Read by QxMD icon Read

"Trauma" AND "Emergency Department"

Dennis W Ashley, John L Wood, James D Colquitt, Ramupriya Vaithi
No abstract text is available yet for this article.
July 1, 2018: American Surgeon
Daniel Hubbard, Scott Joing, Steven W Smith
Introduction: Pyogenic flexor tenosynovitis (PFT) is difficult to diagnose on clinical grounds alone as many patients requiring an operation do not have all four of Kanavel's signs. Previous studies have shown that hypoechoic fluid surrounding the flexor tendon on ultrasound is associated with this diagnosis. We sought to determine if emergency physicians (EPs) could recognize this finding in patients with suspected flexor tenosynovitis using point-of-care ultrasound (POCUS). Methods: We present a retrospective case series of seven patients suspected of PFT who had hypoechoic fluid surrounding the tendon on POCUS performed by the treating EP...
August 2018: Clinical practice and cases in emergency medicine
Amirreza T Motameni, Rebekah A Hodge, William I McKinley, Jiliene M Georgel, Brian P Strollo, Matthew V Benns, Keith R Miller, Brian G Harbrecht
BACKGROUND: Hemorrhage is the most common cause of early death in trauma patients. Massive transfusion protocols (MTPs) have been designed to accelerate the release of blood products but can result in waste if activated inappropriately. The Assessment of Blood Consumption (ABC) score has become a widely accepted score for MTP activation. In this study, we compared the use of ABC criteria to physician judgment in MTP activation. METHODS: Adult trauma patients treated at University of Louisville Trauma Center from January 2016 to December 2016 were studied...
August 2018: Journal of Trauma and Acute Care Surgery
Norman J Galbraith, Stephen J O'Brien, Samuel P Walker, Sarah A Gardner, Hiram C Polk, Stephen L Barnes
BACKGROUND: Severe injury can lead to immune dysfunction and predispose patients to infection and death. Micro-RNAs regulate gene expression and may act as biomarkers for susceptibility to infection. The aim of this study was to examine the temporal and differential expression of previously identified dysregulated micro-RNAs in patients with severe injury. METHODS: Fourteen severely injured patients requiring transfusion were enrolled prospectively in this study approved by our institutional review board...
August 1, 2018: Surgery
Marlène Amara, Nathalie Zappella, Emilie Bruneel, Camille Courboulès, Nithiya Ung, Perrine Bayle, Esther Gydé, Fabrice Bruneel, Jean-Pierre Bédos, Béatrice Pangon
A 60-year-old man presented at the emergency department with a typical meningeal syndrome with anisocoria, after a flu-like episode. He had a medical history of ischemic cardiopathy and excessive alcohol consumption. Empiric antibiotherapy by ceftriaxone 1 g was initiated, associated with dexamethasone 10 mg. CSF was turbid, showing 390 leukocytes per μl (87% neutrophils), protein 4.15 g/L, glucose 0 g/L and lactate level 15 mmol/L. The Gram stain revealed a high number of long and thin Gram-negative rods (GNR) (Figure 1A)...
August 1, 2018: Clinical Microbiology and Infection
Aaron M Smith, Jacob Carlson, Ashley B Bartels, Cody B McLeod, Michael S Golinko
OBJECTIVE: Dog bite injuries are encountered frequently in emergency departments and can cause significant morbidity. The objective of this study was to explore the associations between the multiple variables at play during these occurrences (eg, the patient's age, the bite location, the bite severity, the dog's relationship with the patient, the breed of dog). METHODS: This two-institution study collected and analyzed dog bite data from Arkansas' only Level I trauma centers...
August 2018: Southern Medical Journal
Jason F Naylor, Michael D April, Guyon J Hill, Kelley M Kempski, Allyson A Arana, Steven G Schauer
OBJECTIVES: Pediatric casualties made up a significant proportion of patients during the recent military conflicts in Iraq and Afghanistan. Damage control resuscitation strategies used by military physicians included rapid reversal of metabolic acidosis to mitigate its pathophysiologic consequences, primarily through hemorrhage control and volume restoration. Alkalizing agents, including tris(hydroxymethyl)aminomethane (THAM), are potential therapeutic adjuncts to treat significant acidosis...
