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  • 51.
    Lundberg, Lars
    et al.
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Jorum, E
    Holm, E
    Torebjörk, E
    Intraneural electrical stimulation of cutaneous nociceptive fibres in humans: effects of different pulse patterns on magnitude of pain1992Ingår i: Acta Physiologica Scandinavica, ISSN 0001-6772, E-ISSN 1365-201X, Vol. 146, nr 1, s. 41-48Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    A study was performed to elucidate how different impulse frequencies and impulse patterns in cutaneous nociceptive fibres influence the subjective magnitude of pain. Groups of nociceptive Aδ and C fibres were co-activated by electrical intraneural stimulation at constant intensity in cutaneous fascicles of the peroneal nerve in healthy human subjects. The resulting pain sensations were rated on a modified visual analogue scale. Five-second trains were administered randomly at irregular intervals of at least 30 s. Five of the stimulus patterns had regular interpulse intervals, corresponding to frequencies of 1, 2, 4, 10 and 15 Hz, and three other patterns were constructed to mimic to some extent the initially phasic and subsequently slowly adapting discharge patterns which may be encountered in recordings from human nociceptors. The results from these experiments using stimulation frequencies within physiological discharge ranges for human nociceptors indicate that the subjective magnitude of pain increases monotonously as a function of stimulus frequency, and that patterns mimicking nociceptor discharges in response to natural stimuli give rise to greater peak magnitudes of pain than artificial regular patterns with a corresponding number of impulses.

  • 52.
    Lundberg, Lars
    et al.
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Kihl, B
    Olsson, J-O
    Long-term experience of self-injection therapy with prostaglandin E1 for erectile dysfunction1996Ingår i: Scandinavian Journal of Urology and Nephrology, ISSN 0036-5599, E-ISSN 1651-2065, ISSN 0036-5599, Vol. 30, nr 5, s. 395-397Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    A total of 42 evaluable patients 36-80 years old were treated with intracavernous injection of prostaglandin E1 for erectile dysfunction. They reported retrospectively via a questionnaire their long-term experience of this method. Twenty-four patients (57%) were after 46.9 months still using the technique, while 18 patients (43%) had abandoned the method after 21.4 months of use. No major complications were observed or reported.

  • 53.
    Lundberg, Lars
    et al.
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Molde, Å
    [external].
    Dalenius, E
    [external].
    BATLS/BARTS/BBTLS training for Swedish Armed Forces medical personnel: a ten year retrospective study2008Ingår i: Journal of the Royal Army Medical Corps, ISSN 0035-8665, Vol. 154, nr 1, s. 34-37Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    Objective: The British BATLS/BARTS concept was introduced in Sweden in 1998. Perceived changes within the student group, regarding purposes for taking the course and previous trauma training were the subject of the study. Methods: Records from all Swedish courses during 1998-2007 were examined and analyzed. Results: In all, 61 courses with a total of 1254 students were conducted. Among the participants were 295 doctors, 764 nurses, 176 medical orderlies and 19 belonging to other categories. The course has by time become a pre-mission course. Also, a large number of the students now have previous (often civilian) trauma life support training. Conclusion: When the British BATLS/BARTS concept was introduced in Sweden ten years ago, the general level of trauma training among medical personnel was inadequate for the wartime needs of the Armed Forces. Today, the majority of individuals selected for international service already have previous trauma life support training. This has led to the courses now being aimed mainly at improving their knowledge of the tactical medical skills particular to the environment in which they will serve.

  • 54.
    Lundberg, Lars
    et al.
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Molde, Å
    [external].
    Örtenwall, P
    [external].
    Hälso- och sjukvård under krig och väpnade konflikter2009Ingår i: Katastrofmedicin / [ed] S Lennqvist, Liber , 2009, s. 373-388Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 55.
    Lundberg, Lars
    et al.
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Pazooki, D
    Sidenö, B
    Sjukvård inom försvarets utlandsverksamhet: Framskjuten kirurgisk förmåga2008Ingår i: Svensk Kirurgi, ISSN 0346-847X, Vol. 66, nr 4, s. 141-144Artikel i tidskrift (Övrigt vetenskapligt)
    Abstract [sv]

