Hypothermia during percutaneous coronary intervention in comatose survivors of cardiac arrest

Urgent invasive coronary strategy including coronary angiography and percutaneous coronary intervention (PCI) is feasible and safe in combination with mild induced hypothermia and may significantly improve survival with good neurological outcome in comatose patients after reestablishment of spontaneous circulation (ROSC). The starting hypothermia already in the prehospital setting or immediately after arrival to the catheterization laboratory to complement urgent coronary angiography and PCI seems to be a logical strategy

La politique forestière du Parc naturel régional des Alpilles : protéger la forêt et promouvoir la gestion.

Cet article est le texte de l'intervention faite par l'auteur, lors du séminaire organisé en novembre 2006 par Forêt Méditerranéenne sur le thème : « La forêt méditerranéenne : un atout pour le développement des territoires, zones périurbaines et littorales » à Trets

Bilateral gluteal abscesses and myofibrosis complicating intramuscular pentazocine abuse: a case report

BACKGROUND: There is paucity of reports on the musculoskeletal complications of pentazocine abuse in Nigeria.The aim was to report a case of bilateral gluteal abscesses and myofibrosis as a consequence of parenteral pentazocine abuse.CASE SUMMARY: We report a case of a 39 year old housewife who presented with bilateral gluteal pyomyositis and myofibrosis following intramuscular pentazocine abuse.The patient had received parental pentazocine for pain relief for about 3 weeks seven years ago.She gradually developed dependence on this drug and received increasing doses of this drug by self injection on both buttocks. She subsequently developed bilateral gluteal abscesses and myofibrosis that was treated by surgical drainage,debridement,wound dressing and antibiotics.CONCLUSION: Pentazocine abuse should be considered a differential diagnosis in cases of multiple gluteal abscesses.Clinicians should be cautious in the use of pentazocine as routine painkillers.KEYWORDS: Pentazocine abuse,gluteal abscesses,Nigeria