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Bulletin of Emergency and Trauma

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https://www.readbyqxmd.com/read/29719851/an-unforeseeable-complication-posterior-ischemic-optic-neuropathy-after-penetrating-injury-to-the-heart
#1
Joseph J Eid, Brian C Cronin, Susan Seman
Trauma surgeons are currently encountering unusual adverse events after traumatic injuries. Ischemic optic neuropathy is a rare complication that may occur in trauma and burn patients that present in extremis and require massive resuscitation. A 29-year-old male patient sustains a penetrating injury to the heart that required primary repair. He remained hemodynamically stable and required a limited amount of resuscitative fluids and products. Postoperatively, the patient develops acute painless bilateral loss of vision...
April 2018: Bulletin of Emergency and Trauma
https://www.readbyqxmd.com/read/29719850/delayed-progressive-intraparenchymal-tension-pneumocephalus-after-craniotomy-for-recurrent-pituitary-macroadenoma-a-case-report
#2
Samer S Hoz, Khatab Baban, Mohamad Sabah, Awfa Aktham, Alexis Rafael Narvaez-Rojas, Luis Rafael Moscote-Salazar
Pneumocephalus is defined as the presence of air in the intracranial cavity. In most cases, its evolution is asymptomatic and benign. Pneumocephalus post-surgery is a frequent complication of cranial surgery. We herein report delayed tension pneumocephalus after craniotomy for pituitary macroadenoma. A 73-year-old man with recurrent pituitary macroadenoma underwent subtotal resection via subfrontal approach. The postoperative course was uneventful and the patients regained his normal daily living activities...
April 2018: Bulletin of Emergency and Trauma
https://www.readbyqxmd.com/read/29719849/avulsion-of-ampulla-of-vater-secondary-to-a-blunt-abdominal-injury-treated-with-pancreatoduodenectomy-a-case-report-and-literature-review
#3
Mustafa Ozsoy, Ogun Ersen, Zehra Ozsoy, Sezgin Yilmaz, Yüksel Arıkan
The incidence of complex hepatobiliary injury secondary to blunt abdominal injuries varies between 3.4 and 5%. A 25-year old male patient underwent an urgent operation due to a motorcycle accident. During intraabdominal exploration, Grade 4 laceration was detected at the liver and bleeding was controlled through primary repair. In the postoperative seventh day, he was referred due to 1500 cc bile leakage from the drainage tube. During the operation, an extensive Kocher maneuver was done and the second part of duodenum was observed to be exposed to total avulsion from the head of the pancreas...
April 2018: Bulletin of Emergency and Trauma
https://www.readbyqxmd.com/read/29719848/a-questionnaire-study-on-the-attitudes-and-previous-experience-of-croatian-family-physicians-toward-their-preparedness-for-disaster-management
#4
Tanja Pekez-Pavliško, Maja Račić, Dinka Jurišić
Objective: To explore family physicians' attitudes, previous experience and self-assessed preparedness to respond or to assist in mass casualty incidents in Croatia. Methods: The cross-sectional survey was carried out during January 2017. Study participants were recruited through a Facebook group that brings together family physicians from Croatia. They were asked to complete the questionnaire, which was distributed via google.docs. Knowledge and attitudes toward disaster preparedness were evaluated by 18 questions...
April 2018: Bulletin of Emergency and Trauma
https://www.readbyqxmd.com/read/29719847/characteristics-of-occupational-injuries-in-a-pharmaceutical-company-in-iran
#5
Abbas Rasouli, Seyed Mojtaba Hosseini, Mohammadkarim Bahadori, Ramin Ravangard
Objective: To prioritize occupational hazards in a Pharmaceutical Company in Iran using the analytical hierarchy process (AHP). Methods: This was a cross-sectional study conducted in a Pharmaceutical Company in Iran in 2017. All employees working in the administrative, production, installations and facilities, and laboratory units were studied using the consensus method (N=n=130 employees). A data collection form was designed for identifying the hazards using the Nominal Group Technique (NGT) method, as well as a pair-wise questionnaire was used for collecting required data in the quantitative phase...
