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Trauma life support

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https://www.readbyqxmd.com/read/29137701/the-correlation-between-atls-and-junior-doctors-anatomical-knowledge-of-central-venous-catheter-insertion-at-a-major-trauma-service-in-south-africa
#1
V Y Kong, J J Odendaal, R Weale, M Liu, C M Keene, B Sartorius, D L Clarke
OBJECTIVE: To review the ability of junior doctors (JDs) in identifying the correct anatomical site for central venous catheterization (CVC) and whether prior Advanced Trauma Life Support (ATLS) training influences this. DESIGN: We performed a prospective, observational study using a structured survey and asked a group of JDs (postgraduate year 1 [PGY1] or year 2 [PGY2]) to indicate on a photograph the exact site for CVC insertion via the internal jugular (IJV) and the subclavian (SCV) approach...
November 7, 2017: Injury
https://www.readbyqxmd.com/read/29135530/should-percussion-pacing-have-a-role-in-perioperative-advanced-cardiac-life-support-a-case-report
#2
Chris Giordano, Jordan Miller, Ilan Keidan
Percussion pacing involves using one's fist to repeatedly strike a patient's left sternal border in a rhythmic manner. The resulting increase in ventricular pressure can trigger myocardial depolarization and subsequent contraction. We describe the successful treatment of acute preoperative symptomatic sinus bradycardia with percussion pacing in a 63-year-old patient scheduled for placement of a gastric feeding tube after trauma involving spinal cord injury. Although no longer included in current advanced cardiovascular life support guidelines, percussion pacing may be a suitable alternative to chest compressions in multitrauma cases where the force of compressions could cause further complications...
November 9, 2017: A & A Case Reports
https://www.readbyqxmd.com/read/29132581/resuscitation-resequenced-a-rational-approach-to-patients-with-trauma-in-shock
#3
REVIEW
Andrew Petrosoniak, Christopher Hicks
Trauma resuscitation is a complex and dynamic process that requires a high-performing team to optimize patient outcomes. More than 30 years ago, Advanced Trauma Life Support was developed to formalize and standardize trauma care; however, the sequential nature of the algorithm that is used can lead to ineffective prioritization. An improved understanding of shock mandates an updated approach to trauma resuscitation. This article proposes a resequenced approach that (1) addresses immediate threats to life and (2) targets strategies for the diagnosis and management of shock causes...
February 2018: Emergency Medicine Clinics of North America
https://www.readbyqxmd.com/read/29129151/false-positive-diagnosis-of-brain-death-following-the-pediatric-guidelines-case-report-and-discussion
#4
D Alan Shewmon
A 2-year-old boy with severe head trauma was diagnosed brain dead according to the 2011 Pediatric Guidelines. Computed tomographic (CT) scan showed massive cerebral edema with herniation. Intracranial pressures were extremely high, with cerebral perfusion pressures around 0 for several hours. An apnea test was initially contraindicated; later, one had to be terminated due to oxygen desaturation when the Pco2 had risen to 57.9 mm Hg. An electroencephalogram (EEG) was probably isoelectric but formally interpreted as equivocal...
December 2017: Journal of Child Neurology
https://www.readbyqxmd.com/read/29128740/motivational-capacities-after-prolonged-interpersonal-childhood-trauma-in-institutional-settings-in-a-sample-of-austrian-adult-survivors
#5
Dina Weindl, Matthias Knefel, Tobias M Glück, Ulrich S Tran, Brigitte Lueger-Schuster
A considerable amount of research has been conducted on the aversive impact of prolonged interpersonal childhood trauma, but data on possible associations with motivational concepts (self-efficacy, self-esteem and locus of control) in adult survivors is scarce. The purpose of this study is to investigate specific coherences between childhood abuse and adult life events with (a) motivational concepts (MC), (b) the emotion regulation strategy "goal-directed behavior" and (c) the possible mediation of emotion regulation (ER) on motivational concepts...