August 2018: Southern Medical Journal
Michael M Safaee, Ramin A Morshed, Jordan Spatz, Sujatha Sankaran, Mitchel S Berger, Manish K Aghi
OBJECTIVE Interfacility neurosurgical transfers to tertiary care centers are driven by a number of variables, including lack of on-site coverage, limited available technology, insurance factors, and patient preference. The authors sought to assess the timing and necessity of surgery and compared transfers to their institution from emergency departments (ED) and inpatient units at other hospitals. METHODS Adult neurosurgical patients who were transferred to a single tertiary care center were analyzed over 12 months...
August 3, 2018: Journal of Neurosurgery
Luis M García-Núñez, Irving I Morales-Pogoda, Edgar F Hernández-García, Juan A Rodríguez-Inurrigarro, Raúl García-Ramírez, Fernando F Arcaute-Velázquez
Instituida bajo recomendaciones objetivas, la toracotomía en el departamento de urgencias (TDU) se ha descrito como una maniobra quirúrgica salvatoria de la vida en pacientes traumatizados in extremis. Sin embargo, hay pocos reportes acerca de la experiencia con su empleo en la actividad eléctrica sin pulso no traumática. Describimos el caso de una paciente obstétrica exanguinada por sangrado masivo transoperatorio, en la que se realizó una TDU con un resultado óptimo para la vida y la función neurológica...
2018: Cirugia y Cirujanos
Sarah Spénard, Sarah Gouin, Marianne Beaudin, Jocelyn Gravel
The Sainte-Justine Head Trauma Pathway helps physicians' decision-making in the evaluation of head trauma in young children. We evaluated the pathway to identify clinically important traumatic brain injury (ciTBI) among children younger than two years who presented to a pediatric emergency department for a head trauma. The primary outcome was ciTBI, defined as a TBI complicated by death, neurosurgery, intubation or hospitalization for more than one night. Among 2258 children, we reviewed the charts of all hospitalized children ( n = 100) and a random sample of nonhospitalized children ( n = 101) and found a ciTBI in 26 patients...
August 2018: Canadian Journal of Surgery. Journal Canadien de Chirurgie
Shang-Jung Wu, Wei-Kung Chen
Acute pain is the main cause for patient visits to the emergency department. An important issue faced in emergency medical care is to resolve patient pain. Moreover, limb traumatic pain is noted in 58-66% of emergency trauma patients. This paper explored the effectiveness of using non-pharmacological complementary interventions, including body operation therapies that used trauma limb care and therapeutic touch and mind-body interventions, in order to strengthen the support system and create a healing environment...
August 2018: Hu Li za Zhi the Journal of Nursing
Alessandro Riccardi, Maria Beatrice Spinola, Valeria Ghiglione, Marco Licenziato, Roberto Lerza
Blunt thoracic injury (BTI) constitutes a common presentation in emergency department: rib fractures are the most common injuries. Chest X-ray (CXR) has a limited sensitivity to identify rib fractures. We perform this retrospective study in our emergency department collecting all patients with BTI during an 18-month period. PoCUS was performed prior to acquire CXR or CT. We evaluated 1672 patients with BTI, and we reported rib fractures in 689 patients (41.21%). PoCUS was performed in 190 patients. PoCUS in emergency medicine has an increasing role, especially in BTI, but less clear is its role in detecting ribs fracture...
July 31, 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
Ryan C Burke, Erin L Simon, Brian Keaton, Laura Kukral, Nicholas J Jouriles
OBJECTIVE: Compare clinical characteristics for adult visits to freestanding emergency departments (FEDs) and a hospital-based ED (HBED). METHODS: Electronic health records were collected on adult ED visits from 7/1/14 to 6/30/15 from three FEDs and one level 1 trauma tertiary care HBED. RESULTS: There were 55,909 HBED visits; 44,108 FED visits. The FED population was slightly more female (61% vs 57%), younger (48 vs 46 years), white (86% vs 60%), and employed (67% vs 49%)...
