerg Medauthors
Krogvold L,Henrichsen T,Bjerre A,Brackman D,Dollner H,Gudmundsdottir H,Syversen G,Næss PA,Bangstad HJdoi
10.1186/1757-7241-19-44subject
Has Abstractpub_date
2011-07-28 00:00:00pages
44issn
1757-7241pii
1757-7241-19-44journal_volume
19pub_type
杂志文章abstract：:Traumatic spinal cord injury is a relatively rare injury in Denmark but may result in serious neurological consequences. For decades, prehospital spinal stabilisation with a rigid cervical collar and a hard backboard has been considered to be the most appropriate procedure to prevent secondary spinal cord injuries dur...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 共识发展会议,杂志文章,实务指引
doi：10.1186/s13049-019-0655-x
更新日期：2019-08-19 00:00:00
abstract：BACKGROUND:The effect of rescue breathing on neurologic prognosis after cardiopulmonary resuscitation (CPR) is controversial. Therefore, we investigated the cerebral microcirculatory and oxygen metabolism during continuous compression (CC) and 30:2 CPR (VC) in a porcine model of cardiac arrest to determine which is bet...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章
doi：10.1186/1757-7241-21-55
更新日期：2013-07-12 00:00:00
abstract：BACKGROUND:Emergency Medical Services (EMS) and Emergency Departments (ED) have seen increasing attendance rates in the last decades. Currently, EMS are increasingly assessing and treating patients without the need to convey patients to health care facility. The aim of this study was to describe and compare the patient...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章,多中心研究
doi：10.1186/s13049-020-00741-w
更新日期：2020-05-29 00:00:00
abstract：BACKGROUND:Studies have shown disparate results on the consequences of morphine use in ST-segment elevation myocardial infarction (STEMI). No study has evaluated alternative treatments that could be at least non-inferior to morphine without its potentially damaging consequences for myocardial function and platelet reac...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1186/s13049-020-00731-y
更新日期：2020-05-12 00:00:00
abstract：BACKGROUND:Experimental active compression-decompression (ACD) CPR is associated with increased haemodynamic outcomes compared to standard mechanical chest compressions. Since no clinically available mechanical chest compression device is capable of ACD-CPR, we modified the LUCAS 2 (Physio-Control, Lund, Sweden) to del...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章
doi：10.1186/s13049-018-0496-z
更新日期：2018-04-24 00:00:00
abstract：BACKGROUND:There is substantial variation in the incidence, likelihood of attempted resuscitation and outcomes from out-of-hospital cardiac arrest (OHCA) across Europe. A European, multi-centre study provides the opportunity to uncover differences throughout Europe and may help find explanations for these differences. ...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章
doi：10.1186/s13049-015-0093-3
更新日期：2015-01-24 00:00:00
abstract：BACKGROUND:A hospital's capacity and preparedness is one of the important parts of disaster planning. Hospital-related incidents, a new phenomenon in Swedish healthcare, may lead to ambulance diversions, increased waiting time at emergency departments and treatment delay along with deterioration of disaster management ...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章
doi：10.1186/1757-7241-17-26
更新日期：2009-06-03 00:00:00
abstract：:The inter-hospital transfer of patients is crucial to a well functioning trauma system, and the transfer process may serve as a quality indicator for regional trauma care. However, the assessment of the transfer process requires high-quality data from various sources. Prospective studies and studies based on single-ce...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 社论
doi：10.1186/1757-7241-18-15
更新日期：2010-03-16 00:00:00
abstract：BACKGROUND:Major Trauma remains a leading cause of mortality and morbidity worldwide. Blunt Thoracic Injury (BTI) accounts for > 15% of United Kingdom (UK) trauma admissions and is consistently associated with respiratory related complications that include pneumonia and respiratory failure. Despite this, it is unclear ...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章,评审
doi：10.1186/s13049-018-0535-9
更新日期：2018-08-17 00:00:00
abstract：BACKGROUND:Subarachnoid hemorrhage (SAH) is associated with higher mortality in the acute phase than other stroke types. There is a particular risk of early and devastating re-bleeding. Patients therefore need urgent assessment in a neurosurgical department, and the shorter the time from symptom onset to diagnosis the ...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章
