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The propofol levels in the blood and tissues of a 37-year-old Chinese male suspected of having fatally self-administered an intravenous dose of 1600 mg of propofol (12.3-15.4 times the dose required for the induction of anaesthesia) were determined by headspace gas chromatography. The blood (femoral), liver, kidney and brain propofol levels were 2.5(More)
A study of 10 fatal cases of amniotic fluid embolism, confirmed by autopsy and post-mortem histological examination, that occurred in Singapore between 1983-1992, showed that the majority (9 cases) were multiparous, with between 2-4 previous normal pregnancies each. Seven had uneventful antenatal histories. In all cases, the clinical onset was sudden and(More)
Two cases of button-sized batteries found as foreign bodies, one in the ear and one in the nose, are presented. In both cases extensive local damage had followed delayed removal of the batteries. Urgent retrieval of such foreign bodies is stressed to avoid dangerous sequelae. The possible mechanisms of local tissue necrosis and subsequent complications are(More)
Traumatic bronchial rupture is a rarity. Its incidence is about 1.5% to 3% in most series of blunt chest trauma. We report a patient who presented after a road traffic accident with an apparently persistent pneumothorax which failed to respond to emergency treatment. This was later discovered to be due to a traumatic bronchial rupture. It is difficult to(More)
Population-based growth has familiarized health care providers with the special needs of older patients. We know the elderly, those 65 years or older, represent 13.7% of the U.S. population, with a projected rise to 19% by 2030 (Administration on Aging, 2013). Yet, the Cumulative Index to Nursing and Allied Health indicates that only 3%-6% of clinical(More)
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