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International Journal of Critical Illness and Injury Science

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https://www.readbyqxmd.com/read/28660169/distribution-of-shock-index-and-age-shock-index-score-among-trauma-patients-in-india
#1
Prashant Bhandarkar, Ashok Munivenkatappa, Nobhojit Roy, Vineet Kumar, Veda Dhruthy Samudrala, Amit Agrawal
No abstract text is available yet for this article.
April 2017: International Journal of Critical Illness and Injury Science
https://www.readbyqxmd.com/read/28660168/spontaneous-intraventricular-rupture-of-a-craniopharyngioma-cyst-a-case-report
#2
Kunal Vakharia, Ioannis Dimitrios Siasios, Alexander B Dorsch, Jody Leonardo
Intraventricular rupture of craniopharyngioma cysts is an unusual event which is associated with a high risk of loculated or communicating hydrocephalus. A 75-year-old woman presented at the Emergency Department of our hospital with mental status deterioration due to chemical ventriculitis and acute hydrocephalus following the intraventricular rupture of a craniopharyngioma cyst. The patient was treated with stress-dose steroid therapy. In addition, she underwent placement of an external ventricular drain and endoscopy-assisted intra-cystic placement of an Ommaya reservoir for the aspiration of the cystic fluid...
April 2017: International Journal of Critical Illness and Injury Science
https://www.readbyqxmd.com/read/28660167/tissue-plasminogen-activator-and-pulmozyme-for-postoperative-retained-hemothorax-a-safe-alternative-to-postoperative-re-exploration
#3
Melissa Pastoressa, Truong Ma, Nicholas Panno, Michael Firstenberg
Successful treatment of traumatic hemothoraces is imperative to reduce morbidity and mortality among patients. Treatment modalities range from more conservative to invasive measures, including antibiotic therapy, thoracostomy tube placement, video-assisted thoracoscopic surgery, or thoracotomy. Various studies have documented success in using fibrinolytics such as tissue plasminogen activator (tPA) in conjunction with deoxyribonuclease administered through a chest tube to resolve a hemothorax. The optimal dose and frequency of fibrinolytic therapy have not yet been determined although most studies report administering therapy two times a day for 3 days...
April 2017: International Journal of Critical Illness and Injury Science
https://www.readbyqxmd.com/read/28660166/neuroleptic-malignant-syndrome-in-the-trauma-intensive-care-unit-diagnosis-and-management-of-a-rare-disease-in-a-challenging-population
#4
Joseph David Drews, Andrew Christopher, David Clay Evans
Neuroleptic malignant syndrome (NMS) is a life-threatening neurological disorder associated with the use of antipsychotic medications. Many of its classic signs, such as fever and altered mental status, are nonspecific in trauma intensive care unit (ICU) patients, and its rarity makes it a difficult diagnosis in this population. However, delays in treatment can be costly both in terms of hospital resources and patient outcomes. We herein report a case of a 54-year-old trauma patient with NMS precipitated by a combination of cocaine withdrawal and neuroleptic medications...
April 2017: International Journal of Critical Illness and Injury Science
https://www.readbyqxmd.com/read/28660165/the-incidence-of-hypotension-with-continuous-infusion-atracurium-compared-to-cisatracurium-in-the-intensive-care-unit
#5
Luke A VanderWeide, Mahmoud Abdel-Rasoul, Anthony Thomas Gerlach
BACKGROUND: A drug shortage of cisatracurium led to use of atracurium as an alternative neuromuscular blocker (NMB). Cisatracurium may be preferred due to less histamine release and potentially less hypotension. The study purpose is to compare the incidence of hypotension with continuous infusion atracurium to continuous infusion cisatracurium in ICU patients. MATERIALS AND METHODS: This retrospective cohort analysis reviewed 119 ICU patients who received either continuous infusion atracurium (56) or cisatracurium (63)...
April 2017: International Journal of Critical Illness and Injury Science
https://www.readbyqxmd.com/read/28660164/epidemiology-of-trauma-victims-admitted-to-a-level-2-trauma-center-of-north-india
#6
Vikas Verma, Ajay Singh, Girish Kumar Singh, Santosh Kumar, Vineet Sharma, Ashish Kumar, Vineet Kumar
BACKGROUND: Good quality information on characteristics of victims, types, and frequency of injuries, causes of accidents, vehicles involved in injury and outcome is essential for understanding and planning required for managing the trauma epidemic. The objective of this study was to describe the characteristics of trauma victims admitted to King George's Medical University trauma center. METHODS: This observational study enrolled trauma victims over a 1-year period...
