The journal of trauma and acute care surgery
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J Trauma Acute Care Surg · Jul 2012
Who is in danger? Impingement and penetration of the anterior cortex of the distal femur during intramedullary nailing of proximal femur fractures: preoperatively measurable risk factors.
Intramedullary nail (IMN) perforation through the cortex of the distal femur is a risk of intramedullary stabilization of proximal femur fractures. This study was performed to identify information that is available before operation that can pick out patients at risk for this complication. ⋯ Prognostic study, level III; therapeutic study, level IV.
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J Trauma Acute Care Surg · Jul 2012
Validation of the pulse rate over pressure evaluation index as a detector of early occult hemorrhage: a prospective observational study.
The aim of this study was to validate a calculation of pulse rate (PR) divided by pulse pressure (pulse rate over pressure evaluation [ROPE] index) as a method of predicting early hemorrhagic compensation in healthy patients donating blood. The ROPE index calculations were compared with shock index (PR divided by systolic blood pressure) calculations for the same donors. ⋯ Prognostic study, level II.
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J Trauma Acute Care Surg · Jul 2012
Analysis of the factors influencing bone graft infection after cranioplasty.
Delayed cranioplasty after decompressive craniectomy was performed using various reconstruction materials and methods. Bone graft infection is a major concern with cranioplasty. This study identified factors that are related to bone graft infection after cranioplasty. ⋯ Prognostic/therapeutic study, level IV.
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J Trauma Acute Care Surg · Jul 2012
Maintaining quality of care 24/7 in a nontrauma surgical intensive care unit.
Most surgical critical care literature reflects practices at trauma centers and tertiary hospitals. Surgical critical care needs and practices may be quite different at nontrauma center teaching hospitals. As acute care surgery develops as a component of surgical critical care and trauma, the opportunities and challenges of the nontrauma centers should be considered. ⋯ Therapeutic study, level II.
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J Trauma Acute Care Surg · Jul 2012
Pattern and mechanism of traumatic limb amputations after explosive blast: experience from the 07/07/05 London terrorist bombings.
Traumatic amputation of limbs caused by bomb blast carries a high mortality; we present our experience of 07/07 London terrorist bombing that resulted in a large number of survivors with amputated limbs. We think that the unique underground bombing, the shape of the carriages, and the enclosure by the underground tunnel caused amputation of the limb by the channeling of the blast wave as a result of the device being floor based, which resulted in lower-limb amputation without other fatal primary blast injuries. We present our results of the traumatic amputation in the fatalities and survivors as well as the possible mechanism and protective measure that could save lives. ⋯ Epidemiological study, level V.