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trauma simulation

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https://www.readbyqxmd.com/read/29677057/newborn-resuscitation-skills-in-health-care-providers-at-a-zambian-tertiary-center-and-comparison-to-world-health-organization-standards
#1
Sara C Mistry, Richard Lin, Hazel Mumphansha, Laura C Kettley, Janaki A Pearson, Sonia Akrimi, David J Mayne, Wonder Hangoma, M Dylan Bould
BACKGROUND: Birth asphyxia is a leading cause of early neonatal death. In 2013, 32% of neonatal deaths in Zambia were attributable to birth asphyxia and trauma. Basic, timely interventions are key to improving outcomes. However, data from the World Health Organization suggest that resuscitation is often not initiated, or is conducted suboptimally. Currently, there are little data on the quality of newborn resuscitation in the context of a tertiary center in a lower-middle income country...
April 17, 2018: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/29676679/principles-of-system-design-not-realized-for-pediatric-craniospinal-trauma-care-in-the-united-states
#2
Joseph Piatt
OBJECTIVE An implicit expectation of the pioneers of trauma system design was that high clinical volume at select centers could lead to superior outcomes. There has been little study of the regionalization of pediatric craniospinal trauma care, and whether it continues to trend in the direction of regionalization is unknown. The motivating hypothesis for this study was that trauma system design in the United States is proceeding on a rational basis, producing hospital caseloads that are increasing over time and, because of geographic siting appropriate to the needs of catchment areas, in an increasingly uniform manner...
April 20, 2018: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/29675813/computational-model-for-hyperfibrinolytic-onset-of-acute-traumatic-coagulopathy
#3
Tie Bo Wu, Sheng Wu, Matthew Buoni, Thomas Orfeo, Kathleen Brummel-Ziedins, Mitchell Cohen, Linda Petzold
The onset of acute traumatic coagulopathy in trauma patients exacerbates hemorrhaging and dramatically increases mortality. The disease is characterized by increased localized bleeding, and the mechanism for its onset is not yet known. We propose that the fibrinolytic response, specifically the release of tissue-plasminogen activator (t-PA), within vessels of different sizes leads to a variable susceptibility to local coagulopathy through hyperfibrinolysis which can explain many of the clinical observations in the early stages from severely injured coagulopathic patients...
April 19, 2018: Annals of Biomedical Engineering
https://www.readbyqxmd.com/read/29672468/investigating-the-extent-realistic-moulage-impacts-on-immersion-and-performance-among-undergraduate-paramedicine-students-in-a-simulation-based-trauma-scenario-a-pilot-study
#4
Brennen W Mills, Alecka K Miles, Tina Phan, Peggy M C Dykstra, Sara S Hansen, Andrew S Walsh, David N Reid, Claire Langdon
INTRODUCTION: Many healthcare education commentators suggest that moulage can be used in simulation to enhance scenario realism. However, few studies investigate to what extent using moulage in simulation impacts learners. We undertook a mixed-methods pilot study investigating how moulage influences student immersion and performance in simulation. METHODS: Fifty undergraduate paramedicine students were randomized into two groups completing a trauma-based scenario with or without patient moulage...
April 18, 2018: Simulation in Healthcare: Journal of the Society for Simulation in Healthcare
https://www.readbyqxmd.com/read/29665867/ultrasim-ultrasound-in-trauma-simulation
#5
Devon McLean, Leanne Hewitson, Paul Atkinson, David Lewis, Jacqueline Fraser, Glenn Verheul, Jayanand Mekwan, Bryn Robinson
CLINICIAN'S CAPSULE What is known about the topic? Ultrasound simulation is an invaluable resource in medical education. However, the equipment required is often prohibitively expensive. What did this study ask? Does the use of a low-cost ultrasound simulator in trauma simulation improve diagnostic capabilities? What did this study find? Study participants experienced improvements in diagnostic accuracy, confidence, and precision following the use of this ultrasound simulator. Why does this study matter to clinicians? This low-cost ultrasound simulator provides an alternative to current technology and can easily be implemented into medical simulations...