April 2017: International Journal of Critical Illness and Injury Science
https://www.readbyqxmd.com/read/28660163/effective-environmental-factors-on-geographical-distribution-of-traffic-accidents-on-pedestrians-downtown-tehran-city
#7
Ali Moradi, Hamid Soori, Amir Kavousi, Farshid Eshghabadi, Shahrzad Nematollahi, Salahdien Zeini
INTRODUCTION: In most countries, occurrence of traffic causalities is high in pedestrians. The aim of this study is to geographically analyze the traffic casualties in pedestrians in downtown Tehran city. METHODS: The study population consisted of traffic injury accidents in pedestrians occurred during 2015 in Tehran city. Data were extracted from offices of traffic police and municipality. For analysis of environmental factors and site of accidents, ordinary least square regression models and geographically weighted regression were used...
April 2017: International Journal of Critical Illness and Injury Science
https://www.readbyqxmd.com/read/28660162/keys-to-successful-organ-procurement-an-experience-based-review-of-clinical-practices-at-a-high-performing-health-care-organization
#8
REVIEW
Thomas R Wojda, Stanislaw P Stawicki, Kathy P Yandle, Maria Bleil, Jennifer Axelband, Rebecca Wilde-Onia, Peter G Thomas, James Cipolla, William S Hoff, Jill Shultz
Organ procurement (OP) from donors after brain death and circulatory death represents the primary source of transplanted organs. Despite favorable laws and regulations, OP continues to face challenges for a number of reasons, including institutional, personal, and societal barriers. This focused review presents some of the key components of a successful OP program at a large, high-performing regional health network. This review focuses on effective team approaches, aggressive resuscitative strategies, optimal communication, family support, and community outreach efforts...
April 2017: International Journal of Critical Illness and Injury Science
https://www.readbyqxmd.com/read/28660161/posttraumatic-stress-disorder-after-myocardial-infarction-and-coronary-artery-bypass-grafting
#9
REVIEW
Amitoj Singh, Sahil Agrawal, Sanchita Gargya, Sabir Saluja, Akshat Kumar, Abhishek Kumar, Kartik Kalra, Munveer Thind, Sajeev Saluja, Lauren E Stone, Farhan Ali, Rodrigo Duarte-Chavez, Christine Marchionni, Farhad Sholevar, Jamshid Shirani, Sudip Nanda
Post traumatic stress disorder is a psychiatric disease that is usually precipitated by life threatening stressors. Myocardial infarction, especially in the young can count as one such event. The development of post traumatic stress after a coronary event not only adversely effects psychiatric health, but leads to increased cardiovascular morbidity and mortality. There is increasing evidence that like major depression, post traumatic stress disorder is also a strong coronary risk factor. Early diagnosis and treatment of this disease in patients with acute manifestations of coronary artery disease can improve patient outcomes...
April 2017: International Journal of Critical Illness and Injury Science
https://www.readbyqxmd.com/read/28660160/the-2017-academic-college-of-emergency-experts-and-academy-of-family-physicians-of-india-position-statement-on-preventing-violence-against-health-care-workers-and-vandalization-of-health-care-facilities-in-india
#10
Vivek Chauhan, Sagar Galwankar, Raman Kumar, Sunil Kumar Raina, Praveen Aggarwal, Naman Agrawal, S Vimal Krishnan, Sanjeev Bhoi, O P Kalra, Santosh T Soans, Vandana Aggarwal, Mohan Kubendra, R Bijayraj, Sumana Datta, R P Srivastava
There have been multiple incidents where doctors have been assaulted by patient relatives and hospital facilities have been vandalized. This has led to mass agitations by Physicians across India. Violence and vandalism against health-care workers (HCWs) is one of the biggest public health and patient care challenge in India. The sheer intensity of emotional hijack and the stress levels in both practicing HCWs and patient relative's needs immediate and detail attention. The suffering of HCWs who are hurt, the damage to hospital facilities and the reactionary agitation which affects patients who need care are all together doing everything to damage the delivery of health care and relationship between a doctor and a patient...
April 2017: International Journal of Critical Illness and Injury Science
https://www.readbyqxmd.com/read/28660159/opioids-as-co-induction-agents-the-pros-and-cons
#11
Mohanchandra Mandal
No abstract text is available yet for this article.
April 2017: International Journal of Critical Illness and Injury Science
https://www.readbyqxmd.com/read/28660158/what-s-new-in-critical-illness-and-injury-science-we-must-lead-by-hope%C3%A2
#12
EDITORIAL
Michael Shay O'Mara
No abstract text is available yet for this article.
April 2017: International Journal of Critical Illness and Injury Science
https://www.readbyqxmd.com/read/28382263/a-hidden-neurologic-disease-uncovered-in-the-trauma-bay
#13
Ben Grugan, Erica Escarcega, Holly Ringhauser, Steven Falowski, Joan Sweeney
No abstract text is available yet for this article.
January 2017: International Journal of Critical Illness and Injury Science
https://www.readbyqxmd.com/read/28382262/extensive-subcutaneous-emphysema-complicating-spontaneous-pneumomediastinum
#14
Mohammad Thawabi, Sarah Studyvin, Moh'd Al-Halawan, Amer Hawatmeh
No abstract text is available yet for this article.