April 2018: Bulletin of Emergency and Trauma
https://www.readbyqxmd.com/read/29719846/epidemiology-of-road-traffic-injury-fatalities-among-car-users-a-study-based-on-forensic-medicine-data-in-east-azerbaijan-of-iran
#6
Homayoun Sadeghi-Bazargani, Bahram Samadirad, Nasrin Shahedifar, Mina Golestani
Objective: To study the epidemiology of car user road traffic fatalities (CURTFs) during eight years, in East Azerbaijan, Iran. Methods: A total of 3051 CURTFs registered in East Azerbaijan forensic medicine organization database, Iran, during 2006-2014, were analyzed using Stata 13 statistical software package. Descriptive statistics ( p <0.05) and inferential statistical methods such as Chi-squared test and multivariate logistic regression with p <0.1 were applied...
April 2018: Bulletin of Emergency and Trauma
https://www.readbyqxmd.com/read/29719845/the-efficacy-of-glasgow-coma-scale-gcs-score-and-acute-physiology-and-chronic-health-evaluation-apache-ii-for-predicting-hospital-mortality-of-icu-patients-with-acute-traumatic-brain-injury
#7
Amir Nik, Mohammad Sobhan Sheikh Andalibi, Mohammad Reza Ehsaei, Ahmadreza Zarifian, Ehsan Ghayoor Karimiani, Gholamreza Bahadoorkhan
Objective: To compare the efficacy and functional outcome of Glasgow Coma Scale (GCS) score with that of Acute Physiology and Chronic Health Evaluation Score II (APACHE II) in patients with multiple trauma admitted to the ICU. Methods: This cross-sectional study included 125 patients with traumatic brain injury associated with systemic trauma admitted to the ICU of Shahid Kamyab Hospital, Mashhad, between September 2015 and December 2016. On the day of admission, data were collected from each patient to calculate GCS and APACHE II scores...
April 2018: Bulletin of Emergency and Trauma
https://www.readbyqxmd.com/read/29719844/risk-factors-for-unfavorable-outcome-in-aneurysmal-subarachnoid-hemorrhage-revisited-odds-and-ends
#8
Abdolkarim Rahmanian, Nima Derakhshan, Alireza Mohsenian Sisakht, Najme Karamzade Ziarati, Hadi Raeisi Shahraki, Soheil Motamed
Objectives: To evaluate the odds for unfavorable outcome of each risk factor and a combination of them in patients with aneurysmal subarachnoid hemorrhage (SAH) undergoing surgical clipping in Southern Iran. Methods: A total of 367 patients who were operated between March 2007 and March 2016 due to aneurysmal SAH were analyzed according to patients' factors, aneurysm characteristics and intra-operative data. Correlation between outcomes of patients measured by modified Rankin Scale at 6-months with each factor were analyzed...
April 2018: Bulletin of Emergency and Trauma
https://www.readbyqxmd.com/read/29719843/diagnosis-of-appendicitis-in-patients-with-a-normal-white-blood-cell-count-a-cross-sectional-study
#9
Sadettin Er, Bülent Çomçalı, Ahmet Soykurt, Bülent Cavit Yüksel, Mesut Tez
Objective: To investigate the clinical, imaging and laboratory findings for diagnosis of acute appendicitis (AA) in patients with a normal white blood cell count (WBCC). Methods: This retrospective cross-sectional study was conducted in Ankara Numune Training and Research Hospital, Ankara, Turkey, during a 1-year period. To determine diagnostic factors in AA in patients with normal WBCC, medical records of eligible patients were reviewed for demographic and clinical variables, as well as patient outcome...
April 2018: Bulletin of Emergency and Trauma
https://www.readbyqxmd.com/read/29719842/acute-appendicitis-during-pregnancy-results-of-a-cohort-study-in-a-single-iranian-center
#10
Somaye Bazdar, Maryam Dehghankhalili, Shekoofeh Yaghmaei, Maryam Azadegan, Amirhossein Pourdavood, Mohammad Hadi Niakan, Ali Mohammad Bananzadeh
Objective: To determine the effects of pregnancy on the presentation, management, surgical and obstetrics outcome of patients with acute appendicitis. Methods: This prospective cohort study was conducted during a 2-year period from 2014 to 2016 in Shahid Faghihi hospital of Shiraz University of Medical Sciences. We enrolled all the pregnant individuals with acute appendicitis who required surgical appendectomy. We also enrolled age-matched controls of non-pregnant women undergoing open appendectomy during the study period...
