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Bulletin of Emergency and Trauma

MohitKumar Joshi, Narendra Choudhary, Subodh Kumar, Dinesh Bagaria, Abhinav Kumar, Pratyusha Priyadarshini
No abstract text is available yet for this article.
July 2018: Bulletin of Emergency and Trauma
Daniel Burchette, Shreya Badhrinarayanan, Tim Hardwick, Rebecca Kampa
Bungee jumping is a recreational sport that is accepted to carry a level of risk. We present the case of a femoral fracture sustained during bungee jumping and examine the published literature on bungee jumping-related injuries. A previously well 31-year old female performed a 200ft bungee jump from a crane. The apparatus was performed as expected and documented on the bystander video footage. As the bungee-cord became taut for the second time, there was an audible crack with accompanying scream. A closed, neurovascularly-intact injury was sustained to her right thigh...
July 2018: Bulletin of Emergency and Trauma
Ankit Shukla, Varun Verma, Krishan Lal Kapoor, Bhanu Gupta, Rajesh Chaudhry
Blunt trauma abdomen is a very common entity but traumatic abdominal wall hernia is not that common. Herniation through abdominal wall usually occurs following trauma with seat belt, motor cycle, bicycle handle bar etc. Handlebar hernia is a less known variety of traumatic abdominal wall hernia as a consequence of injury with handlebar of a bicycle. It is difficult to diagnose and one should have high index of suspicion. Management in traumatic abdominal wall hernia is individualized based on various factors...
July 2018: Bulletin of Emergency and Trauma
Lucas Bordón, Walter Paredes, Romina Pacheco, Noé Graneros, Carina Tolosa, Gustavo Galarza, Daniel Agustín Godoy
Scorpionism is the clinical picture resulting from the inoculation of scorpion venom. It is considered a major public health problem, especially in countries with low resources and tropical or subtropical climate. Poisoning can be fatal especially in the first hours due to respiratory and / or cardiovascular collapse. The compromise of the central nervous system (CNS) is infrequent but varied and complex, being able to be triggered due to multiple and different neurotoxic properties of the toxin. We report here a severe case of poisoning with cardiovascular and neurological compromise in an endemic region of Argentina...
July 2018: Bulletin of Emergency and Trauma
Rose Dean-Paccagnella, Matthew Creed, Mahendra Kakollu, Suresh Kumar Gopala Pillai
Drug induced hyperthermia is a rare presentation which can rapidly lead to gross metabolic abnormality and death. These presentations are further complicated by the wide range of potentially causative agents. We present a case of rigidity and hyperthermia, following overdose of an initially unknown substance leading to challenging management decisions in the Emergency Department. This case was later identified as Serotonin Syndrome. The patient presented with trismus which was managed with rapid sequence induction of anaesthesia to allow airway protection...
July 2018: Bulletin of Emergency and Trauma
Yousef Veisani, Ali Delpisheh, Fathola Mohamadian, Reza Valizadeh
Suicide is a serious public health concern in the world. Epidemiologists are considered the mainstay of the management of problem. The purpose of this study was to investigate the trend of suicide (attempts and completed) by age and gender in a 6-year time period and to compare the suicide rates between in age and gender groups in Ilam. In this cross-sectional study, a total of number of suicidal attempts during a 6-year period from 2011 to 2016 were recorded. The data were derived from the systematic registration suicide data (SRSD) which collects official statistics from the Ilam University of Medical Sciences...
July 2018: Bulletin of Emergency and Trauma
Salman Khazaei, Manoochehr Karami, Yousef Veisani, Manoochehr Solgi, Shahram Goodarzi
Objective: To address the epidemiology of animal bites and associated factors with delay in post-exposure prophylaxis (PEP) in Nahvand district, western Iran. Methods: Data were obtained from Rabies Treatment Center (RTC) in Nahavan district from March 2015 to March 2017. All of referred cases to RTC include 1448 cases of animal bites using the census method were recruited. Epidemiological profile of participants was demonstrated using descriptive statistics and determinants of PEP was addressed by logistic regression model...
July 2018: Bulletin of Emergency and Trauma
Salman Khazaei, Shahab Rezaeian, Sakineh Mazharmanesh, Mahin Ahmadi-Pishkuhi, Vali Baigi, Zaher Khazaei, Yousef Veisani
Objective: To investigate the epidemiological aspects of all-cause injuries in Hamadan province during a 6-year period. Methods: We conducted a cross-sectional study on injured subjects admitted to private or governmental hospitals in Hamadan province during March 2009 to March 2015. The epidemiological characteristics were retrieved from a registry-based system including gender, residency, injury mechanism and date of injury occurrence, outcome of hospitalization (full recovery/disability/death)...
