Tidsskr. Nor. Laegeforen. [JOURNAL]

BACKGROUND: National authorities want to strengthen the role of district medical officers during normal and crisis times. We wanted to investigate district medical officers' experience and specialisation, as well as the... BACKGROUND: National authorities want to strengthen the role of district medical officers during normal and crisis times. We wanted to investigate district medical officers' experience and specialisation, as well as the employment conditions and organisation of the role as a basis for assessing whether the aim of a strengthened district medical officer role is being achieved. MATERIAL AND METHOD: We sent a survey to district medical officers in all Norwegian municipalities in autumn 2024. RESULTS: We received responses to the survey from 299 (68 %) of the 439 district medical officers in 235 of the 357 municipalities. Of these, 254 (85 %) were specialists or specialty registrars in community medicine. The proportion of full time contracted hours worked as a district medical officer was 50 % or less for 133 (44 %) of respondents, and 183 (61 %) had additional positions. In terms of organisational structure, 80 (27 %) district medical officers reported to the Chief Executive Officer of the municipality. Of the 211 district medical officers who reported to a manager other than the Chief Executive Officer, 156 (74 %) worked in the municipal sector for health. The district medical officer role did not have permanent involvement in the municipality's crisis management team according to 63 (21 %) respondents. INTERPRETATION: District medical officers have high levels of competence, but variations in employment conditions and organisational structure indicate that there are differences in the prerequisites for performing the role.

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[Does medical practice still require sound judgement?].

Eriksen A

Tidsskr Nor Laegeforen · 2026 Jan · PMID 41556690 · Publisher ↗

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[Personal responsibility is not limited under the new health research law].

Bekeng KK

Tidsskr Nor Laegeforen · 2026 Jan · PMID 41556689 · Publisher ↗

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[US removes warning on menopausal hormone therapy – in line with Norwegian practice].

Warsla G

Tidsskr Nor Laegeforen · 2026 Jan · PMID 41556688 · Publisher ↗

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The 'forensication' of mental health care in Norway.

Kilden S, Holst Ø, Hartberg CB

Tidsskr Nor Laegeforen · 2026 Jan · PMID 41556687 · Publisher ↗

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Use of ambulance services for patients with suspected stroke.

Jamtli B, Iversen E, Kongsgård HW … +2 more , Indredavik B, Brattebø G

Tidsskr Nor Laegeforen · 2026 Jan · PMID 41556686 · Publisher ↗

BACKGROUND: In Norway, Emergency Medical Communication Centres (EMCCs) are responsible for ensuring appropriate medical assistance for time-critical illness and injury, while also prioritising the allocation of available... BACKGROUND: In Norway, Emergency Medical Communication Centres (EMCCs) are responsible for ensuring appropriate medical assistance for time-critical illness and injury, while also prioritising the allocation of available ambulance resources. This study examined the relationship between EMCC dispatches for suspected stroke, the number of patients discharged with a stroke diagnosis, and the time to hospital admission and initiation of thrombolysis. MATERIAL AND METHOD: We conducted a retrospective, descriptive study using anonymised data from the Norwegian Patient Registry and the Norwegian Stroke Registry for the period 2020-2023. We identified the number of EMCC dispatches for suspected stroke, the number of patients diagnosed with stroke, the proportion of stroke patients admitted to hospital within four hours of symptom onset, the proportion treated with thrombolysis, and the proportion receiving thrombolysis within three hours of symptom onset. RESULTS: EMCC dispatches for suspected stroke increased from 19,104 in 2020 to 29,426 in 2023, representing a rise of 10,322 dispatches (54 %). Over the same period, the number of patients diagnosed with stroke increased from 8934 to 8969 (35 cases; 0.4 %). The proportion of stroke patients admitted to hospital within four hours of symptom onset and the proportion treated with thrombolysis remained stable throughout the study period. INTERPRETATION: The increase in EMCC dispatches for suspected stroke during the study period was not due to a higher incidence of acute stroke in the population. The findings indicate that the increase was not associated with an increased proportion of stroke patients admitted to hospital within four hours, nor with an increased proportion of patients treated with thrombolysis or receiving thrombolysis within three hours.

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[Drug-associated acute kidney injury in critically ill patients].

Torp HA, Laake JH

Tidsskr Nor Laegeforen · 2026 Jan · PMID 41556685 · Publisher ↗

Multiorgan failure and polypharmacy make critically ill intensive care patients particularly susceptible to drug-associated acute kidney injury. A wide spectrum of pathophysiological mechanisms underlies this type of ren... Multiorgan failure and polypharmacy make critically ill intensive care patients particularly susceptible to drug-associated acute kidney injury. A wide spectrum of pathophysiological mechanisms underlies this type of renal injury. In this article, we outline the risk profiles of drugs commonly used in intensive care and provide a brief overview of preventive strategies and treatment options. As many of these drugs are also used in non-intensive care settings, the topic is relevant for doctors both within and beyond hospital settings.

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Uncivil behaviour.

Bjørshol CA

Tidsskr Nor Laegeforen · 2026 Jan · PMID 41556684 · Publisher ↗

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Tidsskr. Nor. Laegeforen. [JOURNAL]

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