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International Journal of Critical Illness and Injury Science

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https://www.readbyqxmd.com/read/29291181/leaking-stent-leading-to-a-venous-bronchial-fistula
#1
Raghav Gupta, Andre Jared, James Mahoney
No abstract text is available yet for this article.
October 2017: International Journal of Critical Illness and Injury Science
https://www.readbyqxmd.com/read/29291180/delta-model-for-end-stage-liver-disease-and-delta-clinical-prognostic-indicator-as-predictors-of-mortality-in-patients-with-viral-acute-liver-failure
#2
Ashok Kumar Pannu, Ashish Bhalla, Chelapati Rao, Charanpreet Singh
Objective: The objective of the study is to compare the model for end-stage liver disease (MELD) with clinical prognostic indicators (CPI) specifically the change in these parameters after 48 h of admission in predicting the mortality in patients with acute liver failure (ALF) due to acute viral hepatitis. Materials and Methods: An open label, investigator-initiated prospective study was conducted that included 41 patients with acute viral hepatitis with ALF. The cases were followed prospectively till death or discharge...
October 2017: International Journal of Critical Illness and Injury Science
https://www.readbyqxmd.com/read/29291179/accuracy-of-emergency-transfusion-score-in-prediction-need-for-blood-transfusion-among-multiple-trauma-patients-a-cross-sectional-study-from-iran
#3
Hossein Alimohammadi, Yalda Kianian, Farahnaz Bidari Zerepoosh, Hojjat Derakhshanfar, Mostafa Alavi-Moghadam, Hamid Reza Hatamabadi, Seyed-Mostafa Hosseini-Zijoud
Objective: Prediction of blood transfusion requirement in trauma patients is a dilemma in most trauma centers. The aim of the current study was assessing the accuracy of emergency transfusion score (ETS) in detecting patients' need for blood transfusion in ED. Methods: In this cross-sectional study, all multiple trauma patients referred to the emergency department (ED) of Imam Hossein Hospital, Tehran, Iran, from March to August 2014, were enrolled. ETS parameters including low blood pressure, free fluid on ultrasound, clinical instability of the pelvic ring, age, admission from the scene, and trauma mechanism were recorded for all patients...
October 2017: International Journal of Critical Illness and Injury Science
https://www.readbyqxmd.com/read/29291178/a-competency-based-simulation-curriculum-for-surgical-resident-trauma-resuscitation-skills
#4
Matthew L Moorman, Tony R Capizzani, Michelle A Feliciano, Judith C French
Background: Evidence-based curricula for nonprocedural simulation training in general surgery are lacking. Residency programs are required to implement simulation training despite this shortcoming. The goal of this project was the development of a simulation curriculum that measurably improves milestone performance and replaces traditional experienced-based training with a competency-based model. Materials and Methods: SimMan 3G® (Laerdal Medical, Wappingers Falls, NY, USA) was utilized for simulation...
October 2017: International Journal of Critical Illness and Injury Science
https://www.readbyqxmd.com/read/29291177/maxillofacial-injuries-among-trauma-patients-undergoing-head-computerized-tomography-a-ugandan-experience
#5
Ullas Chandrika Krishnan, Rosemary Kusaba Byanyima, Ameda Faith, Adriane Kamulegeya
Aim: The aim of this study was to investigate epidemiological features of maxillofacial fractures within trauma patients who had head and neck computed tomography (CT) scan at the Mulago National referral hospital. Methods: CT scan records of trauma patients who had head scans at the Department of Radiology over 1-year period were accessed. Data collected included sociodemographic factors, type and etiology of injury, and concomitant maxillofacial injuries. Results: A total of 1330 trauma patients underwent head and neck CT scan in the 1-year study period...
