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Trauma Monthly

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https://www.readbyqxmd.com/read/27626018/hospital-readmission-through-the-emergency-department
#1
Sadrollah Mahmoudi, Hamid Reza Taghipour, Hamid Reza Javadzadeh, Mohammad Reza Ghane, Hassan Goodarzi, Mohammad Hosein Kalantar Motamedi
BACKGROUND: Hospital readmission places a high burden on both health care systems and patients. Most readmissions are thought to be related to the quality of the health care system. OBJECTIVES: The aim of this study was to examine the causes and rates of early readmission in emergency department in a Tehran hospital. PATIENTS AND METHODS: A cross-sectional investigation was performed to study readmission of inpatients at a large academic hospital in Tehran, Iran...
May 2016: Trauma Monthly
https://www.readbyqxmd.com/read/27626017/blood-loss-estimation-using-gauze-visual-analogue
#2
Emran Ali Algadiem, Abdulmohsen Ali Aleisa, Huda Ibrahim Alsubaie, Noora Radhi Buhlaiqah, Jihad Bagir Algadeeb, Hussain Ali Alsneini
BACKGROUND: Estimating intraoperative blood loss can be a difficult task, especially when blood is mostly absorbed by gauze. In this study, we have provided an improved method for estimating blood absorbed by gauze. OBJECTIVES: To develop a guide to estimate blood absorbed by surgical gauze. MATERIALS AND METHODS: A clinical experiment was conducted using aspirated blood and common surgical gauze to create a realistic amount of absorbed blood in the gauze...
May 2016: Trauma Monthly
https://www.readbyqxmd.com/read/27626016/pre-hospital-emergency-in-iran-a-systematic-review
#3
REVIEW
Mohammadkarim Bahadori, Fatemeh Ghardashi, Ahmad Reza Izadi, Ramin Ravangard, Sedigheh Mirhashemi, Seyed Mojtaba Hosseini
CONTEXT: Pre-hospital care plays a vital role in saving trauma patients. OBJECTIVES: This study aims to review studies conducted on the pre-hospital emergency status in Iran. DATA SOURCES: Data were sourced from Iranian electronic databases, including SID, IranMedex, IranDoc, Magiran, and non-Iranian electronic databases, such as Medline, Embase, Cochrane Library, Scopus, and Google Scholar. In addition, available data and statistics for the country were used...
May 2016: Trauma Monthly
https://www.readbyqxmd.com/read/27626015/assessment-of-hospital-management-and-surge-capacity-in-disasters
#4
Hamidreza Shabanikiya, Hasan Abolghasem Gorgi, Hesam Seyedin, Mehdi Jafari
BACKGROUND: Hospital administrators play a key role in the effective management of surge capacity in disasters, but there is little information available about the characteristics required to manage this. OBJECTIVES: In this study, we aimed to identify characteristics of hospital administrators that are important in the effective management of surge capacity in disasters. MATERIALS AND METHODS: This was a qualitative study. Semi-structured purposive interviews were conducted with 28 hospital administrators who had experience working in surge situations in hospitals during disasters...
May 2016: Trauma Monthly
https://www.readbyqxmd.com/read/27626014/ensuring-carpal-tunnel-release-drop-in-rail-road-or-the-open-door-sign
#5
Hayat Ahmad Khan
No abstract text is available yet for this article.
May 2016: Trauma Monthly
https://www.readbyqxmd.com/read/27626013/a-study-on-hospital-admissions-for-eye-trauma-in-kashan-iran
#6
Tayebeh Movahedinejad, Mohsen Adib-Hajbaghery, Mohammad Reza Zahedi
BACKGROUND: Eye trauma is among the most common reasons for referral to hospital emergency departments and ophthalmologists' offices. It also is a common cause of vision loss worldwide. However, few studies are available on the changes in the epidemiology of eye trauma in Iran in recent years. OBJECTIVES: This study aimed to investigate the characteristics of hospital admissions for eye trauma in Kashan from August 2011 to February 2014. PATIENTS AND METHODS: A cross-sectional study was carried out on the hospital records of all patients with eye trauma who were admitted to Kashan's Matini hospital between August 2011 and February 2014...
May 2016: Trauma Monthly
https://www.readbyqxmd.com/read/27626012/adaptation-of-traumatic-brain-injury-guidelines-in-iran
#7
REVIEW
Shayan Abdollah Zadegan, Seyed Mohammad Ghodsi, Jalil Arabkheradmand, Abbas Amirjamshidi, Abdolreza Sheikhrezaei, Masoud Khadivi, Morteza Faghih Jouibari, Seyed Mahmood Tabatabaeifar, Guive Sharifi, Jalal Abbaszadeh Ahranjani, Farhad Motlagh Pirooz, Seyed Fakhredin Tavakoli, Parviz Mohit, Yadollah Alimohammadi, Vafa Rahimi-Movaghar
CONTEXT: The National institute for health and care excellence (NICE) and scottish intercollegiate guidelines network (SIGN) are two well-known sources of clinical guideline development. In the past years, they have developed clinical guidelines for the management of head injury. In this report, we will highlight our modifications to these guidelines according to the domestic situation in a developing country. EVIDENCE ACQUISITION: The guidelines were appraised using the appraisal of guidelines for research and evaluation (AGREE) instrument...
