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Cough Syncope and Fatal Motor Vehicle Accidents: Two Australian Cases.
J Law Med
November 2024
Consultant Respiratory Physician, East Melbourne.
Cough syncope is an uncommon but well-recognised medical condition diagnosed primarily on the history provided by the sufferer. In situations where the sufferer is in control of a motor vehicle, syncope can lead to accidents involving death and injury. In the medico-legal setting, cough syncope can be a contested cause of such accidents.
View Article and Find Full Text PDFInjury pattern of feet and lower limbs in a feet-first fall from height.
Forensic Sci Med Pathol
January 2025
State Institute of Legal Medicine, Turmstrasse 21, Berlin, 10559, Germany.
In fatalities caused by falls from height, the analysis of the injury pattern, alongside with circumstantial data, is crucial for understanding the dynamics of the incident. In rare cases, even a differentiation between accidental and intentional events might be possible. The injury pattern of the lower limbs is particularly significant in this context.
View Article and Find Full Text PDFBackground: Addressing femoral neck fractures resulting from ground-level falls in older adults with Alzheimer's disease (AD) involves a personalized treatment plan, leading to a substantial economic burden on the healthcare system. The debate surrounding the advantages and disadvantages of surgical interventions versus non-operative approaches for femoral neck fractures in older individuals with AD remains a topic of active discussion.
Method: In this retrospective cohort study, the total medical expenses associated with operative and non-operative therapies were compared while adjusting for patients' demographics and baseline health conditions.
Inadvertent Ingestion of Orthodontic Wire Impacted in the Esophagus, Mistaken for a Chicken Bone.
Cureus
December 2024
ENT, York Teaching Hospital, York, GBR.
Accidental ingestion of foreign bodies frequently necessitates emergency department visits, with many cases requiring surgical consultation. Although most ingested items pass through the gastrointestinal tract uneventfully, orthodontic components, such as wires, present a specific risk due to their shape and material properties. This report describes a rare case of a 13-year-old male adolescent whose initial presentation suggested ingestion of a chicken bone.
View Article and Find Full Text PDFManagement of Accidental Paraquat Ingestion in a Child.
J Paediatr Child Health
January 2025
Queensland Children's Hospital, Brisbane, Queensland, Australia.
Aim: To report on the management of a toddler who had accidental ingestion of an unknown amount of paraquat, with treatment including continuous renal replacement therapy (CRRT), steroids and antifibrinolytics at a tertiary-level health system.
Methods: A 16-month-old child weighing 10 kg accidentally ingested an unknown amount of Gramoxone containing paraquat. The child was transferred to a tertiary centre Paediatric Intensive Care Unit (PICU) where she was electively intubated and commenced on CRRT at 7 hours and 15 minutes post-ingestion.
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