January 2017: International Journal of Critical Illness and Injury Science
https://www.readbyqxmd.com/read/28382261/olanzapine-overdose-presenting-with-acute-muscle-toxicity
#15
Niraj Keyal, Gentle Sunder Shrestha, Saurabh Pradhan, Ramesh Maharjan, Subhash Prasad Acharya, Moda Nath Marhatta
Olanzapine is an atypical antipsychotic drug that is being increasingly used as an intentional overdose. It usually presents with reduced and fluctuating level of consciousness and coma. It may rarely present with muscle toxicity by binding to HT2A receptor in skeletal muscle and increasing its permeability. We report a case of such poisoning which had no obvious symptoms but was brought to emergency due to overdose and was found to have acute muscle toxicity as evidenced by raised creatine phosphokinase (CPK) levels...
January 2017: International Journal of Critical Illness and Injury Science
https://www.readbyqxmd.com/read/28382260/delayed-pacemaker-lead-perforations-why-unusual-presentations-should-prompt-an-early-multidisciplinary-team-approach
#16
John An Kuang Chao, Michael S Firstenberg
Our first case is an 84-year-old female diagnosed with sick sinus syndrome. She underwent implantation of dual chamber permanent pacemaker without complications. On the 8(th) day status-postimplantation, she returned to the emergency department (ED) with moderately severe left anterior chest pain and significant ecchymosis. She was given an initial diagnosis of shingles and discharged. Two days later, she returned to the ED with increasing chest pain, dyspnea, nausea, and vomiting. Lead migration and cardiac perforation was confirmed by chest X-ray and computed tomography (CT), respectively...
January 2017: International Journal of Critical Illness and Injury Science
https://www.readbyqxmd.com/read/28382259/traumatic-tension-pneumocephalus-two-cases-and-comprehensive-review-of-literature
#17
REVIEW
Promod Pillai, Rohit Sharma, Larami MacKenzie, Eugene F Reilly, Paul R Beery, Thomas J Papadimos, Stanislaw Peter A Stawicki
Although traumatic pneumocephalus is not uncommon, it rarely evolves into tension pneumocephalus (TP). Characterized by the presence of increasing amounts of intracranial air and concurrent appearance or worsening neurological symptoms, TP can be devastating if not recognized and treated promptly. We present two cases of traumatic TP and a concise review of literature on this topic. Two cases of traumatic TP are presented. In addition, a literature search revealed 20 additional cases, of which 18 had sufficient information for inclusion...
January 2017: International Journal of Critical Illness and Injury Science
https://www.readbyqxmd.com/read/28382258/trends-in-nonoperative-management-of-traumatic-injuries-a-synopsis
#18
REVIEW
Stanislaw P A Stawicki
Nonoperative management of both blunt and penetrating injuries can be challenging. During the past three decades, there has been a major shift from operative to increasingly nonoperative management of traumatic injuries. Greater reliance on nonoperative, or "conservative" management of abdominal solid organ injuries is facilitated by the various sophisticated and highly accurate noninvasive imaging modalities at the trauma surgeon's disposal. This review discusses selected topics in nonoperative management of both blunt and penetrating trauma...
January 2017: International Journal of Critical Illness and Injury Science
https://www.readbyqxmd.com/read/28382257/the-right-team-at-the-right-time-multidisciplinary-approach-to-multi-trauma-patient-with-orthopedic-injuries
#19
REVIEW
John A Bach, John J Leskovan, Thomas Scharschmidt, Creagh Boulger, Thomas J Papadimos, Sarah Russell, David P Bahner, Stanislaw P A Stawicki
Integrated, multidisciplinary team approach to the multiply injured patient can help optimize care, minimize morbidity, and reduce mortality. It also provides a framework for accelerated postinjury rehabilitation course. The characteristics and potential benefits of this approach, including team dynamics and interactions, are discussed in this brief review. Emphasis is placed on synergies provided by specialty teams working together in the framework of care coordination, timing of surgical and nonsurgical interventions, and injury/physiologic considerations...
January 2017: International Journal of Critical Illness and Injury Science
https://www.readbyqxmd.com/read/28382256/prognostication-of-traumatic-brain-injury-outcomes-in-older-trauma-patients-a-novel-risk-assessment-tool-based-on-initial-cranial-ct-findings
#20
Stanislaw P Stawicki, Thomas R Wojda, John D Nuschke, Ronnie N Mubang, James Cipolla, William S Hoff, Brian A Hoey, Peter G Thomas, Joan Sweeney, Daniel Ackerman, Jonathan Hosey, Steven Falowski
INTRODUCTION: Advanced age has been traditionally associated with worse traumatic brain injury (TBI) outcomes. Although prompt neurosurgical intervention (NSI, craniotomy or craniectomy) may be life-saving in the older trauma patient, it does not guarantee survival and/or return to preinjury functional status. The aim of this study was to determine whether a simple score, based entirely on the initial cranial computed tomography (CCT) is predictive of the need for NSI and key outcome measures (e...
January 2017: International Journal of Critical Illness and Injury Science
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