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Bulletin of Emergency and Trauma

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https://www.readbyqxmd.com/read/27878134/pneumopericardium
#1
Biplab Mishra, Mohit Kumar Joshi, Amulya Rattan, Subodh Kumar, Amit Gupta, Sushma Sagar
No abstract text is available yet for this article.
October 2016: Bulletin of Emergency and Trauma
https://www.readbyqxmd.com/read/27878133/massive-pneumocephalus-and-pneumorrhachis-after-severe-skull-base-fracture
#2
Hosseinali Khalili, Amin Niakan, Fariborz Ghaffarpasand
No abstract text is available yet for this article.
October 2016: Bulletin of Emergency and Trauma
https://www.readbyqxmd.com/read/27878132/ruptured-cystic-mesothelioma-diagnosed-after-blunt-trauma-case-report-and-literature-review
#3
Francisco Igor B Macedo, Alice J Race, Laszlo M Hoesel
The majority of blunt trauma is secondary to motor vehicle crashes,especially in those wearing seatbelts or sitting in the front or passenger seat location.Hollow viscus gastrointestinal injuries occur more frequently in small bowel, followed by colorectal, duodenum, stomach and appendix. A 25-year-old male presents after being involved in a motor vehicle accident. Initialworkup was significant for moderate amount of pelvic free fluid and curvilinear,cysticlike structures in the pelvis. He subsequently developed peritonitis and underwentdiagnostic laparoscopy, which revealed multiple cystic nodules arising from theperitoneum...
October 2016: Bulletin of Emergency and Trauma
https://www.readbyqxmd.com/read/27878131/extra-luminal-entrapment-of-guide-wire-a-rare-complication-of-central-venous-catheter-placement-in-right-internal-jugular-vein
#4
Md Abu Masud Ansari, Naveen Kumar, Shailesh Kumar, Sarita Kumari
Central venous Catheterization (CVC) is a commonly performed procedure for venous access. It is associated with several complications. We report a rare case of extra luminal entrapment of guide wire during CVC placement in right jugular vein. We report a case of 28 years old female patient presented in our emergency with history of entrapped guide wire in right side of neck during CVC. X-ray showed coiling of guide wire in neck. CT Angiography showed guide wire coursing in between common carotid artery and internal jugular vein (IJV), closely abutting the wall of both vessels...
October 2016: Bulletin of Emergency and Trauma
https://www.readbyqxmd.com/read/27878130/an-unusual-case-of-transorificial-abdomino-thoracic-impalement-injury-in-a-child
#5
Hemanshi Shah, Charu Tiwari, Shalika Jayaswal, Keshav Murthy
Impalement injuries are rare in the paediatric age group. Still rarer are injuries which traverse multiple body cavities. Such injuries require multispecialty management at a tertiary care centre. We describe a case of an accidental impalement injury in a 12-year-old boy after a fall from height. The rod was seen passing through the right lung in the paracardiac region, piercing the diaphragm and segment IV of the liver and then coursing anterior to the inferior vena cava in the midline. It was seen passing through the small bowel at multiple places and then coursing behind the bladder, entering the rectum and anal canal...
October 2016: Bulletin of Emergency and Trauma
https://www.readbyqxmd.com/read/27878129/an-epidemiological-study-of-road-traffic-accidents-in-guilan-province-northern-iran-in-2012
#6
Zahra Mohtasham-Amiri, Saeed Dastgiri, Ali Davoudi-Kiakalyeh, Ali Imani, Keyvan Mollarahimi
OBJECTIVE: To determine the epidemiological characteristics of the road traffic injuries (RTIs) in Guilan province, northern Iran. METHODS: This study was a cross-sectional study which included all of RTIs admitted to medical centers of Guilan province (northern Iran) during 2012. ICD-10 was used as diagnostic criteria. Demographic variables also injury circumstance and in hospital variables such as length of stay, time of admission, type of surgery, ICU admission, final outcome and mechanism of injury, anatomical part of injury according to Abbreviated Injury Scale (AIS) classification were derives from records by trained research team...
October 2016: Bulletin of Emergency and Trauma
https://www.readbyqxmd.com/read/27878128/the-epidemilogical-characteristics-of-motorcyclists-associated-injuries-in-road-traffics-accidents-a-hospital-based-study
#7
Saber Ghaffari-Fam, Ehsan Sarbazi, Amin Daemi, Mohammad Reza Sarbazi, Hossein Ali Nikbakht, Shaker Salarilak
OBJECTIVES: To determine the epidemiology of injuries of the motorcyclists in road traffic accidents (RTIs) between 2008 and 2014 in East Azarbayejan province of Iran. METHODS: A cross-sectional study was performed in East Azerbaijan province in Imam Reza hospital on motorcyclists subjected to injuries in RTIs between 2008 and 2014. Demographic characteristics (age, sex), duration of hospitalization, final status of injured people after discharge from the hospital, admission ward, number of admissions due to injuries in RTIs, nature of injury, and the clinical services provided to injured people were gathered from hospital information system (HIS)...