April 2018: Bulletin of Emergency and Trauma
https://www.readbyqxmd.com/read/29719841/pre-treatment-with-metformin-in-comparison-with-post-treatment-reduces-cerebral-ischemia-reperfusion-induced-injuries-in-rats
#11
Mojtaba Karimipour, Sara Shojaei Zarghani, Majid Mohajer Milani, Hamid Soraya
Objective: To explore the effects of pre versus post ischemic treatment with metformin after global cerebral ischemia in rats. Methods: Male Wister rats underwent forebrain ischemia by bilateral common carotid artery occlusion for 17 min. Metformin (200 mg/kg) or vehicle was given orally by gavage for 7-14 days. Rats were divided into: control, metformin pre-treatment, metformin post-treatment and metformin pre and post continuous treatment groups. Cerebral infarct size, histopathology, myeloperoxidase and serum malondialdehyde were measured 7 days after ischemia...
April 2018: Bulletin of Emergency and Trauma
https://www.readbyqxmd.com/read/29719840/local-xenotransplantation-of-bone-marrow-derived-mast-cells-bmmcs-improves-functional-recovery-of-transected-sciatic-nerve-in-cat-a-novel-approach-in-cell-therapy
#12
Rahim Mohammadi, Dana Anousheh, Mohammad-Hazhir Alaei, Amin Nikpasand, Hawdam Rostami, Rasoul Shahrooz
Objective: To determine the effects of bone marrow derived mast cells (BMMCs) on functional recovery of transected sciatic nerve in animal model of cat. Method: A 20-mm sciatic nerve defect was bridged using a silicone nerve guide filled with BMMCs in BMMC group. In Sham-surgery group (SHAM), the sciatic nerve was only exposed and manipulated. In control group (SILOCONE) the gap was repaired with a silicone nerve guide and both ends were sealed using sterile Vaseline to avoid leakage and the nerve guide was filled with 100 μL of phosphate-buffered saline alone...
April 2018: Bulletin of Emergency and Trauma
https://www.readbyqxmd.com/read/29719839/a-randomized-controlled-trial-on-intra-abdominal-irrigation-during-emergency-trauma-laparotomy-time-for-yet-another-paradigm-shift
#13
Hassan Mashbari, Mohannad Hemdi, Kevin L Chow, James C Doherty, Gary J Merlotti, Steven L Salzman, Eduardo Smith Singares
Objective: To determine the optimal volume of abdominal irrigation that will prevent surgical site infections (both deep and superficial), eviscerations and fistula formations; and improve 30-day mortality in trauma patients. Methods: We conducted a three-arm parallel clinical superiority randomized controlled trial comparing different volumes of effluent (5, 10 and 20 liters) used in trauma patients (both blunt and penetrating) age 14 and above undergoing an emergency laparotomy between April 2002 and July 2004 in a busy urban Level 1 trauma center...
April 2018: Bulletin of Emergency and Trauma
https://www.readbyqxmd.com/read/29719838/effectiveness-of-interventions-for-prevention-of-road-traffic-injuries-in-iran-and-some-methodological-issues-a-systematic-review
#14
REVIEW
Saber Azami-Aghdash, Homayoun Sadeghi-Bazarghani, Mahdiyeh Heydari, Ramin Rezapour, Naser Derakhshani
Objective: To review the effectiveness of Road Traffic Injuries (RTIs) interventions implemented for prevention of RTIs in Iran and to introduce some methodological issues. Methods: Required data in this systematic review study were collected through searching the following key words: "Road Traffic Injuries", "Road Traffic accidents", "Road Traffic crashes", "prevention", and Iran in PubMed, Cochrane Library electronic databases, Google Scholar, Scopus, MagIran, SID and IranMedex...
