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https://www.readbyqxmd.com/read/30516648/assessment-of-vision-in-concussion
#1
Omar Akhand, Laura J Balcer, Steven L Galetta
PURPOSE OF REVIEW: To review emerging vision-based assessments in the evaluation of concussion. RECENT FINDINGS: Involvement of the visual pathways is common following concussion, the mildest form of traumatic brain injury. The visual system contains widely distributed networks that are prone to neurophysiologic changes after a concussion, resulting in visual symptoms and ocular motor dysfunction. Vision-based testing is increasingly used to improve detection and assess head injury...
November 30, 2018: Current Opinion in Neurology
https://www.readbyqxmd.com/read/30511040/effect-of-preadmission-beta-blockade-on-mortality-in-multiple-trauma
#2
M Eriksson, E von Oelreich, O Brattström, J Eriksson, E Larsson, A Oldner
Background: High levels of circulating catecholamines after multiple trauma have been associated with increased morbidity and mortality. Beta-adrenergic receptor antagonist (beta-blocker) therapy has emerged as a potential treatment option, but the effect of preinjury beta-blockade on trauma-induced mortality is unclear. The aim of this study was to assess whether preinjury beta-blocker therapy is associated with reduced mortality after multiple trauma. Methods: Severely injured patients, aged at least 50 years, admitted to a level one trauma centre over a 10-year interval were linked to national and local registries of co-morbidities, prescription drug use and level of education...
December 2018: BJS open
https://www.readbyqxmd.com/read/30503273/the-relationship-between-serum-fibrinogen-like-protein-2-concentrations-and-30-day-mortality-of-patients-with-traumatic-brain-injury
#3
Tie-Jiang Chen, Ming-Xia Ji, Zhi-Qiang Tao, Qing-Yang Fu, Kai Xiong, Bin Cheng
BACKGROUND: Fibrinogen-like protein 2 (FGL2) is an inflammatory procoagulant protein. We discerned the impact of serum FGL2 on trauma severity and 30-day mortality in patients with traumatic brain injury (TBI). METHODS: A total of 114 severe TBI patients were subjected to assessment of trauma severity using the Glasgow coma scale (GCS). Measurement of the serum concentrations of FGL2 was done. 114 matched control subjects for their age and sex were included for comparison of serum concentration of FGL2...
November 29, 2018: Clinica Chimica Acta; International Journal of Clinical Chemistry
https://www.readbyqxmd.com/read/30502267/twelve-year-review-of-urban-versus-rural-off-road-vehicle-injuries-at-a-level-1-trauma-center
#4
Christopher A Butts, Roberto Gonzalez, Linh Nguyen, John P Gaughan, Steven Ross, John Porter, Joshua P Hazelton
OBJECTIVE: Traditionally, all-terrain vehicles (ATVs) and dirt bikes (DBs) have been used in rural locations for recreation and work. Recently, there has been an increase in the use of these vehicles in an urban environment. The aim of this study is to compare the injury patterns of patients involved in crashes while riding off-road vehicles in both urban (UORV) and rural (RORV) environment. METHODS: A retrospective review (2005-2016) of patients who presented to an urban level 1 trauma center as a result of any ATV or DB crash was performed...
January 2019: Journal of Surgical Research
https://www.readbyqxmd.com/read/30498792/childhood-injuries-in-oman-retrospective-review-of-a-multicentre-trauma-registry-data
#5
Amber Mehmood, Priyanka Agrawal, Katharine A Allen, Ammar Al-Kashmiri, Ali Al-Busaidi, Adnan Ali Hyder
Objectives: Injuries are among the top causes of hospital-based mortality for adults in Oman. However, little is known about the distribution and risk of injuries among children. This paper describes the epidemiology and risk factors for childhood injuries (0-15 years of age), in two hospitals of Oman. Methods: Data were collected between November 2014 and April 2015 at Khoula and Nizwa Hospitals. All patients between 0 and 15 years with a diagnosis of injury/trauma admitted to the hospital, and those who had trauma team activation in the emergency department were included in the analysis...