April 18, 2018: CJEM
https://www.readbyqxmd.com/read/29665768/support-to-triage-and-public-risk-perception-considering-long-term-response-to-a-cs-137-radiological-dispersive-device-scenario
#6
Cristiane Ps Andrade, Cláudio J Souza, Eduardo Sn Camerini, Isabela S Alves, Hélio C Vital, Matthew Jf Healy, Edson Ramos De Andrade
A radiological dispersive device (RDD) spreads radioactive material, complicates the treatment of physical injuries, raises cancer risk, and induces disproportionate fear. Simulating such an event enables more effective and efficient utilization of the triage and treatment resources of staff, facilities, and space. Fast simulation can give detail on events in progress or future events. The resources for triage and treatment of contaminated trauma victims can differ for pure exposure individuals, while discouraging the "worried well" from presenting in the crisis phase by media announcement would relieve pressure on hospital facilities...
January 1, 2018: Toxicology and Industrial Health
https://www.readbyqxmd.com/read/29661267/comparison-of-electronic-versus-manual-mass-casualty-incident-triage
#7
Claudie Bolduc, Nisreen Maghraby, Patrick Fok, The Minh Luong, Valerie Homier
IntroductionMass-casualty incidents (MCIs) easily overwhelm a health care facility's human and material resources through the extraordinary influx of casualties. Efficient and accurate triage of incoming casualties is a critical step in the hospital disaster response.Hypothesis/ProblemTraditionally, triage during MCIs has been manually performed using paper cards. This study investigated the use of electronic Simple Triage and Rapid Treatment (START) triage as compared to the manual method. METHODS: This observational, crossover study was performed during a live MCI simulation at an urban, Canadian, Level 1 trauma center on May 26, 2016...
April 17, 2018: Prehospital and Disaster Medicine
https://www.readbyqxmd.com/read/29653248/core-trainee-boot-camp-a-method-for-improving-technical-and-non-technical-skills-of-novice-surgical-trainees-a-before-and-after-study
#8
R Bamford, L Langdon, C A Rodd, S Eastaugh-Waring, J E Coulston
INTRODUCTION: The transition to surgical training can be a stressful time for trainees and is most evident during national handover periods where new graduates start and senior trainees rotate to new programmes. During this time, patient mortality can increase and Hospital efficiency reduces. This influence is compounded by the impact of working time directives. Intensive, simulation rich training programmes or "Boot Camps" have been postulated as a solution. This article highlights the development of a surgical boot camp for novice surgical trainees and the impact this can have on training...
April 10, 2018: International Journal of Surgery
https://www.readbyqxmd.com/read/29652977/-auricular-sporotrichosis-atypical-case-report-simulating-bacterial-cellulitis
#9
Juan Ochoa-Reyes, Ernesto Ramos-Martínez, Rogelio Treviño-Rangel, Gloria M González, Alexandro Bonifaz
Sporotrichosis is the most common subcutaneous or implantation mycosis in Mexico. The case of a preauricular cutaneous-fixed sporotrichosis simulating atypical bacterial cellulitis is reported in an elderly patient with no history of trauma. The biopsy showed a suppurative granuloma with scarce yeast. Sporothrix schenckii was identified in the culture and confirmed by molecular biology. She was treated with itraconazole and a clinical and mycological cure was obtained. The case of atypical presentation is presented, coming from a semi-arid zone with extreme weather...
2018: Revista Chilena de Infectología: órgano Oficial de la Sociedad Chilena de Infectología
https://www.readbyqxmd.com/read/29651365/mastication-evaluation-with-unsupervised-learning-using-an-inertial-sensor-based-system
#10
Caroline Vieira Lucena, Marcelo Lacerda, Rafael Caldas, Fernando Buarque De Lima Neto, Diego Rativa
There is a direct relationship between the prevalence of musculoskeletal disorders of the temporomandibular joint and orofacial disorders. A well-elaborated analysis of the jaw movements provides relevant information for healthcare professionals to conclude their diagnosis. Different approaches have been explored to track jaw movements such that the mastication analysis is getting less subjective; however, all methods are still highly subjective, and the quality of the assessments depends much on the experience of the health professional...