    Den svenska försvarsmakten har under de senaste åren genomgått mycket stora förändringar genom att ett numerärt sett stort invasionsförsvar har omvandlats till ett mycket mindre insatsförsvar med kontinuerlig skarp verksamhet på flera håll i världen. Detta ställer helt andra krav på den militära sjukvårdsorganisationen och vi får här en översikt över hur denna nu fungerar. Författare är Lars Lundberg, specialist i kirurgi och verksam vid Försvarsmedicincentrum i Göteborg och universitetslektor vid Sahlgrenska akademin, David Pazooki, specialist i såväl kirurgi, thoraxkirurgi som kärlkirurgi, verksam vid kirurgkliniken, Sahlgrenska universitetssjukhuset och därtill professor vid Balkhuniversitetet i Mazar-e Sharif, Afghanistan och till sist Börje Sidenö, specialist i thoraxkirurgi och anestesiologi och verksam som stabsläkare på Försvarsmaktens högkvarter i Stockholm.

  • 56.
    Lundberg, Lars
    et al.
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Sterner, Anders
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Engström, Henrik
    Heldal, Ilona
    Maurin Söderholm, Hanna
    Högskolan i Borås, Akademin för bibliotek, information, pedagogik och IT.
    Evaluation of immersion in high fidelity simulation2015Konferensbidrag (Refereegranskat)
  • 57.
    Lundberg, Lars
    et al.
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Ström, G
    Simulering och interaktiv träning ny utbildningsmöjlighet för militär sjukvårdspersonal2006Konferensbidrag (Övrigt vetenskapligt)
  • 58. Lundberg, Lars
    et al.
    Torebjörk, E
    Evaluation of a rat model for pain1987Konferensbidrag (Refereegranskat)
  • 59.
    Lundberg, Lars
    et al.
    Akademiska Sjukhuset.
    Torebjörk, E
    Akademiska sjukhuset.
    Evidence for dual function in single RA units1987Ingår i: Electroencephalography and Clinical Neurophysiology, ISSN 0013-4694, E-ISSN 0013-4649, Vol. 66, nr 5, s. 62-Artikel i tidskrift (Refereegranskat)
  • 60. Lundberg, Lars
    et al.
    Wester, K
    Epiduralt hematom med sen symptomdebut1988Ingår i: Tidsskrift for Den norske lægeforening, ISSN 0029-2001, E-ISSN 0807-7096, Vol. 108, nr 16, s. 1288-1289Artikel i tidskrift (Refereegranskat)
  • 61.
    Lundberg, Lars
    et al.
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Örtenwall, P
    Civil-military collaboration in trauma training2011Konferensbidrag (Refereegranskat)
    Abstract [en]

    In the present Swedish military medical organisation all medical personnel, including surgeons, have to be recruited from civilian hospitals. Even if there are many civilian surgeons well qualified to perform trauma surgery, the injury patterns seen in e.g. Afghanistan are quite different compared to what is generally seen in trauma patients arriving to the ED at a civilian hospital. In order to upgrade the major trauma skills of the civilian surgeons recruited to and trained for participating in international missions, the (extended) military version of the Definitive Surgical Trauma Care (DSTC) Course has been implemented. DSTC is given with the intention not to duplicate ATLS, nor to provide an in depth course in surgery, but rather to teach those techniques particularly applicable to the patient who requires surgery and intensive care for major trauma, in a setting where such care is not commonly practised or even necessarily available. The course, made up by a mix of lectures, case discussions and skill stations has been given at the Swedish Armed Forces Centre for Defence Medicine in Gothenburg since 2007. It has gradually evolved to incorporate also anaesthesiologists and nursing staff into an integrated team. The faculty during these courses has been made up by a mix of international and Swedish instructors. Course candidates have primarily been military health staff, but vacant slots have been offered clinicians working in civilian hospitals in the western part of Sweden. During the last course in September 2010 17/20 (85%) of the physicians and 13/17 (76%) of the nurses rated the course as very beneficial or indispensible. The Swedish Armed Forces Centre for Defence Medicine will continue to run the military version of the DSTC course. Due to a certain over-capacity, course participation can be offered the civilian health care system.

