Preventing post-injury hypothermia during prolonged prehospital evacuation.

Introduction: Post-injury hypothermia is a risk predictor in trauma patients whose physiology is deranged. The aim of the present study was to examine the effect of simple, in-field, hypothermia prevention to victims of penetrating trauma during long prehospital evacuations.

Methods: A total of 170 consecutively injured landmine victims were included in a prospective, clinical study in Northern Iraq and Cambodia.

Generator sites for spontaneous activity in neuromyotonia. An EMG study.

A 16-year-old female patient with symptoms and signs compatible with neuromyotonia was studied with various neurophysiological tests and with muscle biopsy. Nerve conduction studies revealed signs of axonal motor neuropathy. EMG showed denervation in distal muscles, and moderate neurogenic changes in other muscles.