October 2016: Bulletin of Emergency and Trauma
https://www.readbyqxmd.com/read/27878127/the-burden-of-road-traffic-injuries-in-yazd-province-iran
#8
Mahmood Vakili, Mohsen Mirzaei, Azar Pirdehghan, Mohamadreza Sadeghian, Majid Jafarizadeh, Mojtaba Alimi, Shadi Naderian, Arezoo Aghakoochak
OBJECTIVES: To estimate the Disabled-adjusted Life Years (DALYs) of Road Traffic Accidents in patients referred to hospitals in Yazd Province, central Iran. METHODS: This cross-sectional study was conducted in Yazd province during 2010. To calculate the Years of Life Lost (YLL) due to premature death and to calculate the incidence of non-fatal injuries and Years Lost due to Disability (YLD), the data were collected from Yazd death registration system and hospital records...
October 2016: Bulletin of Emergency and Trauma
https://www.readbyqxmd.com/read/27878126/validity-of-the-electronic-triage-system-in-predicting-patient-outcomes-in-tabriz-iran-a-cross-sectional-study
#9
Faramarz Pourasghar, Jafar Sadegh Tabrizi, Alireza Ala, Amin Daemi
OBJECTIVE: To validate the triage ratings performed by the Electronic Triage System (ETS) using hospitalization, length of stay, resource use, in-hospital mortality and patient bills as outcome measures. METHODS: In this retrospective cross-sectional study the medical records of 387 patients were reviewed in a one-week period. The data included triage category and the outcome measures were hospitalization, length of stay, in-hospital mortality, patient bill, and used resources...
October 2016: Bulletin of Emergency and Trauma
https://www.readbyqxmd.com/read/27878125/increased-likelihood-of-arrhythmic-events-associated-with-increased-anxiety-in-patients-with-implanted-cardiac-defibrillators-after-the-ahar-varzegan-earthquake-in-east-azarbaijan-2012
#10
Fatemeh Ranjbar, Fariborz Akbarzadeh, Babak Kazemi, Abdolmohammad Ranjbar, Sonia Sharifi Namin, Homayoun Sadeghi-Bazargani
OBJECTIVE: To determine the type and pattern of arrhythmic events following the 2012 Ahar-Varzegan Earthquake among patients implanted with cardiac defibrillators (ICDs) in East Azarbaijan province. METHODS: In a prospective cohort study, conducted in East Azerbaijan Province of Iran, 132 patients were enrolled in two comparison groups according to the region of residence i.e., earthquake region (n= 98) and non-earthquake (n= 34) region in 2012. Data were collected for those meeting standard criteria for sustained ventricular arrhythmias (VAs), or supraventricular tachycardias (SVTs) and triggered ICD therapies, either shock or anti-tachycardia pacing (ATP)...
October 2016: Bulletin of Emergency and Trauma
https://www.readbyqxmd.com/read/27878124/ultra-early-versus-early-excision-and-grafting-for-thermal-burns-up-to-60-total-body-surface-area-a-historical-cohort-study
#11
Abdolkhalegh Keshavarzi, Mehdi Ayaz, Maryam Dehghankhalili
OBJECTIVE: To compare the outcome of patients with up to 60% total body surface area (TBSA) thermal burns undergoing ultra-early and early excision and grafting. METHODS: This historical cohort study was performed in two referral burn centers of Shiraz during a 1-year period from 2015 to 2016. We included those patients with thermal burns up to 60% TBSA who underwent ultra-early (48-72 hours) and early (7-10 days) excision and grafting. We excluded those who were hemodynamically unstable and those with electrical burns...
October 2016: Bulletin of Emergency and Trauma
https://www.readbyqxmd.com/read/27878123/two-validated-ways-of-improving-the-ability-of-decision-making-in-emergencies-results-from-a-literature-review
#12
REVIEW
Amir Khorram-Manesh, Johan Berlin, Eric Carlström
The aim of the current review wasto study the existing knowledge about decision-making and to identify and describe validated training tools.A comprehensive literature review was conducted by using the following keywords: decision-making, emergencies, disasters, crisis management, training, exercises, simulation, validated, real-time, command and control, communication, collaboration, and multi-disciplinary in combination or as an isolated word. Two validated training systems developed in Sweden, 3 level collaboration (3LC) and MacSim, were identified and studied in light of the literature review in order to identify how decision-making can be trained...
October 2016: Bulletin of Emergency and Trauma
https://www.readbyqxmd.com/read/27878122/europe-on-fire-medical-management-of-terror-attacks-new-era-and-new-considerations
#13
EDITORIAL
Amir Khorram-Manesh
No abstract text is available yet for this article.
October 2016: Bulletin of Emergency and Trauma
https://www.readbyqxmd.com/read/27540555/diffuse-punched-out-lesions-in-multiple-myeloma
#14
Rohat Ak, Ebru Ünal Akoğlu, Özge Ecmel Onur
No abstract text is available yet for this article.