October 2017: International Journal of Critical Illness and Injury Science
https://www.readbyqxmd.com/read/29291176/otorhinolaryngological-manifestations-in-head-trauma-a-prospective-study-of-the-epidemiology-clinical-presentations-management-and-outcomes
#6
Adeyi A Adoga, Kenneth N Ozoilo, Andrew A Iduh, Joyce G Mugu
Background: Otorhinolaryngological injuries following head trauma may be missed, overlooked, or forgotten in the acute phase resulting in worsened management outcomes. This study aims to report the epidemiology, clinical presentations, management, and outcomes of otorhinolaryngological injuries in head trauma with a view to creating awareness for early recognition and prompt treatment. Patients and Methods: Head injured patients consecutively presenting over a 5-year period were prospectively studied for age, gender, otorhinolaryngological presentations, interventions, and outcome of interventions...
October 2017: International Journal of Critical Illness and Injury Science
https://www.readbyqxmd.com/read/29291175/factors-delaying-management-of-acute-stroke-an-indian-scenario
#7
Siju V Abraham, S Vimal Krishnan, Fazil Thaha, Jayaraj Mymbilly Balakrishnan, Tom Thomas, Babu Urumese Palatty
Background and Purpose: The purpose of this study was to assess factors causing delay in treatment of acute stroke in a tertiary care institute in South India. Methods: All clinically suspected cases of acute stroke presenting to the emergency department over a period of 1 year were prospectively followed up and data collected as per a preset pro forma. The various time intervals from stroke onset to definitive management and other pertinent data were collected...
October 2017: International Journal of Critical Illness and Injury Science
https://www.readbyqxmd.com/read/29291174/clinical-study-to-assess-the-outcome-in-surgically-managed-patients-of-spontaneous-intracerebral-hemorrhage
#8
Yashwanth S Sandeep, M Raja Guru, Ranjan Kumar Jena, Veldurti Ananta Kiran Kumar, Amit Agrawal
Introduction: Spontaneous intracerebral hemorrhage (SICH) subtype of stroke is characterized by bleeding into brain parenchyma which is not accompanied by trauma. Emergency surgical evacuation of large size SICH increases the chances of survival but does not help in functional recovery of the patients. The present study was conducted to assess the outcome of surgical management in patients with SICH. Materials and Methods: All patients who were diagnosed with SICH and underwent surgical evacuation of the hematoma included in the study...
October 2017: International Journal of Critical Illness and Injury Science
https://www.readbyqxmd.com/read/29291173/phosphorylated-neurofilament-heavy-a-potential-blood-biomarker-to-evaluate-the-severity-of-acute-spinal-cord-injuries-in-adults
#9
Ajai Singh, Vineet Kumar, Sabir Ali, Abbas Ali Mahdi, Rajeshwer Nath Srivastava
Aims: The aim of this study is to analyze the serial estimation of phosphorylated neurofilament heavy (pNF-H) in blood plasma that would act as a potential biomarker for early prediction of the neurological severity of acute spinal cord injuries (SCI) in adults. Settings and Design: Pilot study/observational study. Subjects and Methods: A total of 40 patients (28 cases and 12 controls) of spine injury were included in this study. In the enrolled cases, plasma level of pNF-H was evaluated in blood samples and neurological evaluation was performed by the American Spinal Injury Association Injury Scale at specified period...
October 2017: International Journal of Critical Illness and Injury Science
https://www.readbyqxmd.com/read/29291172/the-american-college-of-academic-international-medicine-2017-consensus-statement-on-international-medical-programs-establishing-a-system-of-objective-valuation-and-quantitative-metrics-to-facilitate-the-recognition-and-incorporation-of-academic-international
#10
Gregory L Peck, Manish Garg, Bonnie Arquilla, Vicente H Gracias, Harry L Anderson Iii, Andrew C Miller, Bhakti Hansoti, Paula Ferrada, Michael S Firstenberg, Sagar C Galwankar, Ramon E Gist, Donald Jeanmonod, Rebecca Jeanmonod, Elizabeth Krebs, Marian P McDonald, Benedict Nwomeh, James P Orlando, Lorenzo Paladino, Thomas J Papadimos, Robert L Ricca, Joseph V Sakran, Richard P Sharpe, Mamta Swaroop, Stanislaw P Stawicki
The growth of academic international medicine (AIM) as a distinct field of expertise resulted in increasing participation by individual and institutional actors from both high-income and low-and-middle-income countries. This trend resulted in the gradual evolution of international medical programs (IMPs). With the growing number of students, residents, and educators who gravitate toward nontraditional forms of academic contribution, the need arose for a system of formalized metrics and quantitative assessment of AIM- and IMP-related efforts...
