29.12.2006
BORGARSPITALINN
BORGARSPITALINN
(city's hospital)
Surgeon-ward 435-457
Patient: Olafur Thor Eiriksson
Age: b.06.19.' 55
Position: Student
Parents: Eirikur Gunnar Olafsson and Hrafnhildur Gunnarsdottir
Address: Haholt 5, Keflavik
Arrival: 09.21.' 75
Left: 11.04.´75
Reason: Aftermath of an accident
Diagnosis: Contusio cerebri
Contusio on braintrunk
Jawfracture right side
Contusio on lung
Surgeon Pneumothorax left side
Fractured 1. rib right side
Fract. on process transversus C.VI. right side
Tracheotomia and jawfract. wired together
SJUKRASAGA (Journal): A 20 year old lad who was a passenger in a car, frontseat that crashed on a high-voltage pole in Grímsnes the 21.9.'75. The pat. arrived on the City hospital's emergency ward approximately at 1,30 the morning of 21.9._75. On arrival the pat. was in a deep coma had pin-point pupils and had some skew-deviation, he was decorticate bilat., that is he had much spastic paralalysis, held the arm contracted on the elbow and hyperexstendiated on both feet.
The pat. had hyperventilatio.
Pat. has a doubtly folded jaw on right side and a contusio on a lung.
Because of it he undervent a tracheotomia, also he had a lung collapsing and therefore he had to have a thoraxdrain.
The pat. condition was status quo forthcoming days, but on 9. 25. he had an operation bilat. carotis angiography that showed no signs of any
intracranial bleeding or any intra cranial mash and pat. was somewhat like, until the 10. 14. '75 when he started changing and began proceeding in
compliances with orders, even though his move-ments were very spastical. By that time the thorax drain had been removed and his jaw-fracture had been attended to, but still he has a few wires in his mouth.
The dentist S. Olafsson has had everything under control.
At the same time the tracheotomia was removed from him and the pat. condition has since been
getting better every day and by the time of his departure the pat. was fully awakened, he followed with his eyes everything that was happening around him. He speaks in whole sentences and seems quite aware of things.
Pat. has Hornes syndrom on the ri. side, he is spastical in every limb and has mild quadtic paresa. The Paresa has been strongest in the right arm and left leg, thus the pat. has had very diffusal injuries.
Pat. had a hyperexstension around the ancles for a long time and has to use splints for that reason. Pat. has been in physiotherapy and has started to go downstairs in a wheelchair and he has been practising walking a little.
X-rays of his lungs have been taken again and he hasn't any problem when urinating anymore. Pictures were taken on 10.27. of the left femor, because the pat. was swollen and had pain about the middle of the left thigh and calcination could be seen in the pat. soft parts where he had had haematom.
Control on cervical vertibrae was taken on 9.27.'75 and no signs of any dislocation or holes in themselves, only that isolated fracture on processus trans- versus on C.VI. Pat. lay for a long time with a catheter, but it has since been removed and the pat. hasn't had any signs of urin infections.
Pat. has had normal diet and has good appetite. The last blood-tests were
made on 10.18.''75: Hb. was 12,6, hct. 37, "sukk" 52, hvt. blk. 6,800 and the electrolytes were normal. Repeated urin-cultivation in October were also negative.
Pat. will now be moved to the rehabilitation-division of the Bsp. called Grensas for further rehabilitation.
Mr. doctor Hospital-doctor
Doctors of Grensas Bjarni Hannesson/go.