2018: IEEE Journal of Translational Engineering in Health and Medicine
https://www.readbyqxmd.com/read/29650486/a-vascular-anastomosis-simulation-can-provide-a-safe-and-effective-environment-for-resident-skills-development
#11
Alicia A Heelan Gladden, Kendra D Conzen, Michael J Benge, Jane Gralla, Peter T Kennealey
OBJECTIVE: Vascular anastomoses are complex surgical procedures, performed in time-sensitive circumstances, making intraoperative teaching more challenging. We sought to evaluate whether a vascular anastomosis simulation was effective in developing resident skills. DESIGN, SETTING, PARTICIPANTS: General surgery residents participated in a vascular anastomosis simulation for 1 to 2hours during their transplant rotation. An attending transplant surgeon at the University of Colorado guided the resident through end-to-end and end-to-side anastomoses using bovine carotid artery (Artegraft)...
April 9, 2018: Journal of Surgical Education
https://www.readbyqxmd.com/read/29644197/clinical-spectrum-of-autoerythrocyte-sensitization-syndrome-a-series-of-five-cases
#12
Nandakishore Singh Thokchom, D Pradeepa, N A Bishurul Hafi, Kapila Verma
Autoerythrocyte sensitization syndrome (Gardner Diamond syndrome or GDS) is a rare syndrome characterized by painful and spontaneous purpura commonly affecting adult women, and is mostly associated with psychiatric illness. Diagnosis is mainly based on clinical presentation, exclusion of other simulating diseases, and psychiatric evaluation. Only few cases have been reported till date. We report five cases of spontaneous purpura with a normal investigation profile, except for iron deficiency anemia in 1 patient, of which three had associated underlying psychiatric illness...
March 2018: Indian Dermatology Online Journal
https://www.readbyqxmd.com/read/29627133/quantitative-evaluation-of-facet-deflection-stiffness-strain-and-failure-load-during-simulated-cervical-spine-trauma
#13
Ryan D Quarrington, John J Costi, Brian J C Freeman, Claire F Jones
Traumatic cervical facet dislocation (CFD) is often associated with devastating spinal cord injury. Facet fractures commonly occur during CFD, yet quantitative measures of facet deflection, strain, stiffness and failure load have not been reported. The aim of this study was to determine the mechanical response of the subaxial cervical facets when loaded in directions thought to be associated with traumatic bilateral CFD - anterior shear and flexion. Thirty-one functional spinal units (6 × C2/3, C3/4, C4/5, and C6/7, 7 × C5/6) were dissected from fourteen human cadaver cervical spines (mean donor age 69 years, range 48-92; eight male)...
March 9, 2018: Journal of Biomechanics
https://www.readbyqxmd.com/read/29624623/motion-and-dural-sac-compression-in-the-upper-cervical-spine-during-the-application-of-a-cervical-collar-in-case-of-unstable-craniocervical-junction-a-study-in-two-new-cadaveric-trauma-models
#14
Shiyao Liao, Niko R E Schneider, Petra Hüttlin, Paul A Grützner, Frank Weilbacher, Stefan Matschke, Erik Popp, Michael Kreinest
BACKGROUND: Unstable conditions of the craniocervical junction such as atlanto-occipital dislocation (AOD) or atlanto-axial instability (AAI) are severe injuries with a high risk of tetraplegia or death. Immobilization by a cervical collar to protect the patient from secondary damage is a standard procedure in trauma patients. If the application of a cervical collar to a patient with an unstable craniocervical condition may cause segmental motion and secondary injury to the spinal cord is unknown...
2018: PloS One
https://www.readbyqxmd.com/read/29618190/pre-hospital-i-gel-blind-intubation-for-trauma-a-simulation-study
#15
Jae Guk Kim, Wonhee Kim, Gu Hyun Kang, Yong Soo Jang, Hyun Young Choi, Hyeongtae Kim, Minji Kim
OBJECTIVE: This study aimed to evaluate the efficacy of i-gel blind intubation (IGI) as a rescue device for definitive airway management in ground intubation for pre-hospital trauma patients. METHODS: A prospective randomized crossover study was conducted with 18 paramedics to examine intubation performance of two blind intubation techniques through a supraglottic airway devices (IGI and laryngeal mask airway Fastrach), compared with use of a Macintosh laryngoscope (MCL)...