October 2017: International Journal of Critical Illness and Injury Science
https://www.readbyqxmd.com/read/29291171/a-comprehensive-framework-for-international-medical-programs-a-2017-consensus-statement-from-the-american-college-of-academic-international-medicine
#11
Manish Garg, Gregory L Peck, Bonnie Arquilla, Andrew C Miller, Sari E Soghoian, Harry L Anderson Iii, Christina Bloem, Michael S Firstenberg, Sagar C Galwankar, Weidun Alan Guo, Ricardo Izurieta, Elizabeth Krebs, Bhakti Hansoti, Sudip Nanda, Chinenye O Nwachuku, Benedict Nwomeh, Lorenzo Paladino, Thomas J Papadimos, Richard P Sharpe, Mamta Swaroop, Stanislaw P Stawicki
The American College of Academic International Medicine (ACAIM) represents a group of clinicians who seek to promote clinical, educational, and scientific collaboration in the area of Academic International Medicine (AIM) to address health care disparities and improve patient care and outcomes globally. Significant health care delivery and quality gaps persist between high-income countries (HICs) and low-and-middle-income countries (LMICs). International Medical Programs (IMPs) are an important mechanism for addressing these inequalities...
October 2017: International Journal of Critical Illness and Injury Science
https://www.readbyqxmd.com/read/29291170/what-s-new-in-critical-illness-and-injury-science-the-quest-for-decisional-objectivity-and-clinical-precision-in-critical-care-a-neurosurgeon-s-perspective
#12
EDITORIAL
Steven M Falowski
No abstract text is available yet for this article.
October 2017: International Journal of Critical Illness and Injury Science
https://www.readbyqxmd.com/read/28971035/comment-on-the-edwards-flotrac-%C3%A2-vigileo-versus-pulmonary-artery-catheter-study-what-is-really-going-on-with-this-patient
#13
Alex Botsch, Michael S Firstenberg
No abstract text is available yet for this article.
July 2017: International Journal of Critical Illness and Injury Science
https://www.readbyqxmd.com/read/28971034/dermal-tattooing-following-intravenous-methylene-blue-for-refractory-hypotension-after-coronary-artery-bypass-grafting
#14
Amar M Bhatt, Ravi S Tripathi, Kenneth R Moran, Thomas J Papadimos
The authors present an image of a middle-aged male after coronary artery bypass grafting who received intravenous methylene blue for refractory hypotension that resulted in dermal tattooing/staining of the venous vasculature of his left shoulder and left upper chest. Republished with permission from: Bhatt AM, Tripathi RS, Moran KR, Papadimos TJ. Dermal tattooing following intravenous methylene blue for refractory hypotension after coronary artery bypass grafting. OPUS 12 Scientist 2012;6(1):11.
July 2017: International Journal of Critical Illness and Injury Science
https://www.readbyqxmd.com/read/28971033/acute-hypophysitis-secondary-to-nivolumab-immunotherapy-in-a-patient-with-metastatic-melanoma
#15
Sugabramya Kuru, Nazia Khan, Hamid Shaaban
The treatment for melanoma is challenging because of its nature of being refractory particularly in metastatic stages. Treatment options include surgical resection of the lesion, radiation therapy, chemotherapy, and immunotherapy. Immunotherapy such as anti-cytotoxic T-lymphocyte antigen-4 and anti-programmed cell death protein 1 (PD-1) are increasingly being used in the treatment of metastatic malignant melanoma. Nivolumab is a PD-1 inhibitor used for the treatment of malignant melanoma. In our case, an 83-year-old patient presented with enlarged inguinal lymphadenopathy 2 years after curative surgical resection of her toes secondary to melanoma...