July 2018: Bulletin of Emergency and Trauma
Mehdi Safarpour, Seyed Reza Hosseini, Masume Mohamadzade, Ali Bijani, Akbar Fotouhi
Objective: To determine the incidence and predictive factors of the falls in elderly women in Northern Iran. Methods: A total of 717 elderly women aged 60 years and above in Amirkola, Northern of Iran participated in this study. Age, history of falls during the 12 months leading to the study, accompanying diseases, status of balance, cognitive status, orthostatic hypotension, state of depressive symptoms, strength of quadriceps muscles and serum vitamin D level were assessed as independent variables during baseline measurement...
July 2018: Bulletin of Emergency and Trauma
Peyman Bakhshayesh, Sara Heljesten, Lars Weidenhielm, Anders Enocson
Objective: To assess availability, experience, and knowledge about the Pelvic Circumferential Compression Device (PCCD) in Sweden. Methods: A telephone interview with the current on-call trauma doctors at all trauma units in Sweden was conducted. After a short presentation and oral consent, the doctors were asked to answer four short questions. We asked the doctors to answer whether they knew if they had PCCDs available in their emergency room, how many times had they applied a PCCD, which is the correct level of application for a PCCD, and if a PCCD can stop arterial bleeding...
July 2018: Bulletin of Emergency and Trauma
Steven Liu, Quinn Fujii, Farris Serio, Andrew McCague
Objective: To determine if there exists an upper limit for amount of blood transfused in trauma patients before it reaches a point of futility. Methods: A prospective cohort study was conducted on 131 patients who received massive blood transfusion (MBT), defined as 10 U or higher of PRBCs received in the initial 24 hours. Data collected from a Level II trauma center registry were used to analyze reports of adult patients from July 2014 to 2017. Cohorts were divided by amount of blood received - 0 to 9 U, 10-19 U, 20 to 29 U, 30-39 U, 40 U or higher - odds ratio for mortality and p-values for mean Injury Severity Score and overall hospital length of stay were calculated for each group...
July 2018: Bulletin of Emergency and Trauma
Alireza Najafpour, Houman Azizizadeh
Objective: To investigate effects of intraperitoneally administration of α-tocopherol loaded nanoparticles (TNP) on ischemia-reperfusion injury in ovaries. Methods: Thirty-five healthy female Wistar rats ~250g were randomized into seven experimental groups (n = 5): Group SHAM: The rats underwent only laparotomy. Group Ischemia: A 3- hour ischemia only. Group I/R: A 3-hour ischemia and a 3-hour reperfusion. Group I/T: A 3-hour ischemia only and 100 mg/kg intraperitoneal administration (IP) of α-tocopherol 2...
July 2018: Bulletin of Emergency and Trauma
Fatemeh Rasouli-Sangani, Gholam Hossein Farjah, Sima Nasry
Objective: To determine the effects of chicken embryo brain extract (BE) on transects sciatic nerve in male rats. Methods: Thirty adult male Sprague-Dawley rats weighing 200 to 250 g, were randomized into three groups treated with (1) sham surgery, (2) normal saline (NS), and (3) brain extract (BE). The BE was taken from incubating chick embryos at day 8. The sciatic nerve was exposed and sharply transected at the mid thigh level. Immediate epineurial repair was then performed...
July 2018: Bulletin of Emergency and Trauma
Masoumeh Nouri, Marzieh Ebrahimi, Tooran Bagheri, Mohammad Javad Fatemi, Arash Najafbeygi, Shirin Araghi, Maryam Molaee
Objective: To compare the healing effects of dried and acellular human amniotic membrane and Mepitel for coverage of split-thickness graft donor site (STGDS). Methods: Twenty patients who underwent STGDS regeneration surgery in identical anatomic regions were enrolled in this randomized controlled clinical trial conducted in Hazrate Fatemeh hospital (Iran). Patients were randomly assigned in 3 groups of wound dressing; group A by Mepitel, group B AmiCare (Dried amniotic membrane) and group C OcuReg-A (Acellular amniotic membrane)...
July 2018: Bulletin of Emergency and Trauma
Amir Azarhomayoun, Maryam Aghasi, Najmeh Mousavi, Farhad Shokraneh, Alexander R Vaccaro, Arvin Haj Mirzaian, Pegah Derakhshan, Vafa Rahimi-Movaghar
Objective: To estimate the summation of mortality rate and the contributing factors in patients with traumatic thoracolumbar spinal cord injuries (TLSCI). Methods: A systematic search of observational studies that evaluated the mortality associated with TLSCI in MEDLINE and EMBASE was conducted. The study quality was evaluated using a modified quality assessment tool previously designed for observational studies. Results: Twenty-four observational studies involving 11,205 patients were included, published between January 1, 1997, and February 6, 2016...
July 2018: Bulletin of Emergency and Trauma
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
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
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
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 Knowledge and attitudes toward disaster preparedness were evaluated by 18 questions...
April 2018: Bulletin of Emergency and Trauma
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
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