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Cristina Ferrari, Alessandra Cimino, Giacomo Bianco, Francesca Iuele, Alessandra Di Palo, Margherita Fanelli, Artor Niccoli-Asabella, Giuseppe Rubini
OBJECTIVE: Pulmonary Embolism (PE) is an emergency condition that requires immediate treatment. As the symptoms and the risk factors are nonspecific, PE differential diagnosis is often required. Even if angio-CT is considered the gold standard for PE diagnosis, the frequent allergic condition and/or chronic renal failure of patients make, in most cases, not possible the use of contrast enhancement in emergency with even more increasing use of Lung Perfusion Scintigraphy (LPS), as a simple and fast examination with no preparation/contraindication...
September 2017: Hellenic Journal of Nuclear Medicine
M Jiménez Gómez, N Betancor Rivera, J Lima Sánchez, J R Hernández Hernández
INTRODUCTION: Abdominal traumatic evisceration as a result of high energy trauma is uncommon. Once repaired the possible internal damage, an abdominal wall defect of high complexity may exist, whose reconstruction represents a surgical challenge. CASE REPORT: Politraumatized male with important abdominal muculocutaneous avulsion and evisceration. After initial repair, the patient developed a big eventration in which we use a porcine dermis-derived mesh (PermacolTM ), a safe and effective alternative in abdominal wall repair, thanks to its seamless integration with other tissues, even when exposed...
April 10, 2016: Cirugía Pediátrica: Organo Oficial de la Sociedad Española de Cirugía Pediátrica
E Bordón Cabrera, A Laín, R Gander, M Pérez Lafuente, I Díez Miranda, C G Fontecha, L Seidler, I Delgado, S Cañadas Palazón, J Lloret
INTRODUCTION: The management of active bleeding with haemodinamic lability in the paediatric trauma patient is difficult and generally leads to damage control surgery. Vascular Interventional Radiology (VIR) techniques are useful for the diagnosis as for the definitive treatment. AIM: The aim of our study was to describe our experience and evaluate effectiveness of VIR in the management of the paediatric trauma patient with active bleeding signs. METHODS: Retrospective analysis (2003-2014) of politraumatic patients who showed contrast blush on computed tomography and then treated by VIR techniques...
January 25, 2016: Cirugía Pediátrica: Organo Oficial de la Sociedad Española de Cirugía Pediátrica
Marina de Deus Moura de Lima, Josilda Floriano Melo Martins, Marcoeli Silva de Moura, Valeria Leopoldino de Area Leao, Lucia de Fatima Almeida de Deus Moura
This article reports the treatment and follow-up of a 10-year-old boy who had a politraumatic accident that resulted in severe displacement and fracture of the maxillary right central incisor. After clinical and radiographic examination, the tooth fragment was bonded with adhesive and the tooth crown underwent nonrigid splinting. Follow-up appointments were scheduled once a week during the first month, once during the second month, and every three months thereafter. Each follow-up appointment included a clinical examination, followed by radiographic and pulp sensitivity tests...
September 2011: General Dentistry
Claudia Vlad, Mihnea Dumitrescu, Luciana Nica, Genoveva Niţa
UNLABELLED: Immune function is essential for human beings, the severe disorders of the immune system being incompatible with survival. The immune system is perfectly organized to fulfill its essential function: to distinguish self from nonself Perfect state of immune tolerance to self components is disturbed in some cases in which the immune system no longer tolerates the self and summarizes the production of autoantibodies or autoreactive lymphocytes occurrence. The purpose of this study was the determination of biological markers in groups of patients with certain conditions, in order to establish correlations between these parameters and certain pathological events, their quantitative changes in pathological condition, their predictive value for the development of autoimmune condition and the staging process of certain diseases...