July 2017: International Journal of Critical Illness and Injury Science
https://www.readbyqxmd.com/read/28971032/the-pulmonary-artery-catheter-in-2008-a-finally-maturing-modality
#16
REVIEW
Stanislaw P Stawicki, Mark P Prosciak
The first description of the flow-directed pulmonary artery catheter (PAC) was published in the 1970s by Jeremy Swan and William Ganz. Ever since its clinical debut, many controversies surrounded the use of the PAC. Regardless of these controversies, the most fundamental issues surrounding this hemodynamic monitoring device remain unresolved, including the exact indications, contraindications, identification of patients who potentially benefit from this technology, and the way we interpret and use PAC-derived parameters...
July 2017: International Journal of Critical Illness and Injury Science
https://www.readbyqxmd.com/read/28971031/using-bayesian-model-to-estimate-the-cost-of-traffic-injuries-in-iran-in-2013
#17
Elaheh Ainy, Hamid Soori, Mojtaba Ganjali, Ayad Bahadorimonfared
BACKGROUND AND AIM: A significant social and economic burden inflicts by road traffic injuries (RTIs). We aimed to use Bayesian model, to present the precise method, and to estimate the cost of RTIs in Iran in 2013. MATERIALS AND METHODS: In a cross-sectional study on costs resulting from traffic injuries, 846 people per road user were randomly selected and investigated during 3 months (1(st) September-1(st) December) in 2013. The research questionnaire was prepared based on the standard for willingness to pay (WTP) method considering perceived risks, especially in Iran...
July 2017: International Journal of Critical Illness and Injury Science
https://www.readbyqxmd.com/read/28971030/data-availability-and-feasibility-of-various-techniques-to-predict-response-to-volume-expansion-in-critically-ill-patients
#18
Michael J Lanspa, Benjamin J Briggs, Eliotte L Hirshberg, Cristina M Pratt, Colin K Grissom, Samuel M Brown
OBJECTIVE: The accuracy of various techniques to predict response to volume expansion in shock has been studied, but less well known is how feasible these techniques are in the ICU. METHODS: This is a prospective observation single-center study of inpatients from a mixed profile ICU who received volume expansion. At time of volume expansion, we determined whether a particular technique to predict response was feasible, according to rules developed from available literature and nurse assessment...
July 2017: International Journal of Critical Illness and Injury Science
https://www.readbyqxmd.com/read/28971029/comparison-of-pulmonary-artery-catheter-echocardiography-and-arterial-waveform-analysis-monitoring-in-predicting-the-hemodynamic-state-during-and-after-cardiac-surgery
#19
Paul Power, Allison Bone, Nicholas Simpson, Cheng-Hon Yap, Simon Gower, Michael Bailey
OBJECTIVE: The aim of this trial was to determine whether Flotrac Vigileo™ (FV™) provides a reliable representation of the hemodynamic state of a cardiac surgical patient population when compared to pulmonary artery catheter (PAC) and echocardiography in the peril-operative period. DESIGN: This was a prospective observational trial comparing perioperative hemodynamic states using transesophageal echocardiography (TEE), transthoracic echocardiography (TTE), FV™ and PAC during and post cardiothoracic surgery...
July 2017: International Journal of Critical Illness and Injury Science
https://www.readbyqxmd.com/read/28971028/computed-tomography-pattern-of-traumatic-head-injury-in-niger-delta-nigeria-a-multicenter-evaluation
#20
Chinwe Regina Onwuchekwa, Nengi S Alazigha
BACKGROUND AND PURPOSE: Traumatic head injury has a high mortality and morbidity in low- and middle-income countries. Brain injury following trauma is the cause of death in about one-third of patients that die after trauma. The aim of the study was to assess the pattern of computed tomography (CT) findings in head trauma at the tertiary health institutions serving the Niger Delta region of Nigeria. PATIENTS AND METHODS: The CT scans of the head of 310 consecutive patients referred specifically for evaluation of head injury were prospectively reviewed...
July 2017: International Journal of Critical Illness and Injury Science
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