  • 62.
    Maurin Söderholm, Hanna
    et al.
    Högskolan i Borås, Akademin för bibliotek, information, pedagogik och IT.
    Andersson, Henrik
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Andersson Hagiwara, Magnus
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Backlund, Per
    School of Informatics, University of Skövde.
    Bergman, Johanna
    PICTA - Prehospital ICT Arena, Lindholmen Science Park AB.
    Lundberg, Lars
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Sjöqvist, Bengt Arne
    Biomedical Signals and Systems, Department of Electrical Engineering, Chalmers University of Technology.
    Research challenges in prehospital care: the need for a simulation-based prehospital research laboratory.2019Ingår i: Advances in Simulation, ISSN 2059-0628, Vol. 4, artikel-id 3Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    There is a need for improved research in the field of prehospital care. At the same time, there are many barriers in prehospital research due to the complex context, posing unique challenges for research, development, and evaluation. The present paper argues for the potential of simulation for prehospital research, e.g., through the development of an advanced simulation-based prehospital research laboratory. However, the prehospital context is different from other healthcare areas, which implies special requirements for the design of this type of laboratory, in terms of simulation width (including the entire prehospital work process) and depth (level of scenario detail). A set of features pertaining to simulation width, scenario depth, equipment, and personnel and competence are proposed. Close tailoring between these features and the prehospital research problems and context presents great potential to improve and further prehospital research.

  • 63. Molde, Å
    et al.
    Milasius, S
    Lundberg, Lars
    BATLS/BARTS training in Lithuania2006Ingår i: Royal Army Medical Corps. Journal, ISSN 0035-8665, Vol. 152, nr 2, s. 217-220Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    OBJECTIVE: In order to train medical personnel properly for future international missions the Lithuanian Armed Forces decided to adopt BATLS/BARTS as a basic course for military pre-hospital trauma care. This decision was based upon the increasing Lithuanian participation in international missions as a part of multinational units. Another important reason was the personal experience of the course concept acquired in Sweden in 2001 by five Lithuanian medical officers. METHODS: Similar to the way BATLS/BARTS was introduced in Sweden, a regular Swedish course (as given in Sweden for own units prior to international missions) was given in Lithuania. The faculty consisted of three experienced instructors from Sweden, and the two Lithuanian medical officers who had previously taken the BATLS course and the BATLS instructor course in Sweden. RESULTS: Two BATLS/BARTS courses have been given in Kaunas, Lithuania. A total number of eight medical officers, nine military nurses, five medics, three civilian doctors and four medical students have taken the course. Some of these (four medical officers, two military nurses and two medics) have later been deployed to Afghanistan, Iraq and Kosovo, where the Lithuanian units have been collaborating with British, Danish, Polish and Czech-Slovakian units. CONCLUSION: As international missions become multinational, it is essential there is full confidence in the level of training and preparedness among all units working together. One way to achieve this is through bi- or multinational training as described in this paper.

  • 64.
    Silverplats, Katarina
    et al.
    Sahlgrenska University Hospital, Swedish Armed Forces Centre for Defence Medicine.
    Jonsson, Anders
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Lundberg, Lars
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    A hybrid simulator model for the control of catastrophic external junctional haemorrhage in the military environment2016Ingår i: Advances in Simulation, ISSN 2059-0628, Vol. 1, nr 5, artikel-id 2016 1:5 DOI: 10.1186/s41077-016-0008-zArtikel i tidskrift (Refereegranskat)
    Abstract [en]

    Catastrophic haemorrhage from extremity injuries has for a long time been the single most common cause of preventable death in the military environment. The effective use of extremity tourniquets has increased the survival of combat casualties, and exsanguination from isolated limb injuries is no longer the most common cause of death. Today, the most common cause of potentially preventable death is haemorrhage from the junctional zones, i.e. the most proximal part of the extremities, not amenable to standard tourniquets.

    Different training techniques to control catastrophic haemorrhage have been used by the Swedish Armed Forces in the pre-deployment training of physicians, nurses and medics for many years. The training techniques include different types of human patient simulators such as moulage patients and manikins. Preferred training conditions for the control of catastrophic haemorrhage include a high degree of realism, in combination with multiple training attempts.

    This report presents a new hybrid training model for catastrophic external junctional haemorrhage control. It offers a readily reproducible, simple and inexpensive opportunity to train personnel to deal with life threatening catastrophic junctional haemorrhage. In particular, this model offers an opportunity for non-medical military personnel in Sweden to practice control of realistic catastrophic haemorrhage, with multiple training attempts.