January 2010: Bacteriologia, Virusologia, Parazitologia, Epidemiologia
C Torres, B Martinez Jarreta, R Alegret, J P Hernandez del Rincón, M Falcon, M Gómez Zapata, M D Pérez-Cárceles, E Osuna, A Luna
UNLABELLED: In the present work, we have compared the behaviour of some commonly used markers for the immunohistochemical diagnosis of cardiac suffering (myoglobin, myosin, troponin I), with the modifications of the ionic quotients (K(+)/Na(+), Ca(2+)/Mg(2+) and Ca(2+)/Zn(2+)) that are observed in the interventricular partition in different causes of death. MATERIALS AND METHOD: we have studied a total of 50 hearts coming from autopsies carried out in the Legal Medicine Institute of Murcia (Spain) deceased 21 by natural cardiac deaths, 9 by mechanical asphyxias, 5 by politraumatism, 5 cardiac ruptures and 10 by craneoencephalic trauma...
April 2009: Legal Medicine
Ruth Lumbreras, Angel Castro, Sami Val, Daniel Palanca, Antonio L Bueno, Francisco J Modrego
The fractures of the scapula are not very frequent, an incidence around the 0,4 and 1% of the fractures that affect the upper limb. The acromion fracture means the 7% of the fractures that affect to the scapula. They usually appear in politraumatized patients with more serious lesions that can mask them and postpose this way their diagnosis and treatment. We present a clinical case of a 56 year-old patient with the antecedent of politraumatism that presented a clear atrophic pseudoartrosis of the acromion of their right shoulder with painful clinic and movement limitation...
2006: Revista de la Facultad de Ciencias Médicas
Adnana Talić, Zoran Hadziahmetović
Politrauma is combination of the most complicated injuries caused by very strong forces. We present treatment of politraumatized patient who has injured his abdomen, with clinical and ultrasonic sings of bleeding-liver rupture, fractured pelvis and both arms and legs. All necessary diagnostic procedures have been performed and treatment team has been formed. After one year of psycical therapy, the patient can independently walk.
2007: Medicinski Arhiv
Daniel de Luis, Rocío Aller, Jesús Culebras
The development of artificial nutritional support has been increased in the last years. Access routes and composition of formulas have been improved. Critic patients is a group of great controversy in this topic area. Enteral nutrition is better than parenteral nutrition in patients with inflammatory bowel disease, acute pancreatitis, burn and septic with a A level of evidence. Enteral nutrition is better than parenteral nutrition in patients with short bowel disease, chronic hepatopathy, surgery ot digestive tract in patients with cancer disease, patients with HIV infection and patients with politraumatism...
July 8, 2006: Medicina Clínica
A Blanco Díez, L Alvarez Castelo, E Fernández Rosado, J Sánchez Rodríguez-Losada, V Chantada Abal, S Novas Castro, M Ruibal Moldes, A Barbagelata López, M González Martín
We present two cases of urethral disruption in women, a very uncommon situation because of the anatomical features. Yet it must be always suspected in all women under a pelvic politraumatism, for eviting important problems. Both cases are traffic politraumatized young girls presenting with pelvic fracture, among others. The surgery performed was combined suprapubic-transvaginal approach, even in one a previous endoscopic realinement was done, who also needed endoscopic complementary treatment: electrofulguration of a fistulous bridge...
April 2004: Actas Urologicas Españolas
S Abramovici, R L Souza
OBJECTIVES: To present objectively the therapeutic aspects for the management of child victim of trauma.METHODS: The most relevant articles about the management of acute trauma were selected.RESULTS: Children possess great potential for recovery after a trauma, however, inappropriate resuscitation is the major cause of death preventable.Care in the opening and maintenance of the airways, adequate input of fluid to the child victim of politrauma or burns as well as prompt diagnosis and effective management to internal bleeding has improved prognosis and can reduce mortality considerably...