doi：10.1186/s13049-017-0365-1
更新日期：2017-02-28 00:00:00
abstract：BACKGROUND:Telephone triage entails assessment of urgency and direction of flow in out-of-hours (OOH) services, while visual cues are inherently lacking. Triage tools are recommended but current tools fail to provide systematic assessment of the caller's perspective. Research demonstrated that callers can scale their d...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章,随机对照试验
doi：10.1186/s13049-019-0618-2
更新日期：2019-04-11 00:00:00
abstract：BACKGROUND:Delayed admission to appropriate care has been shown increase mortality following traumatic brain injury (TBI). We investigated factors associated with delayed admission to a hospital with neurosurgical expertise in a cohort of TBI patients in the intensive care unit (ICU). METHODS:A retrospective analysis ...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章
doi：10.1186/1757-7241-21-67
更新日期：2013-09-10 00:00:00
abstract：BACKGROUND:No consensus exists in the literature on the use of uniform emergency room trauma team activation criteria (ERTTAC). Today excessive over- or undertriage rates continue to be a challenge for most trauma centres. Application of ERTTAC, published for use in the German TraumaNetwork DGU®, at a Swiss trauma cent...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章
doi：10.1186/s13049-018-0498-x
更新日期：2018-04-24 00:00:00
abstract：BACKGROUND:This study aimed to assess cardiac and pulmonary pathophysiological responses during cooling and extracorporeal life support (ECLS) rewarming in a porcine model of deep hypothermic cardiac arrest (DHCA). In addition, we evaluated whether providing a lower flow rate of ECLS during the rewarming phase might at...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章
doi：10.1186/s13049-016-0283-7
更新日期：2016-07-08 00:00:00
abstract：BACKGROUND:Motor vehicle collisions (MVCs) are a common cause of major trauma and death. Following an MVC, up to 40% of patients will be trapped in their vehicle. Extrication methods are focused on the prevention of secondary spinal injury through movement minimisation and mitigation. This approach is time consuming an...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章
doi：10.1186/s13049-020-00818-6
更新日期：2021-01-14 00:00:00
abstract：BACKGROUND:Approximately 10% of the Norwegian population is injured every year, with injuries ranging from minor injuries treated by general practitioners to major and complex injuries requiring specialist in-hospital care. There is a lack of knowledge concerning the caseload of potentially severely injured patients in...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章,多中心研究
doi：10.1186/s13049-014-0064-0
更新日期：2014-11-12 00:00:00
abstract：BACKGROUND:The current study investigates the incidence, aetiology, and outcome of hypoglycaemia of patients without diabetes in the EMS. METHODS:The study was a retrospective cohort study that utilized electronic EMS patient record system (population of one million). All patients encountered by EMS with plasma glucos...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章
doi：10.1186/s13049-018-0480-7
更新日期：2018-02-01 00:00:00
abstract：BACKGROUND:Search and rescue (SAR) operations constitute a significant proportion of Norwegian ambulance helicopter missions, and they may limit the service's capacity for medical operations. We compared the relative contribution of the different helicopter resources using a common definition of SAR-operation in order ...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章,多中心研究
doi：10.1186/s13049-016-0302-8
更新日期：2016-09-13 00:00:00
abstract：BACKGROUND:Advances in technology have made ultrasound (US) devices smaller and portable, hence accessible for prehospital care providers. This study aims to evaluate the effect of a four-hour, hands-on US training course for physicians working in the prehospital setting. The primary outcome measure was US performance ...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章
doi：10.1186/s13049-016-0289-1
更新日期：2016-08-04 00:00:00
abstract：BACKGROUND:Haemorrhagic shock is a major cause of death in the acute care setting. Since 2009, our emergency department has used intra-aortic balloon occlusion (IABO) catheters for resuscitative endovascular balloon occlusion of the aorta (REBOA). METHODS:REBOA procedures were performed by one or two trained acute car...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章