2018: BMJ Paediatrics Open
https://www.readbyqxmd.com/read/30485240/using-an-artificial-neural-network-to-predict-traumatic-brain-injury
#6
(no author information available yet)
OBJECTIVEPediatric traumatic brain injury (TBI) is common, but not all injuries require hospitalization. A computational tool for ruling in patients who will have a clinically relevant TBI (CRTBI) would be valuable, providing an evidence-based way to safely discharge children who are at low risk for a CRTBI. The authors hypothesized that an artificial neural network (ANN) trained on clinical and radiologist-interpreted imaging metrics could provide a tool for identifying patients likely to suffer from a CRTBI...
October 1, 2018: Journal of Neurosurgery. Pediatrics
https://www.readbyqxmd.com/read/30481918/-national-experts-consensus-on-tracheotomy-and-intubation-for-burn-patients-2018-version
#7
J Ming, P Lei, J L Duan, J H Tan, H P Lou, D Y Di, Deyun Wang
Airway edema, stenosis, obstruction and even asphyxia are easy to occur in patients with extensive burn, deep burn of head, face, and neck area, inhalation injuries, etc., which threaten life. Timely tracheotomy and intubation is an important treatment measure, but lack of knowledge and improper handling in some hospitals resulted in airway obstruction. The technique of percutaneous tracheotomy and intubation provides convenience for emergency treatment of critical burns and mass burn. The Burn and Trauma Branch of Chinese Geriatrics Society organized some experts in China to discuss the indications, timing, methods, extubation, and precautions of tracheotomy and intubation for burn patients...
November 20, 2018: Zhonghua Shao Shang za Zhi, Zhonghua Shaoshang Zazhi, Chinese Journal of Burns
https://www.readbyqxmd.com/read/30473968/spine-injuries-related-to-ocean-waves-case-series-of-unusual-injuries
#8
Luis A Robles
Spine injuries related to ocean wave accidents are little known because they exclusively occur in beach destinations. This unusual type of trauma happens when these patients are slammed or caught by a wave, rolled over, and driven into the water, usually hitting the head on the seabed. Due to the kinematics of ocean wave accidents, spine injuries occur almost exclusively in the subaxial cervical spine. Several cases of spine injuries associated with ocean wave accidents are described. These ocean bathers presented with spinal trauma in levels other than the subaxial cervical spine...
September 19, 2018: Curēus
https://www.readbyqxmd.com/read/30472125/clinical-characteristics-of-internal-carotid-artery-pseudoaneurysms-in-the-sphenoid-sinus
#9
Di Deng, Jintao Du, Feng Liu, Bing Zhong, Yixin Qiao, Yafeng Liu
BACKGROUND: Internal carotid artery (ICA) pseudoaneurysms are associated with high mortality if lack of proper management. Patients with ICA pseudoaneurysms in the sphenoid sinus often visit a hospital's ear, nose and throat (ENT) department due to nasal bleeding. In such cases, simple examination and therapy will lead to misdiagnosis. OBJECTIVE: This study sought to investigate the clinical characteristics, diagnostic methods and treatment of ICA pseudoaneurysms in the sphenoid sinus...
September 19, 2018: American Journal of Otolaryngology
https://www.readbyqxmd.com/read/30466762/violence-and-aggression-in-the-intensive-care-unit-what-is-the-impact-of-australian-national-emergency-access-target
#10
A Pol, M Carter, S Bouchoucha
INTRODUCTION: Violence in healthcare settings is a concern for healthcare professionals and patients. Media reports, and debate within the healthcare profession, and the academic literature infer that workplaces such as intensive care units are becoming exposed to increasing violence. Increases in the incidence of violent behaviour are sometimes attributed to the increased pressure on emergency departments to accelerate the throughput of patients to meet targets. To ensure the wellbeing of patients and staff, there is a need to evaluate the impact of such targets...