November 1999: Jornal de Pediatria
A Cozzolino, R Piane, G C Passali, G Ruggiero
BACKGROUND: Because the orbital-malar complex has a peculiar anatomic constitution and position, it is at the third place for frequency of the fractures especially if we compare it with another skeleton's parts. Till now have been tested numerous materials with advantages but also some disadvantages used to rebuild the orbital floor. We thought it right to test a material with biocompatibility, easy handiness, chemical stability and elasticit, as PTFE membrane. METHODS: We studied 40 cases of both sexes (age between 19 and 70 years) of orbital-malar complex fractures: 14 with isolated fractures, 20 with complexes fractures and 6 politraumatized...
November 2001: Minerva Stomatologica
M Falciani, B Dilaghi, A A Conti, S Caciolli, G F Gensini
UNLABELLED: Recently, evidence-based guidelines for the prevention and therapy of venous thromboembolism have been published. Prophylaxis: in General Surgery patients with moderate to severe risk need to be treated with unfractioned (UFH) or low molecular weight (LMWH) heparin. Non pharmacological methods must be reserved to patients with high hemorrhagic risk and in association to heparin to patients with particularly high thromboembolic risk. In high risk Ortopedic Surgery prophylaxis with high doses LMWH or oral anticoagulants (OA) is indicated...
December 2000: Minerva Cardioangiologica
O Jiménez Ramos, A Conde Martell, J Marchena Gómez, J M Pavón Monzó, C D Dávila Quintana, P Barber Pérez
BACKGROUND: Increasing attention has been given to the elderly patients in emergency departments. However, prevalence and predictive factors of mortality in geriatric patients in emergency rooms have not been stablished. This study was conducted to analyse predictive factors associated with mortality in patients aged more than 75 years-old. METHODS: Descriptive transversal study. Data from 1003 patients aged over 75 years were recorded: biographic data, past medical history, functional capacity, acute vs chronic diseases, discharge diagnosis, emergency room stay, mortality and their causes...
September 2000: Anales de Medicina Interna: Organo Oficial de la Sociedad Española de Medicina Interna
Y Glock, D Roux, P Soula, A Cerene, G Fournial
This is a retrospective analysis of 50 postraumatic aortic rupture (1968-1996, 39 males, mean age: 34.5). Group A is composed of 35 patients with an acute aortic rupture and a prompt diagnosis. Group B includes 13 patients with a chronic rupture. All patients from group A had a severe politraumatism with abdominal, cranial, extremities or hip fractures. Mediastinal thickening with or without hemothorax indicated an angiography or a transesophageal echocardiography lately. In group A, 36 patients have been operated on urgently (12-24 hours); cardiopulmonary bypass was performed on 20 patients; an aorto-aortical bypass was done in 27 cases and a direct suture in the remaining 9...
1996: Revista Española de Cardiología
I Arrondo Díez, X Huizi Egileor, M Gala de Andrés, G Gil Alvarez, C Apaolaza Garayalde, K Berridi Puy, M J Sarasola Lujambio
The fact that intensive care patients suffer from ulcera is a daily evidence which has a negative repercussion. We have analysed prospectively a sample of 215 patients to know the incidence, prevalence, levels, and placement of the decubit ulceras to observe whether there is an association between the variables age, sex, staying end, diagnosis, diabetes, risk level and postural changes and ulceration incidence. To do so, we have created a nursing care protocol for decubit ulceras to unify criteria and norm the performances...
October 1995: Enfermería Intensiva
M Okumura
The University of São Paulo School of Medicine was the pioneer in the emergency attendance of traffic accident victims first at the Santa Casa de Misericordia Emergency Ward and later at the Emergency Ward of the Hospital das Clínicas. The University of São Paulo School of Medicine has also inaugurated the pre-hospital medical management of traffic accident victims through the DERSA First Aid Medical Service that operates permanent ambulance units staffed with a driver and a first aid medical technician working in 8 hours shifts, located at every 30 to 40 km on highways under DERSA jurisdiction...
May 1989: Revista do Hospital Das Clínicas
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