Urgences MédicalesPub Date : 1996-01-01Epub Date: 1999-05-26DOI: 10.1016/S0923-2524(97)81352-5
B Vincent, F Templier, O Duval, F Bouvet
{"title":"Bilan d'utilisation sur 1 an du valproate de sodium injectable (Dépakine®) en urgence pour tous types de crise convulsive de l'adulte","authors":"B Vincent, F Templier, O Duval, F Bouvet","doi":"10.1016/S0923-2524(97)81352-5","DOIUrl":"10.1016/S0923-2524(97)81352-5","url":null,"abstract":"<div><p>Le valproate de sodium injectable est présenté comme un produit pratique et dénué d'effets secondaires. Qu'en est-il de sa place, de ses indications et de sa posologie en situations d'urgence? Après l'avoir utilisé sur une période d'1 an dans notre service d'urgences Smur, quelques commentaires sont à faire, face aux résultats et à la revue de la littérature: un faible nombre d'inclus dans notre série (<em>n</em> = 16), avec une efficacité sur huit cas sans récidive à des doses de charge supérieures à 25 mg/kg, un surcroît de traitement non négligeable, peu d'études de référence en ce qui concerne les indications d'urgence et la posologie.</p></div><div><p>The intravenous sodium valproate has been presented as a practical product devoid of side effects. What should its use, indications and dosage be in emergency situations? After having used the substance for one year in our Emergency Room Department and Emergency Mobile Medical Unit, some coments need to be made concerning our results and in light of the written reviews: a low number of cases in our series (n = 16), eight non-recurring cases at doses of amounts greater than 25 mg/kg were effective, a not unimportantly hight cost of treatment, and few studies for reference in regards to the indications of emergency and dosage.</p></div>","PeriodicalId":101269,"journal":{"name":"Urgences Médicales","volume":"15 5","pages":"Pages 207-208"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0923-2524(97)81352-5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82306434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Urgences MédicalesPub Date : 1996-01-01Epub Date: 1999-05-26DOI: 10.1016/0923-2524(96)82414-3
M Senard , K Tazarourte , PL Darmon
{"title":"Place de la nalbuphine (Nubain®) dans l'arsenal analgésique moderne","authors":"M Senard , K Tazarourte , PL Darmon","doi":"10.1016/0923-2524(96)82414-3","DOIUrl":"10.1016/0923-2524(96)82414-3","url":null,"abstract":"<div><p>Après un bref rappel sur la physiopathologie de la douleur, les caractéristiques pharmacologiques de la nalbuphine, morphinique agoniste-antagoniste, sont énoncées. Les résultats publiés lors de l'utilisation de la nalbuphine en anesthésie, analgésie, réanimation et médecine d'urgence sont également présentés. L'utilisation de la nalbuphine en analgésie périopératoire n'a pas montré d'intérêt spécifique comparée aux morphiniques agonistes conventionnels. La dépression respiratoire modeste qu'entraîne la nalbuphine, la stabilité hémodynamique lors de son utilisation et la simplicité administrative pour sa prescription et son stockage en font un agent analgésique d'utilisation sûre dans les mains d'un non-spécialiste, et ce dans le cadre d'urgences hospitalières ou préhospitalières.</p></div><div><p>Following a short reminder on pain pathophysiology, pharmacological properties of nalbuphine, an agonist-antigonist analgesic agent, are presented. Based on published results, the use of nalbuphine in anesthesia, analgesia, intensive care and emergency medicine is discussed: regarding perioperative analgesia, nalbuphine could not be demonstrated to have specific advantages compared to usual opioid agonists. However, it appears that nalbuphine can be recommended as a first choice antalgic drug for prehospital or intrahospital emergency units utilization because of limited respiratory and cardiovascular side effects, easy stocking and a simple administrative prescription procedure.</p></div>","PeriodicalId":101269,"journal":{"name":"Urgences Médicales","volume":"15 4","pages":"Pages 169-176"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/0923-2524(96)82414-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74176871","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Urgences MédicalesPub Date : 1996-01-01DOI: 10.1016/S0923-2524(97)84292-0