June 30, 2018: American Journal of Emergency Medicine
Dennis W Ashley, John L Wood, James D Colquitt, Ramupriya Vaithi
No abstract text is available yet for this article.
July 1, 2018: American Surgeon
Cheryl K Zogg, R Sterling Haring, Likang Xu, Joseph K Canner, Taylor D Ottesen, Ali Salim, Adil H Haider, Eric B Schneider
BACKGROUND: While deaths, hospitalizations, and emergency department visits for head trauma are well understood, little is known about presentations in outpatient settings. Our objective was to examine the epidemiology and extent of healthcare-seeking adult (18-64y) head trauma patients presenting in outpatient settings compared to patients receiving non-hospitalized emergency department care. METHODS: We used 2004-2013 MarketScan Medicaid/commercial claims to identify head trauma patients managed in outpatient settings (primary care provider, urgent care) and the emergency department...
July 30, 2018: Epidemiology
Kaitlyn Luckey-Smith, Kevin High
Malignant hyperthermia (MH) is a life-threatening hypermetabolic state that can occur following induction with depolarizing neuromuscular blockade and volatile anesthesia gases. Because succinylcholine is a common choice for prehospital and emergency department inductions, it is important for staff to be able to recognize and effectively treat an MH crisis. This case study highlights a 20-year-old male trauma patient who presented to a Level I trauma center and was intubated for declining mental status. He developed suspected MH following his anesthetic induction with succinylcholine...
July 2018: Advanced Emergency Nursing Journal
Julien Le Coz, Silvia Orlandini, Luigi Titomanlio, Victoria Elisa Rinaldi
IMPORTANCE: Point-of-care ultrasonography (POCUS) allows to obtain real-time images to correlate with the patient's presenting signs and symptoms. It can be used by various specialties and may be broadly divided into diagnostic and procedural applications. OBJECTIVE: We aimed at reviewing current knowledge on the use of POCUS in Pediatric Emergency Departments (PEDs). FINDINGS: US diagnostic capacity in paediatric patients with suspected pneumonia has been studied and debated whereas literature regarding the usefulness of point-of-care echocardiography in the pediatric setting is still limited...
July 27, 2018: Italian Journal of Pediatrics
Kirsten Sumner, Louis C Grandizio, Max D Gehrman, Jove Graham, Joel C Klena
BACKGROUND: Understanding risk factors for readmission may help decrease the rate of these costly events. The purpose of this study is to define the incidence of 30-day readmission and unscheduled health care contact (UHC) after distal radius fracture (DRF). In addition, we aim to define risk factors for readmission and UHC. METHODS: A retrospective review of patients who sustained a DRF at our trauma center was performed. We recorded baseline demographics, fracture characteristics, and treatment...
July 27, 2018: Hand: Official Journal of the American Association for Hand Surgery
Majid Zamani, Mohammad Nasr Esfahani, Ibrahim Joumaa, Farhad Heydari
Background: A secure airway and effective ventilation are key components of advanced life support, and misplacement of endotracheal tube (ETT) can lead to morbidity in multiple trauma patients. The purpose of this study was to investigate the accuracy of ultrasound in diagnosis of direction for tracheal intubation. Materials and Methods: This descriptive-analytical study was conducted on 100 traumatic patients requiring intubation in 2016 in the Emergency Department of Al-Zahra and Kashani Medical Education Centers in Isfahan...
2018: Advanced Biomedical Research
Kouamé Innocent M'Bra, Aya Adélaïde Natacha Kouassi, Bada Justin Leopold Niaore Sery, Loukou Blaise Yao, Kouamé Jean Eric Kouassi, Pierre Germain Ochou, Yao Aboh Ganyn Robert Arnaud Asséré, Grah Franck Lohourou, Koffi Léopold Krah, Michel Kodo
This study reports the complications occurred during the management of open fractures of the lower limbs, resulting in secondary amputations, observed in clinicians' practice in recent years as well as different risk factors and possible deficiencies in management at the origin of these complications. We conducted a retrospective study over a period of 06 years (January 2006 - January 2012). It included patients with open fracture of the lower limb initially treated in our institution and whose complications resulted in amputation...
2018: Pan African Medical Journal
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"