March 2018: Clinical and Experimental Emergency Medicine
https://www.readbyqxmd.com/read/29616016/heparan-sulfate-induces-necroptosis-in-murine-cardiomyocytes-a-medical-in-silico-approach-combining-in-vitro-experiments-and-machine-learning
#16
Elisabeth Zechendorf, Phillip Vaßen, Jieyi Zhang, Ahmed Hallawa, Antons Martincuks, Oliver Krenkel, Gerhard Müller-Newen, Tobias Schuerholz, Tim-Philipp Simon, Gernot Marx, Gerd Ascheid, Anke Schmeink, Guido Dartmann, Christoph Thiemermann, Lukas Martin
Life-threatening cardiomyopathy is a severe, but common, complication associated with severe trauma or sepsis. Several signaling pathways involved in apoptosis and necroptosis are linked to trauma- or sepsis-associated cardiomyopathy. However, the underling causative factors are still debatable. Heparan sulfate (HS) fragments belong to the class of danger/damage-associated molecular patterns liberated from endothelial-bound proteoglycans by heparanase during tissue injury associated with trauma or sepsis. We hypothesized that HS induces apoptosis or necroptosis in murine cardiomyocytes...
2018: Frontiers in Immunology
https://www.readbyqxmd.com/read/29605229/when-soothing-succeeds-simulating-a-risk-for-repeated-shaking-in-abusive-head-trauma-in-infants
#17
Mandy Chen, Ronald G Barr, Erica Miller, Nichole Fairbrother, Alissa Antle, Rollin Brant
PURPOSE: To investigate the observation that perpetrators of abusive head trauma engage in repeated shakings because shaking "works" to quiet the infant. METHODS: Sixty first-time parent couples individually cared for a programmable model infant in two consecutive 7-min trials. After six minutes of consolable followed by inconsolable crying, parents selected one of three soothing techniques. For trial one, parents were randomized to a "Successful" or "Failed" Soothing Condition...
March 28, 2018: Infant Behavior & Development
https://www.readbyqxmd.com/read/29596291/interprofessional-simulations-promote-knowledge-retention-and-enhance-perceptions-of-teamwork-skills-in-a-surgical-trauma-burn-intensive-care-unit-setting
#18
Katie L George, Beth Quatrara
BACKGROUND: The current state of health care encompasses highly acute, complex patients, managed with ever-changing technology. The ability to function proficiently in critical care relies on knowledge, technical skills, and interprofessional teamwork. Integration of these factors can improve patient outcomes. Simulation provides "hands-on" practice and allows for the integration of teamwork into knowledge/skill training. However, simulation can require a significant investment of time, effort, and financial resources...
May 2018: Dimensions of Critical Care Nursing: DCCN
https://www.readbyqxmd.com/read/29578465/fluid-structure-interaction-of-patient-specific-circle-of-willis-with-aneurysm-investigation-of-hemodynamic-parameters
#19
Mahsa Jahed, Farzan Ghalichi, Mehdi Farhoudi
BACKGROUND: Circle of Willis (COW) is a network of cerebral artery which continually supplies the brain with blood. Any disturbance in this supply will result in trauma or even death. One of these damages is known as brain Aneurysm. Clinical methods for diagnosing aneurysm can only measure blood velocity; while, in order to understand the causes of these occurrences it is necessary to have information about the amount of pressure and wall shear stress, which is possible through computational models...
2018: Bio-medical Materials and Engineering
https://www.readbyqxmd.com/read/29573641/impact-sites-representing-potential-bruising-locations-associated-with-bed-falls-in-children
#20
Raymond Dsouza, Gina Bertocci
Bruising can occur as a result of accidental or abusive trauma in children. Bruises are an early sign of child abuse and their locations on the body can be an effective delineator of abusive trauma. Since falls are often reported as false histories in abuse, the ability to predict potential bruising locations in falls could be valuable when attempting to differentiate between abuse and accident. In our study we used an anthropomorphic test device (ATD), a surrogate representing a 12 month old child, adapted with a custom developed force sensing skin to predict potential bruising locations during simulated bed falls...
March 21, 2018: Forensic Science International
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