Injury
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Thirty-nine patients with unstable pelvic fractures were analysed retrospectively. The mean age of the group was 41 years (range 15-77). Of these cases 35 had sustained high energy trauma. ⋯ Additional therapy for hypovolaemic shock due to pelvic bleeding was necessary in six cases. The overall mortality in this series was 13 per cent. Early and aggressive resuscitation and standardized treatment in well-equipped and staffed injury centres is mandatory in these severely traumatized patients to achieve optimal results and to minimize the risk of fatal outcome.
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Comment Letter Comparative Study
A comparison of the costs and performance of an emergency helicopter and land ambulances in a rural area.
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Practice Guideline Guideline
Setting and living up to national standards for the care of the injured. British Trauma Society.
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Captive bolt guns or 'slaughterer's guns' are weapons used in slaughtering animals. Lesions caused by these weapons are likely to have a more serious character than is to be expected from the size of the entrance wound. The wounds are primarily contaminated and it is imperative to explore the wound thoroughly as foreign bodies are often deeply embedded. Three cases are reported of accidental injuries to personnel working with such weapons.