Leo Maria George Geeraedts

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The incidence of smuggling and transporting of illegal drugs by internal concealment, also known as body packing, is increasing in the Western world. The objective of this study was to determine the outcome of conservative and surgical approaches in body packers. Clinical data on body packers admitted to our hospital from January 2004 until December 2009(More)
Trauma patients with haemorrhagic shock who only transiently respond or do not respond to fluid therapy and/or the administration of blood products have exsanguinating injuries. Recognising shock due to (exsanguinating) haemorrhage in trauma is about constructing a synthesis of trauma mechanism, injuries, vital signs and the therapeutic response of the(More)
BACKGROUND In trauma, as interventions are carried out to stop bleeding, ongoing resuscitation with blood products is of vital importance. As transfusion policy in exsanguinating patients cannot be based on laboratory tests, transfusion of blood products is performed empirically or 'blindly'. The aim of this study was to delineate 'blind' transfusion(More)
AIM The ideal strategy for prehospital intravenous fluid resuscitation in trauma remains unclear. Fluid resuscitation may reverse shock but aggravate bleeding by raising blood pressure and haemodilution. We examined the effect of prehospital i.v. fluid on the physiologic status and need for blood transfusion in hypotensive trauma patients after their(More)
OBJECTIVE To study whether there are differences between day and night in the dispatch of helicopter emergency medical services (HEMS) and in their response and travelling times, medical treatment and transport of patients. DESIGN Retrospective, descriptive study. METHOD All data on helicopter emergency medical service (HEMS) missions available 24/7(More)
Both facial immersion in cold water and pressure on the eyeball cause reflex bradycardia. These reflexes are called diving reflex and oculocardiac reflex, respectively. The latter is sometimes used in diving medicine to estimate the risk of severe diving bradycardia. The purpose of this study was to quantify the effects of both reflexes on heart rate in 15(More)
N. Hoogerwerf, MD PhD, Medical Coordinator HEMS, Radboud University Medical Center, Nijmegen. J.P. Valk, MD, Medical Coordinator HEMS, University Medical Center Groningen. R.J. Houmes MD, Medical Coordinator HEMS Rotterdam H.M. Christiaans MD, Medical Coordinator HEMS, VU University Medical Center Amsterdam. L.M.G. Geeraedts jr. MD, Department of Surgery,(More)
BACKGROUND Traumatic brain injury (TBI)-related coagulopathy appears to be most prevalent in patients with tissue hypoperfusion, but evidence for this association is scarce. This study investigated the relationship between tissue perfusion and hemostatic derangements in TBI patients. MATERIALS AND METHODS Coagulation parameters were measured on emergency(More)
BACKGROUND The authors investigated whether patients with out-of-hospital cardiac arrest with an initial low cerebral oxygen level during cardiopulmonary resuscitation are more prone to develop hyperfibrinolysis than patients with normal cerebral oxygenation levels and which part of the fibrinolytic system is involved in this response. METHODS In 46(More)
BACKGROUND In The Netherlands, standard prehospital trauma care is provided by emergency medical services and can be supplemented with advanced trauma care by Mobile Medical Teams. Due to observed over and undertriage in the dispatch of the Mobile Medical Team for major trauma patients, the accuracy of the dispatch criteria has been disputed. In order to(More)