November 9, 2017: Child Abuse & Neglect
https://www.readbyqxmd.com/read/29125803/religiosity-and-the-concept-of-god-moderate-the-relationship-between-the-type-of-trauma-posttraumatic-cognitions-and-mental-health
#6
Justyna Kucharska
The aim of the study was to examine the role of religiosity as a moderator in the relationships between trauma, posttraumatic cognitions and mental health. A one-dimensional measure of religiosity and a multidimensional "concept of god" measure were used; sexual and non-sexual traumatic events were assessed and posttraumatic cognitions related to either sexual or non-sexual trauma were taken into account. A total of 337 females from Poland participated in the cross-sectional study. It was predicted that the relationships between sexual trauma and mental health would be stronger in religious individuals - this hypothesis was supported in the case of negative mental health (PTSD, z = -1...
November 10, 2017: Journal of Trauma & Dissociation
https://www.readbyqxmd.com/read/29125800/the-trauma-factor-examining-the-relationships-among-different-types-of-trauma-dissociation-and-psychopathology
#7
Adriano Schimmenti
Extensive research has reported a dose-response relationship between exposure to trauma and the severity of both dissociation and psychopathology. However, certain types of trauma may co-occur more frequently than others and specific combinations of traumatic experiences may relate differently to dissociative processes and psychiatric symptoms. In the current study, 359 adult participants completed questionnaires on traumatic experiences, dissociation, and psychopathology. A correlation network analysis showed that some types of trauma are more likely to co-occur and that especially traumatic experiences in attachment relationships during childhood were significantly associated with other trauma in life...
November 10, 2017: Journal of Trauma & Dissociation
https://www.readbyqxmd.com/read/29120878/investigating-the-effects-of-under-triage-by-existing-major-incident-triage-tools
#8
James M Vassallo, Jason E Smith, Lee A Wallis
OBJECTIVES: Triage is a key principle in the effective management of a major incident. Its effectiveness is a balance between identifying those in need of life-saving intervention, and those triaged incorrectly as either needing/not needing life-saving intervention. The primary aim of this study was to report mortality in those under-triaged by existing major incident triage tools. Secondary aims were to report the ability of triage tools at identifying serious injury by body region (defined as the Abbreviated Injury Scale≥3)...
November 8, 2017: European Journal of Emergency Medicine: Official Journal of the European Society for Emergency Medicine
https://www.readbyqxmd.com/read/29120152/first-aid-management-in-emergency-care-of-dental-injuries-%C3%A2-knowledge-among-teachers-in-rijeka-croatia
#9
Danko Bakarčić, Sandra Hrvatin, Mia Maroević, Nataša Ivančić Jokić
The aim of the present cross-sectional study was to investigate the knowledge and attitude regarding emergency treatment of dental trauma among elementary school teachers in the city of Rijeka, Croatia. A total of 144 teachers answered a four-part questionnaire which comprised questions regarding demographic data, role and responsibility at the working place, knowledge about dental trauma, and motivation for further education on the topic. Nearly half of the participants (47.2%) reported having seen at least one dental trauma in their professional careers...
March 2017: Acta Clinica Croatica
https://www.readbyqxmd.com/read/29115207/self-evaluated-competence-in-trauma-reception
#10
Kristin Julia Steinthorsdottir, Peter Svenningsen, Rasmus Fabricius, Lars Bo Svendsen, Jens Hillingsø, Martin Sillesen
INTRODUCTION: No formal training requirements exist for trauma teams in Denmark. The aim of this study was to investigate the point prevalence level of training and the self-evaluated competence of doctors involved in trauma care. METHODS: On two nights, all doctors on call at departments involved in trauma care were interviewed and answered a structured questionnaire pertaining to their level of training and self-evaluated level of competence in relevant skills...
November 2017: Danish Medical Journal
https://www.readbyqxmd.com/read/29105124/a-controlled-early-group-intervention-study-for-unaccompanied-minors-can-expressive-arts-alleviate-symptoms-of-trauma-and-enhance-life-satisfaction
#11
Melinda A Meyer DeMott, Marianne Jakobsen, Tore Wentzel-Larsen, Trond Heir
This is the first controlled study of an expressive arts group intervention with unaccompanied minor asylum seeking children. The aim of the study was to examine whether such an intervention may alleviate symptoms of trauma and enhance life satisfaction and hope. One hundred forty five unaccompanied minor refugee boys with their stated age between 15 and 18 were allocated into a 10 session 5 weeks manualized expressive arts intervention (EXIT) or a life as usual (LAU) control group. The participants were assessed at onset and 4 times over a period of 25 months with a battery of instruments measuring post-traumatic stress symptoms (PTSS), general psychological distress (HSCL-25A), current life satisfaction (CLS) and expected life satisfaction (ELS)...
