Annales françaises d'anesthèsie et de rèanimation
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Ann Fr Anesth Reanim · Dec 2012
Case Reports[Prehospital use of haemostatic dressing QuikClot ACS+™ for hemorrhage control of a perineal trauma].
First responders are sometimes confronted with external uncontrolled haemorrhage despite compression, bandages, and tourniquets. Several topical haemostatic agents were developed to try to face these situations. Their application was mainly described and studied in military environment. We report the case of a worker victim of an accident of construction site with hemorrhagic perineal trauma for whom the use of a haemostatic bandage QuikClot ACS+™ (Z-Medica) seemed to us particularly useful in prehospital setting.
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Ann Fr Anesth Reanim · Dec 2012
[Epidemiology and evaluation of withdrawing and withholding of treatment procedure in a pediatric intensive care unit].
Leonetti Law of 2005 concerns procedures for questioning about the appropriateness of initiating or maintaining life-sustaining treatments. Decision of withdrawing and withholding treatment has long been practiced by neonatologists, adult and pediatricians intensivists. In this regard, the recommendations of societies encourage medical teams to assess their practices to improve them. Our evaluation is based on the document of the Ethics Committee of SRLF edited in 2010. ⋯ The evaluation of professional practices is recommended to improve the procedures of questioning about life-sustaining treatments have become an area of expertise in intensive care.