T. Soupison, Y. Piednoël, L. Provoost, C. Sicot
{"title":"La lactatémie: un indicateur de gravite non spécialisé, chez les malades admis dans un service d'urgence médicale","authors":"T. Soupison, Y. Piednoël, L. Provoost, C. Sicot","doi":"10.1016/S0923-2524(97)84292-0","DOIUrl":"https://doi.org/10.1016/S0923-2524(97)84292-0","url":null,"abstract":"","PeriodicalId":101269,"journal":{"name":"Urgences Médicales","volume":"14 1","pages":"251-254"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84121543","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Urgences MédicalesPub Date : 1996-01-01DOI: 10.1016/0923-2524(96)80441-3
M. Barthet, C. Virenque
{"title":"Exercice de médecine de catastrophe Port d'Envalira, 12 juin 1995","authors":"M. Barthet, C. Virenque","doi":"10.1016/0923-2524(96)80441-3","DOIUrl":"https://doi.org/10.1016/0923-2524(96)80441-3","url":null,"abstract":"","PeriodicalId":101269,"journal":{"name":"Urgences Médicales","volume":"15 1","pages":"89-92"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84309919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Urgences MédicalesPub Date : 1996-01-01Epub Date: 1999-12-08DOI: 10.1016/0923-2524(96)80441-3
MC Barthet, C Virenque
{"title":"Exercice de médecine de catastrophe Port d'Envalira, 12 juin 1995","authors":"MC Barthet, C Virenque","doi":"10.1016/0923-2524(96)80441-3","DOIUrl":"https://doi.org/10.1016/0923-2524(96)80441-3","url":null,"abstract":"","PeriodicalId":101269,"journal":{"name":"Urgences Médicales","volume":"15 2","pages":"Pages 89-92"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/0923-2524(96)80441-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91719712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Urgences MédicalesPub Date : 1996-01-01Epub Date: 1999-05-26DOI: 10.1016/0923-2524(96)86678-1
X Emmanuelli , M Fleury
{"title":"Rôle des ONG dans les catastrophes","authors":"X Emmanuelli , M Fleury","doi":"10.1016/0923-2524(96)86678-1","DOIUrl":"10.1016/0923-2524(96)86678-1","url":null,"abstract":"","PeriodicalId":101269,"journal":{"name":"Urgences Médicales","volume":"15 3","pages":"Pages 127-130"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/0923-2524(96)86678-1","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"112072128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Urgences MédicalesPub Date : 1996-01-01Epub Date: 1999-05-26DOI: 10.1016/S0923-2524(97)81354-9
A Alami, M Fares, Y Cheikahoui, S Belhaj, A Idrissi-Kacemi, W Maazouzi
{"title":"Hémothorax par plaie iatrogène de l'artère sous-clavière au cours d'une chirurgie à c˦ur ouvert","authors":"A Alami, M Fares, Y Cheikahoui, S Belhaj, A Idrissi-Kacemi, W Maazouzi","doi":"10.1016/S0923-2524(97)81354-9","DOIUrl":"10.1016/S0923-2524(97)81354-9","url":null,"abstract":"<div><p>Les plaies vasculaires provoquées par la pose d'un cathéter de voie centrale prennent parfois une allure dramatique. Nous rapportons un cas d'hémothorax survenu à la suite d'une plaie transfixiante de l'artère sous-clavière gauche au cours d'une circulation extracorporelle qui impose une anticoagulation. Dans le contexte peropératoire de la chirurgie à c˦ur ouvert, cette complication doit être évoquée devant l'apparition d'une hypovolémie sans saignement apparent dans le champ opératoire.</p></div>","PeriodicalId":101269,"journal":{"name":"Urgences Médicales","volume":"15 5","pages":"Pages 215-216"},"PeriodicalIF":0.0,"publicationDate":"1996-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S0923-2524(97)81354-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86319446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}