November 19, 2018: Australian Critical Care: Official Journal of the Confederation of Australian Critical Care Nurses
https://www.readbyqxmd.com/read/30463714/to-scan-or-not-to-scan-overutilization-of-computed-tomography-for-minor-head-injury-at-a-pediatric-trauma-center
#11
Jeremy D Kauffman, Cristen N Litz, Sasha A Thiel, Anh Thy H Nguyen, Aaron Carey, Paul D Danielson, Nicole M Chandler
BACKGROUND: Degree of compliance with Pediatric Emergency Care Applied Research Network (PECARN) recommendations for radiographic evaluation following minor head injury in children is not well understood. The aim of this study was to assess PECARN compliance at a pediatric trauma center. The secondary aim was to determine whether children with indeterminate history of loss of consciousness (LOC) are at greater risk for clinically important traumatic brain injury (ciTBI) than those with no LOC...
December 2018: Journal of Surgical Research
https://www.readbyqxmd.com/read/30463506/post-concussion-syndrome-among-patients-experiencing-head-injury-attending-emergency-department-of-hawassa-university-comprehensive-specialized-hospital-hawassa-southern-ethiopia
#12
Asres Bedaso, Ephrem Geja, Mohammed Ayalew, Zewdie Oltaye, Bereket Duko
INTRODUCTION: Post-concussion syndrome (PCS) is defined as the presence of 3 or more of the following signs and symptoms after experiencing head injury such as headache, dizziness, fatigue, irritability, insomnia, difficulty of concentration or memory difficulty. In Ethiopia, even though there was no research conducted on post-concussion syndrome, it is common health problems after experiencing head trauma that affect the productive age group, which directly or indirectly influences the development of the country...
November 21, 2018: Journal of Headache and Pain
https://www.readbyqxmd.com/read/30459874/outcome-of-posttraumatic-delayed-intracerebral-tension-pneumatocele-prospective-study-of-four-cases-single-institutional-experience
#13
Vivek Kumar Kankane, Tarun Kumar Gupta
Aim: Delayed intracerebral tension pneumatocele (DITP) is an uncommon cause of raised intracranial pressure following trauma. However, it can cause herniation syndrome due to a sudden increase in intracranial pressure which requires emergent intervention. Pneumocephalus is a complication of head injury in 3.9%-9.7% of the cases. The accumulation of intracranial air can be acute (<72 h) or delayed (≥72 h). Method: When intracranial air causes intracranial hypertension and has a mass effect with neurological deterioration, it is called tension pneumocephalus...
October 2018: Asian Journal of Neurosurgery
https://www.readbyqxmd.com/read/30456157/head-injury-burden-in-a-major-referral-hospital-emergency-centre-in-botswana
#14
Megan Cox, Timothy D Becker, Mpapho Motsumi
Introduction: This study describes the demographics, aetiology, emergency centre diagnosis and severity indicators of patients with head injuries presenting to the largest referral hospital emergency centre in Botswana. Methods: Cross-sectional retrospective data was collected from July 2015 to September 2015 for all emergency centre head injury presentations at Princess Marina Hospital. Information was extracted from emergency centre records regarding patient demographics, mechanism of injury, clinical observations, diagnosis, and treatment...
September 2018: African Journal of Emergency Medicine Revue Africaine de la Médecine D'urgence
https://www.readbyqxmd.com/read/30444790/the-diffuse-and-severe-traumatic-subarachnoid-hemorrhage-being-hard-to-distinguish-to-aneurysmal-subarachnoid-hemorrhage
#15
Nobuhiko Arai, Yutaka Mine, Hiroshi Kagami, Makoto Inaba
BACKGROUND: In primary intracerebral hemorrhage, several studies showed that contrast extravasation (CEV) is reported to be an indicator of delayed hematoma expansion, emergent hematoma removal and poor prognosis. On the contrary in head trauma, few researches validated the effectiveness of CEV because of other influences such as subarachnoid hemorrhage (SAH), contusion or brain swelling. The authors experienced a patient showing diffuse SAH caused by traumatic mechanism with acute subdural hematoma (ASDH)...