  • 65.
    Silverplats, Katarina
    et al.
    Göteborgsuniversitet.
    Jonsson, Anders
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Lundberg, Lars
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    The development of a military hybrid simulation model for the training of haemorrhage control in proximal extremity bleedings.2014Ingår i: Advances in Simulation, ISSN 2059-0628, Vol. 1, nr 5Artikel, forskningsöversikt (Refereegranskat)
  • 66. Silverplats, Katarina
    et al.
    Jonsson, Anders
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Lundberg, Lars
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Training Methods for the Control of Catastrophic Haemorrhage in the Military Environment2013Konferensbidrag (Refereegranskat)
  • 67.
    Silverplats, Katarina
    et al.
    Göteborgs Universitet.
    Jonsson, Anders
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Lundberg, Lars
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Training methods for the control of catastrophic hemorrhage in the military environment2013Ingår i: Prehospital and Disaster Medicine, ISSN 1049-023X, E-ISSN 1945-1938, Vol. 28, nr 1Artikel, forskningsöversikt (Refereegranskat)
  • 68. Ström, G
    et al.
    Eide, C
    Lundberg, Lars
    [external].
    Evaluation of enhanced simulation in Swedish BATLS training2010Konferensbidrag (Refereegranskat)
  • 69. Ström, G
    et al.
    Lundberg, Lars
    A new approach in education and training for military medical personnel2006Konferensbidrag (Refereegranskat)
  • 70.
    Suserud, Björn-Ove
    et al.
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Lundberg, Lars
    Högskolan i Borås, Akademin för vård, arbetsliv och välfärd.
    Prehospital akutsjukvård2016 (uppl. 2)Bok (Övrigt vetenskapligt)
  • 71. Torebjörk, E
    et al.
    Lundberg, Lars
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Is facilitation of a flexor reflex in the decerebrated rat analogous to post-injury pain in humans? A preliminary report1987Ingår i: Fine afferent nerve fibers and pain / [ed] R.F Schmidt, Schaible, Vahle-Hinz, VCH Verlag , 1987, s. 391-398Kapitel i bok, del av antologi (Övrigt vetenskapligt)
  • 72. Torebjörk, E
    et al.
    Lundberg, Lars
    LaMotte, R
    Central changes in processing of mechano-receptive input in capsaicin-induced hyperalgesia in humans1992Ingår i: Journal of Physiology, ISSN 0022-3751, E-ISSN 1469-7793, Vol. 448, s. 765-780Artikel i tidskrift (Refereegranskat)
    Abstract [en]

    1. Capsaicin, the algesic substance in chilli peppers, was injected intradermally in healthy human subjects. A dose of 100 micrograms given in a volume of 10 microliters caused intense pain lasting for a few minutes after injection and resulted in a narrow area of hyperalgesia to heat and a wide surrounding area of hyperalgesia to mechanical stimuli (stroking) lasting for 1-2 h. 2. Nerve compression experiments with selective block of impulse conduction in myelinated (A) but not in unmyelinated (C) fibres indicated that afferent signals in C fibres contributed to pain from capsaicin injection and to heat hyperalgesia, whereas conduction in afferent A fibres was necessary for the perception of mechanical hyperalgesia. 3. Electrical intraneural microstimulation normally eliciting non-painful tactile sensations was accompanied by pain when the sensation was projected to skin areas within the region of mechanical hyperalgesia induced by capsaicin injection. 4. The threshold for pain evoked by intraneural microstimulation was reversibly lowered and pain from suprathreshold stimulation was exaggerated during the period of mechanical hyperalgesia, regardless of lidocaine anaesthesia of the cutaneous innervation territory of the stimulated fibres. 5. The results indicate that hyperalgesia to stroking on a skin area surrounding a painful intradermal injection of capsaicin is due to reversible changes in the central processing of mechanoreceptive input from myelinated fibres which normally evoke non-painful tactile sensations.

  • 73. Torp Jensen, Christian
    et al.
    Johansson, Anders
    Emmertsen, Niels-Christian
    de Mello, Winston
    Lundberg, Lars
    Högskolan i Borås, Institutionen för Vårdvetenskap.
    Implementation of Battlefield Advanced Trauma Life Support (BATLS) in the Danish Armed Forces2013Konferensbidrag (Refereegranskat)
12 51 - 73 av 73
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  • apa
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  • modern-language-association-8th-edition
  • vancouver
  • Annat format
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Språk
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Annat språk
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  • html
  • text
  • asciidoc
  • rtf