May 2016: Trauma Monthly
https://www.readbyqxmd.com/read/27626011/fixing-a-traumatic-sternal-fracture-using-stainless-steel-wires
#8
Hussein Elkhayat, Hager Nousseir
No abstract text is available yet for this article.
May 2016: Trauma Monthly
https://www.readbyqxmd.com/read/27626010/surgical-management-of-tibial-plateau-fractures-with-3-5-mm-simple-plates
#9
Abolfazl Bagherifard, Mahmoud Jabalameli, Hosseinali Hadi, Mohammad Rahbar, Mohammadreza Minator Sajjadi, Ali Jahansouz, Hossein Karimi Heris
BACKGROUND: Tibial plateau fractures can be successfully fixed utilizing 3.5 mm locking plates. However, there are some disadvantages to using these plates. OBJECTIVES: In the current prospective study, we investigated the outcome of treating different types of tibial plateau fractures with 3.5 mm simple plates which, to our knowledge, has not been evaluated in previous studies. MATERIALS AND METHODS: Between 2011 and 2013, 32 patients aged 40 ± 0...
May 2016: Trauma Monthly
https://www.readbyqxmd.com/read/27626009/the-relation-between-reflex-sympathetic-dystrophy-syndrome-and-trauma-severity-in-patients-with-distal-tibia-fracture
#10
Reza Bahador, Ahmadreza Mirbolook, Sara Arbab, Pooya Derakhshan, Amirmohammad Gholizadeh, Sadegh Abedi
BACKGROUND: Reflex sympathetic dystrophy (RSD) syndrome is a multifactorial disorder with clinical features of neurogenic inflammation that causes hypersensitivity to pain or severe allodynia as well as blood flow problems, swelling, skin discoloration and maladaptive neuroplasticity due to vasomotor disorders. Patients with major trauma are prone to homeostasis leading to inflammatory response syndrome and multiple organ distress syndrome. Several studies have investigated the etiology of this condition, but the cause remains unknown...
May 2016: Trauma Monthly
https://www.readbyqxmd.com/read/27626008/the-impact-of-psychological-factors-on-device-removal-surgery
#11
Mohammadreza Golbakhsh, Mirmostafa Sadaat, Fatemeh Noughani, Ahmadreza Mirbolook, Amirmohammad Gholizadeh, Sadegh Abedi
BACKGROUND: Implant removal is a common procedure in orthopedic surgery which can be associated with many complications such as scar formation, hematoma, nerve injury, infection, and refracture. Indications for orthopedic implant removal have declined in recent years. Most studies have considered orthopedic hardware removal as an unnecessary procedure in the absence of severe complications such as nonunion. Some studies have reported the complications of orthopedic hardware removal to be 24% to 50% dependent on their types and locations as well as on other factors such as patient's condition and the orthopedist's experience...
May 2016: Trauma Monthly
https://www.readbyqxmd.com/read/27626007/lunate-osteochondral-fracture-treated-by-excision-a-case-report-and-literature-review
#12
Sadegh Saberi, Aidin Arabzadeh, Amir Reza Farhoud
INTRODUCTION: Lunate fracture is a rare injury. Most reports are associated with other wrist injuries such as perilunate dislocation and distal radius fracture. Isolated lunate fracture has been reported even more rarely. The choice of treatment and outcomes are consequently undetermined. CASE PRESENTATION: In this case report we will describe a lunate avulsion fracture as an isolated injury after a fall from nine meters treated operatively by excision of the comminuted avulsed fragment...
May 2016: Trauma Monthly
https://www.readbyqxmd.com/read/27626006/asymptomatic-intracranial-foreign-body-an-incidental-finding-on-radiography
#13
Mohammadreza Maghsoudi, Bita Shahbazzadegan, Arastoo Pezeshki
INTRODUCTION: Intracranial needles are rare entities. Intracranial foreign bodies due to non-missile intracranial penetrations are one of the most rarely encountered situations in neurosurgery. Sewing needles are among the more unusual foreign bodies that may be found in the brain. Although uncommon, foreign body cases are important and interesting. Foreign bodies enter the body through trauma or iatrogenic injuries. Needles are mostly inserted through fontanelles, cranial sutures, and more rarely through the orbits in infancy for the purpose of killing unwanted babies...
May 2016: Trauma Monthly
https://www.readbyqxmd.com/read/27626005/facial-nerve-laceration-and-its-repair
#14
Yousef Shafaiee, Bita Shahbazzadegan
INTRODUCTION: Facial paralysis is a devastating condition with profound functional, aesthetic and psychosocial consequences. Tumors within or outside the skull, Bell's palsy and trauma are the most common causes of facial paralysis in adults. CASE PRESENTATION: Our patient was a 35-year-old man with deep laceration wounds. The patient was taken to the operating room and the nerves were repaired. We observed gradual improvement of muscle performance except branches of the frontal nerve...