November 15, 2018: Journal of Craniofacial Surgery
https://www.readbyqxmd.com/read/30441086/doubly-robust-estimation-of-effect-of-imaging-resource-utilization-on-discharge-decisions-in-emergency-departments
#16
Azade Tabaie, Falgun H Chokshi, Andre L Holder, Shamim Nemati Nemati
Cluster analysis provides a data-driven multidimensional approach for identifying distinct subgroups of patients in a cohort. Each of the clusters represents a particular health condition with specific clinical trajectory and medical needs. Patients visiting emergency rooms do not share the same health condition, therefore discriminating between groups may have implications for diagnostic testing and resource utilization. We carried out this retrospective cohort study on 13825 patients who visited the emergency rooms in three Emory hospitals presenting with head trauma and non-stroke-like non-specific neurologic symptoms from January 2010 to September 2015...
July 2018: Conference Proceedings: Annual International Conference of the IEEE Engineering in Medicine and Biology Society
https://www.readbyqxmd.com/read/30440148/-national-experts-consensus-on-tracheotomy-and-intubation-for-burn-patients-2018-version
#17
J Ming, P Lei, J L Duan, J H Tan, H P Lou, D Y Di, D Y Wang
Airway edema, stenosis, obstruction and even asphyxia are easy to occur in patients with extensive burn, deep burn of head, face, and neck area, inhalation injuries, etc., which threaten life. Timely tracheotomy and intubation is an important treatment measure, but lack of knowledge and improper handling in some hospitals resulted in airway obstruction. The technique of percutaneous tracheotomy and intubation provides convenience for emergency treatment of critical burns and mass burn. The Chinese Geriatrics Society organized some experts in China to discuss the indications, timing, methods, extubation, and precautions of tracheotomy and intubation for burn patients...
November 9, 2018: Zhonghua Shao Shang za Zhi, Zhonghua Shaoshang Zazhi, Chinese Journal of Burns
https://www.readbyqxmd.com/read/30433908/extreme-control-and-instability-insight-into-head-injury-from-intimate-partner-violence
#18
Amanda St Ivany, Susan Kools, Phyllis Sharps, Linda Bullock
AIM: The aim of this study was to understand the social context of the lives of women who experienced a head injury from intimate partner violence. BACKGROUND: Sixty percent to 92% of survivors of intimate partner violence receive head trauma during the abuse. Little research exists regarding the episodes of abuse when women receive a head injury, or the reasons women might not seek medical care for the head injury or the abuse. METHOD: Twenty-one interviews from nine women who self-reported passing out from being hit in the head were analyzed using thematic analysis...
October 2018: Journal of Forensic Nursing
https://www.readbyqxmd.com/read/30429629/clinical-profile-and-autopsy-findings-in-fatal-head-injuries
#19
R Joseph Alexis, S Jagdish, Sanjay Sukumar, Vinay R Pandit, C Palnivel, M Jency Antony
Aims: This study aims to correlate the autopsy findings with the clinical picture and imaging report in fatal head injury patients. Settings and Design: A descriptive study conducted at tertiary care hospital in South India from July 2015 to December 2016. Patients and Methods: All patients with head injuries who were admitted to our Emergency and Trauma Centre and underwent autopsy were included in the study. A structured pro forma was used for collecting information...
July 2018: Journal of Emergencies, Trauma, and Shock
https://www.readbyqxmd.com/read/30429618/whats-new-in-emergencies-trauma-and-shock-autopsy-in-fatal-head-injuries
#20
EDITORIAL
Amit Agrawal, Luis Rafael Moscote-Salazar
No abstract text is available yet for this article.
July 2018: Journal of Emergencies, Trauma, and Shock
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