doi：10.1186/s13049-016-0205-8
更新日期：2016-02-09 00:00:00
abstract：BACKGROUND:Patients with isolated traumatic brain injury (TBI) are likely to benefit from effective prehospital care to prevent secondary brain injury. Only a few studies have focused on the impact of advanced interventions in TBI patients by prehospital physicians. The primary end-point of this study was to assess the...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章
doi：10.1186/s13049-019-0590-x
更新日期：2019-01-28 00:00:00
abstract：:Major incidents are resource-demanding situations that require urgent and effective medical management. The possibility to extract learning from them is therefore important. Comparative analysis of information based on uniform data collection from previous incidents may facilitate learning. The Major Incident Reportin...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章,评审
doi：10.1186/s13049-015-0132-0
更新日期：2015-08-05 00:00:00
abstract：BACKGROUND:Peripheral measurement of venous oxygen saturation and lactate is a less invasive alternative to monitor tissue oxygenation as compared to measurements from a central venous catheter. However, there is a lack of evidence to support the use of peripheral measurements. In this study, we investigated the agreem...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章
doi：10.1186/s13049-018-0537-7
更新日期：2018-09-10 00:00:00
abstract：BACKGROUND:Bee and wasp stings are among the most common triggers of anaphylaxis in adults representing around 20% of fatal anaphylaxis from any cause. Data of pre-hospital treatment of bee and wasp induced anaphylactic reactions are sparse. This study aimed to estimate the incidence of bee and wasp induced anaphylacti...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章
doi：10.1186/s13049-016-0344-y
更新日期：2017-01-14 00:00:00
abstract：BACKGROUND:Hyperfibrinolysis (HF) is a major contributor to coagulopathy and mortality in trauma patients. This study investigated (i) the rate of HF during the pre-hospital management of patients with multiple injuries and (ii) the effects of pre-hospital tranexamic acid (TxA) administration on the coagulation system....
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章
doi：10.1186/s13049-016-0314-4
更新日期：2016-10-10 00:00:00
abstract：BACKGROUND:Albumin may be beneficial in patients with septic shock but availability is limited and cost is high. The objective of the present study was to investigate if the use of dextran-70 in addition to albumin and crystalloids influences organ failure or mortality in patients with severe sepsis or septic shock. M...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章
doi：10.1186/s13049-017-0413-x
更新日期：2017-07-06 00:00:00
abstract：BACKGROUND:Asylum-seekers from Africa immigrate to Israel through the Sinai desert and are often exposed to traumatic events. OBJECTIVE:To identify the scope and types of medical services required by asylum-seekers and the relationship between delayed medical care to development of post-traumatic stress disorder (PTSD...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章
doi：10.1186/s13049-019-0665-8
更新日期：2019-09-06 00:00:00
abstract：BACKGROUND:Patients with cardiac arrest have lower survival rates, when resuscitation performance is low. In In-hospital settings the first responders on scene are usually nursing staff without rhythm analysing skills. In such cases Automated External Defibrillators (AED) might help guiding resuscitation performance. A...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章
doi：10.1186/s13049-015-0170-7
更新日期：2015-10-31 00:00:00
abstract：BACKGROUND:Accidental hypothermia increases mortality and morbidity in trauma patients. Various methods for insulating and wrapping hypothermic patients are used worldwide. The aim of this study was to compare the thermal insulating effects and comfort of bubble wrap, ambulance blankets / quilts, and Hibler's method, a...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章,随机对照试验
doi：10.1186/1757-7241-19-41
更新日期：2011-06-23 00:00:00
abstract：BACKGROUND:This study compares the assessment, treatment, referral, and follow up contact with the dispatch centre of emergency patients treated by two types of solo emergency care providers in ambulance emergency medical services (EMS) in the Netherlands: the physician assistant (PA), educated in the medical domain, a...
journal_title：Scandinavian journal of trauma, resuscitation and emergency medicine
pub_type： 杂志文章
doi：10.1186/s13049-016-0279-3
更新日期：2016-06-29 00:00:00