December 2017: Scandinavian Journal of Psychology
https://www.readbyqxmd.com/read/29098784/describing-the-healthcare-experiences-and-strategies-of-women-survivors-of-violence
#12
Elizabeth A Reeves, Janice C Humphreys
BACKGROUND: Survivors of traumatic life events are at increased risk for an array of negative health consequences, which can be complicated when distressing healthcare experiences act as a barrier to accessing needed care. Implications for trauma-informed and sensitive practice are well established, but evidence to-date on survivors' healthcare experiences and patient engagement is limited. DESIGN: The purpose of this qualitative descriptive study was to develop knowledge on women survivors' healthcare experiences and strategies...
November 3, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29098071/the-use-of-the-clinical-ethnographic-narrative-interview-to-understand-and-support-help-seeking-after-gender-based-violence
#13
Denise M Saint Arnault
Gender-based violence (GBV), characterized by the abduction or rape of women and girls to humiliate, intimidate, and traumatize them and their communities, is a profoundly disturbing tactic in international conflict. Long after armed conflict has ended, survivors continue to experience physical injuries, psychological trauma, and social and cultural stigma. Guilt, shame, and continued interpersonal violence can become a normalized part of daily life, significantly challenging the road to healing and recovery...
September 2017: TPM. Testing, Psychometrics, Methodology in Applied Psychology
https://www.readbyqxmd.com/read/29096418/correlates-of-post-traumatic-growth-following-childhood-and-adolescent-cancer-a-systematic-review-and-meta-analysis
#14
REVIEW
Jasmin K Turner, Amanda Hutchinson, Carlene Wilson
OBJECTIVE: Post-traumatic growth is defined as positive change resulting from the struggle with highly challenging life circumstances or trauma [1]. A growing number of children and adolescents are experiencing and surviving cancer. This review aims to identify the demographic, medical, and psychosocial correlates of perceived post-traumatic growth in individuals of any age who were affected by paediatric cancer. Findings will highlight protective factors that may facilitate post-traumatic growth, allowing for directed social support, intervention, and follow-up care...
November 2, 2017: Psycho-oncology
https://www.readbyqxmd.com/read/29091779/towards-a-psychopathology-specific-to-substance-use-disorder-should-emotional-responses-to-life-events-be-included
#15
Angelo G I Maremmani, Marco Maiello, Manuel Glauco Carbone, Alessandro Pallucchini, Francesca Brizzi, Iacopo Belcari, Ciro Conversano, Giulio Perugi, Icro Maremmani
INTRODUCTION: The severity of emotional responses to life events (PTSD spectrum) as part of Post Traumatic Stress Disorder (PTSD) in Substance Use Disorder (SUD) patients has often been considered from a unitary perspective. Light has also been shed on the possible definition of a specific psychopathology of SUD patients. This psychopathology has been proved to be independent of treatment choice, of being active in using substances, of lifetime psychiatric comorbidity and primary substance of abuse (heroin, alcohol, cocaine)...
October 6, 2017: Comprehensive Psychiatry
https://www.readbyqxmd.com/read/29090361/long-term-disabilities-after-traumatic-head-injury-thi-a-retrospective-analysis-from-a-large-level-i-trauma-center-in-saudi-arabia
#16
Suliman Alghnam, Alaa AlSayyari, Ibrahim Albabtain, Bader Aldebasi, Mohamed Alkelya
BACKGROUND: Traumatic head injuries (THI) are a critical public health problem worldwide, with more than 10 million individuals affected every year. In Saudi Arabia (SA), the burden of THI is unknown even though injury is the leading cause of death and a major cause of disability. Therefore, we aim to estimate the prevalence of long-term of disabilities among survivors of THI treated at a large level-I trauma center in Riyadh. METHODS: The study included 258 patients, who were hospitalized due to a non-fatal THI between years 2005-2014...