July 2016: Bulletin of Emergency and Trauma
https://www.readbyqxmd.com/read/27540554/community-acquired-spondylodiscitis-caused-by-escherichia-coli-case-report-and-literature-review
#15
F Javier Fonseca Del Pozo, Joaquín Valle Alonso, Miguel Ángel Caracuel Ruiz, Siyamini Vythilingam, Daniel Lopez Ruiz
Vertebral osteomyelitis, or spondylodiscitis, is a rare disease with increasing prevalence in recent years due to a greater number of spinal surgical procedures, nosocomial bacteraemia, an aging population and intravenous drug addiction. Haematogenous infection is the most common cause of spondylodiscitis. We report a 47-year-old man diagnosed with Escherichia coli spondylodiscitis. The patient initially presented with a 4-day history of inflammatory, mechanical pain in the lower back suggesting sciatica. Treatment included NSAIDs and opioids...
July 2016: Bulletin of Emergency and Trauma
https://www.readbyqxmd.com/read/27540553/traumatic-retrolisthesis-of-l5-and-l5-s1-extruded-disc-herniation-a-case-report-and-review-of-the-literature
#16
Babak Pourabbas, Mohammad Ali Effani, Asghar Namdari
Traumatic retrolisthesis is a rare injury and may result in intervertebral disc extrusion and nerve root injury. These injuries are highly unstable and require surgery for decompression and stabilization. Traumatic retrolisthesis of L5 with acute L5/S1 disc extrusion associated with nerve root injury has not been reported previously in English literatures. We herein report a case of traumatic retrolisthesis of L5 and extruded disc. A 22 year-old patient presented with lower extremity weakness due to L5/S1 retrolisthesis and traumatic acute L5/S1 disc extrusion after falling of 8 meters height...
July 2016: Bulletin of Emergency and Trauma
https://www.readbyqxmd.com/read/27540552/ketamine-infusion-therapy-as-an-alternative-pain-control-strategy-in-patients-with-multi-trauma-including-rib-fracture-case-report-and-literature-review
#17
Ashley K Losing, Justin M Jones, Adis Keric, Steven E Briggs, David D Leedahl
Ketamine is a promising alternative agent for pain control that offers benefit to traditional strategies, particularly in the setting of rib fracture. Current pharmacologic therapies have clear adverse effects, and other options may be invasive, cost prohibitive, or marginally effective. We describe three consecutive patients with traumatic injuries including rib fracture for which a ketamine infusion was utilized as part of their pain control strategy.  For each patient, use of a ketamine infusion trended toward reduced opioid requirements with stable pain scores...
July 2016: Bulletin of Emergency and Trauma
https://www.readbyqxmd.com/read/27540551/cisternostomy-for-management-of-intracranial-hypertension-in-severe-traumatic-brain-injury-case-report-and-literature-review
#18
Mohammad Sadegh Masoudi, Elahe Rezaee, Hasanali Hakiminejad, Maryam Tavakoli, Tayebe Sadeghpoor
Main goal in the management of patients with severe traumatic brain injury (TBI) is control of intracranial pressure (ICP). Decompressive craniectomy is an accepted technique for control of refractory intracranial hypertension in patients with severe TBI. Because of high complication rate after decompressive craniectomy, new techniques such as basal cisternostomy have developed. We herein report a case of severe TBI in a 13-year-old boy treated by cisternostomy. The patient was admitted following a motor vehicle accident...
July 2016: Bulletin of Emergency and Trauma
https://www.readbyqxmd.com/read/27540550/effects-of-intraperitoneal-administration-of-simvastatin-in-prevention-of-postoperative-intra-abdominal-adhesion-formation-in-animal-model-of-rat
#19
Mojtaba Javaherzadeh, Ali Shekarchizadeh, Marjan Kafaei, Abass Mirafshrieh, Nariman Mosaffa, Babak Sabet
OBJECTIVE: To determine the preventive effects of local administration of simvastatin for postoperative intra-abdominal adhesion formation in animal model of rat. METHODS: In this experimental study, 32 Wistar albino rats as the animal model of intra-abdominal adhesion formation were included. Adhesions were induced in all the animals via abrasion of the peritoneal and intestinal surface during laparotomy. Afterwards, the rats were randomly assigned to receive simvastatin (30 mg/kg body weight) as a single intraperitoneal dose at the time of laparotomy (n=16) or normal saline in same volume at the same time (n=16)...
July 2016: Bulletin of Emergency and Trauma
https://www.readbyqxmd.com/read/27540549/thorax-trauma-severity-score-is-it-reliable-for-patient-s-evaluation-in-a-secondary-level-hospital
#20
Isidro Martínez Casas, María Auxiliadora Amador Marchante, Mihai Paduraru, Ana Isabel Fabregues Olea, Andreu Nolasco, Juan Carlos Medina
OBJECTIVE: To determine the predictive and diagnostic value of thorax trauma severity score (TTSS) in a population of thoracic trauma patients admitted to a secondary level trauma center. METHODS: A Retrospective analysis of patients admitted over a period of two years with IDC-9 codes related to thoracic trauma was undertaken. The association of TTSS with complications and mortality was evaluated. We also determined the predictive value of TTSS using receiver operating characteristic curve (ROC)...
July 2016: Bulletin of Emergency and Trauma
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