May 2016: Trauma Monthly
https://www.readbyqxmd.com/read/27626004/distal-radius-radiographic-indices-and-perilunate-fracture-dislocation
#15
Abolfazl Bagherifard, Davod Jafari, Hassan Keihan Shokouh, Ebrahim Motavallian, Farid Najd Mazhar
BACKGROUND: Distal radius radiographic indices may play a role as risk factors in pathogenesis of Kienbock's disease, scaphoid fracture and nonunion. Perilunate fracture dislocations are devastating wrist injuries, and their relationship and distal radius indices have not been addressed in the literature. OBJECTIVES: The aim of this study was to evaluate the possible role of distal radius radiographic indices including radial height, radial inclination, ulnar variance and volar tilt as risk factors in the perilunate fracture dislocation injury of the wrist...
May 2016: Trauma Monthly
https://www.readbyqxmd.com/read/27626003/temporary-trans-jejunal-hepatic-duct-stenting-in-roux-en-y-hepaticojejunostomy-for-reconstruction-of-iatrogenic-bile-duct-injuries
#16
Mohammad Sadegh Fazeli, Ali Reza Kazemeini, Ali Jafarian, Mohammad Bashashati, Mohammad Reza Keramati
BACKGROUND: Bile Duct Injuries (BDI) during cholecystectomy are now being recognized as major health problems. OBJECTIVES: Herein, we present our experience with handling major BDIs and report long-term outcome of hepaticojejunostomies followed by trans-jejunal hepatic duct stenting performed to reconstruct extra-hepatic biliary tracts. MATERIALS AND METHODS: In this case series, we prospectively collected data of 22 patients, who underwent first time biliary reconstruction through Roux-en-y hepaticojejunostomy followed by hepatic duct stenting using a trans-jejunal bifurcated 6F tube drain...
May 2016: Trauma Monthly
https://www.readbyqxmd.com/read/27626002/association-between-adult-attention-deficit-hyperactivity-disorder-and-helmet-use-among-motorcycle-riders
#17
Saeid Safiri, Ali Akbar Haghdoost, Fatemeh Hashemi, Shahrokh Amiri, Owais Raza, Homayoun Sadeghi-Bazargani
BACKGROUND: Use of helmets plays a major role in preventing injuries or decreasing injury severity among motorcycle riders. Use of helmets may depend on personal factors such as psychological factors. OBJECTIVES: The aim of this study was to independently assess the association between helmet use among motorcycle riders and ADHD scores, with controlling the accident history and was taken more sensitive measures if helmet use was different between motorcycle riders, according to their ADHD scores...
May 2016: Trauma Monthly
https://www.readbyqxmd.com/read/27626001/pattern-and-trend-of-injuries-among-trauma-unit-attendants-in-upper-egypt
#18
Dalia G Mahran, Osama Farouk, Mohammad H Qayed, Amal Berraud
BACKGROUND: Injury is a growing public health problem worldwide. Deaths due to injuries account for 10% of the world's mortality. More than 90% of the world's injury deaths occur in low and middle income countries. In Egypt, injury is a hidden epidemic and its related deaths are misclassified due to lack of accurate national data. Furthermore, as a research problem it has also been largely ignored in developing countries. OBJECTIVES: To determine the pattern and trend of injury from January 2002 to December 2009 among attendants at trauma unit in Assiut university hospital in Upper Egypt...
May 2016: Trauma Monthly
https://www.readbyqxmd.com/read/27626000/bicycle-related-injuries-presenting-to-tabriz-imam-reza-hospital-iran
#19
Samad Shams Vahdati, Rouzbeh Rajaei Ghafouri, Sajjad Razavi, Hossein Mazouchian
BACKGROUND: Rising fuel cost and subsequent increase in transportation prices encourage people to use cheap transportation such as a bicycle. This vehicle can also be used for sports and recreation. Bicycles are widely used in Iran, like other countries. There is not enough data about bicycle-related traumas in our country. OBJECTIVES: The aim of this study was to obtain the epidemiology of this type of injury in Tabriz Imam Reza Hospital as a referral center in northwest of Iran during 2009 to 2012...
May 2016: Trauma Monthly
https://www.readbyqxmd.com/read/27625999/association-between-the-pancreatic-enzyme-level-and-organ-failure-in-trauma-patients
#20
Arulselvi Subramanian, Venencia Albert, Biplab Mishra, Shilpi Sanoria, Ravindra Mohan Pandey
BACKGROUND: The literature suggests an association of pancreatic enzymes with systemic inflammation resulting in secondary organ injury and dysfunction following trauma. Elevation in serum enzymes may not always be predictive of pancreatic disease, and can reflect extra pancreatic production. OBJECTIVES: This study was conducted to evaluate the rise in serum pancreatic enzyme levels with the incidence of organ failure following trauma. PATIENTS AND METHODS: A retrospective review was performed on critically injured patients from December 2009 to March 2010...
May 2016: Trauma Monthly
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