November 1, 2017: Injury Epidemiology
https://www.readbyqxmd.com/read/29080551/the-dexamethasone-corticotropin-releasing-hormone-test-in-healthy-and-depressed-women-with-and-without-childhood-adversity
#17
Carsten Spitzer, Christian Otte, Linn K Kuehl, Anita May, Katharina Schultebraucks, Julian Hellmann-Regen, Katja Wingenfeld
BACKGROUND: Alterations of the hypothalamic-pituitary-adrenal (HPA) axis are a prominent finding in patients with major depressive disorder (MDD). Inconsistencies regarding a hyper- or hypoactive HPA axis may be explained by the moderating effect of childhood adverse experiences (ACE) which are associated with both HPA axis dysfunction and MDD in adulthood. We aimed to systematically disentangle the effects of ACE and MDD on HPA axis by comparing healthy women with and without childhood adversity and women with MDD with and without ACE...
October 23, 2017: Psychoneuroendocrinology
https://www.readbyqxmd.com/read/29072182/social-challenges-of-contemporary-psychiatry
#18
N Bouras
Psychiatry and society are interrelated and the biopsychosocial model continues to dominate the clinical psychiatric practice. Some doubts have been expressed in recent years about the value and the wide acceptance of the biopsychosocial model. Ghaemi (2009)1 considers it to be anti-humanistic and advocates the use of less eclectic, less generic, and less vague alternatives. The fundamental changes that have been witnessed in our times across the spectrum of biology, psychology and sociology have made necessary that a conceptual clarity should prevail...
July 2017: Psychiatrikē, Psychiatriki
https://www.readbyqxmd.com/read/29071424/impact-of-trauma-system-structure-on-injury-outcomes-a-systematic-review-and-meta-analysis
#19
REVIEW
Lynne Moore, Howard Champion, Pier-Alexandre Tardif, Brice-Lionel Kuimi, Gerard O'Reilly, Ari Leppaniemi, Peter Cameron, Cameron S Palmer, Fikri M Abu-Zidan, Belinda Gabbe, Christine Gaarder, Natalie Yanchar, Henry Thomas Stelfox, Raul Coimbra, John Kortbeek, Vanessa K Noonan, Amy Gunning, Malcolm Gordon, Monty Khajanchi, Teegwendé V Porgo, Alexis F Turgeon, Luke Leenen
BACKGROUND: The effectiveness of trauma systems in decreasing injury mortality and morbidity has been well demonstrated. However, little is known about which components contribute to their effectiveness. We aimed to systematically review the evidence of the impact of trauma system components on clinically important injury outcomes. METHODS: We searched MEDLINE, EMBASE, Cochrane CENTRAL, and BIOSIS/Web of Knowledge, gray literature and trauma association Web sites to identify studies evaluating the association between at least one trauma system component and injury outcome...
October 25, 2017: World Journal of Surgery
https://www.readbyqxmd.com/read/29061611/effects-of-advanced-life-support-versus-basic-life-support-on-the-mortality-rates-of-patients-with-trauma-in-prehospital-settings-a-study-protocol-for-a-systematic-review-and-meta-analysis
#20
Yutaka Kondo, Tatsuma Fukuda, Ryo Uchimido, Toru Hifumi, Kei Hayashida
INTRODUCTION: Advanced life support (ALS) is thought to be associated with improved survival in prehospital trauma care when compared with basic life support (BLS). However, evidence on the benefits of prehospital ALS for patients with trauma is controversial. Therefore, we aim to clarify if ALS improves mortality in patients with trauma when compared with BLS by conducting a systematic review and meta-analysis of the recent literature. METHODS AND ANALYSIS: We will perform searches in PubMed, Embase and the Cochrane Central Register of Controlled Trials for published observational studies, controlled before-and-after studies, randomised controlled trials and other controlled trials conducted in humans and published until March 2017...
October 22, 2017: BMJ Open
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