April 2018: Bulletin of Emergency and Trauma
https://www.readbyqxmd.com/read/29719837/epidemiological-characteristics-of-traumatic-spinal-cord-injury-tsci-in-the-middle-east-and-north-africa-mena-region-a-systematic-review-and-meta-analysis
#15
REVIEW
Mohamed H Elshahidi, Nada Y Monir, Mohamed A Elzhery, Ahmed A Sharaqi, Hames Haedaya, Basem I Awad, Khaled Zaghloul
Objective: To systematically search the literature and to summarize current evidence pertaining to the epidemiology of SCI in the MENA region incidence, gender, age, type of the injury and etiology of the injury. Methods: Embase, PubMed, Scopus, Web of Science and EBSCOhost were systematically searched from their dates of inception till July 2017 for English and non-English language articles. Also, regional databases were searched. Data were extracted from eligible articles and pooled under the random effect model using R ...
April 2018: Bulletin of Emergency and Trauma
https://www.readbyqxmd.com/read/29379814/letter-to-the-editor-regarding-tips-on-reporting-systematic-reviews
#16
Taha Samad Soltani
No abstract text is available yet for this article.
January 2018: Bulletin of Emergency and Trauma
https://www.readbyqxmd.com/read/29379813/tips-on-reporting-a-systematic-review
#17
Morteza Arab-Zozani, Djavad Ghoddoosi-Nejad, Mohammad Dehghani
No abstract text is available yet for this article.
January 2018: Bulletin of Emergency and Trauma
https://www.readbyqxmd.com/read/29379812/characteristics-of-the-traumatic-forensic-cases-admitted-to-emergency-department-and-errors-in-the-forensic-report-writing
#18
Nurettin Aktas, Umut Gulacti, Ugur Lok, İrfan Aydin, Tayfun Borta, Murat Celik
Objective: To identify errors in forensic reports and to describe the characteristics of traumatic medico-legal cases presenting to the emergency department (ED) at a tertiary care hospital. Methods: This study is a retrospective cross-sectional study. The study includes cases resulting in a forensic report among all traumatic patients presenting to the ED of Adiyaman University Training and Research Hospital, Adiyaman, Turkey during a 1-year period. We recorded the demographic characteristics of all the cases, time of presentation to the ED, traumatic characteristics of medico-legal cases, forms of suicide attempt, suspected poisonous substance exposure, the result of follow-up and the type of forensic report...
January 2018: Bulletin of Emergency and Trauma
https://www.readbyqxmd.com/read/29379811/determinants-of-the-lethal-area-50-index-la50-in-burn-patients-admitted-to-a-tertiary-referral-burn-center-in-southern-iran
#19
Abdolkhalegh Keshavarzi, Sina Kardeh, Amirhosein Pourdavood, Mana Mohamadpour, Maryam Dehghankhalili
Objective: To evaluate the lethal area 50 (LA50) and determinants of mortality in burn patients admitted to a single burn center. Methods: This retrospective cross-sectional study was conducted in a tertiary burn center affiliated with Shiraz University of Medical Sciences, Shiraz, Iran, during a 1-year period from 2015 to 2016. To determine prognostic factors in fatal burns, medical records of eligible burn patients were reviewed for demographic and clinical variables, as well as patient outcome...
January 2018: Bulletin of Emergency and Trauma
https://www.readbyqxmd.com/read/29379810/the-frequency-of-brain-ct-scan-findings-in-patients-with-scalp-lacerations-following-mild-traumatic-brain-injury-a-cross-sectional-study
#20
Hadid Hamrah, Sara Mehrvarz, Amir Mohammad Mirghassemi
Objective: To determine the frequency of the brain CT-scan findings in patients with mild traumatic brain injury (TBI) and scalp lacerations. Methods: This cross-sectional study was conducted during a 1-year period from March 2016 to March 2017 in Level I trauma center in Shiraz, Southern Iran. We included all the adult patients (≥18 years) admitted to our emergency room with mild TBI (GCS on admission of 15) and scalp lacerations. All the patients underwent Brain CT-Scan and the scans were reviewed by two radiologists who were unaware of the patients' clinical findings...
January 2018: Bulletin of Emergency and Trauma
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