The American journal of emergency medicine
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Alcohol and drug screening of adolescent trauma alert patients at a level 1 pediatric trauma center.
Adolescent trauma patients are reported to have increased incidence of alcohol and other drug (AOD) use, but previous studies have included inadequate screening of the intended populations. A Level 1 Pediatric Trauma Center achieved a 94% rate of AOD screening. We hypothesized that a positive AOD screening result is associated with males, increasing age, lower socioeconomic status, violent injury mechanism, higher Injury Severity Score (ISS), lower GCS, need for operation and increased hospital length of stay. ⋯ Prognostic.
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The beneficial effect of the presence of an emergency physician in prehospital major trauma care is controversial. The aim in this study is to assess whether an emergency physician on scene can improve survival outcome of critical trauma patients. ⋯ Our results failed to show a difference in survival at discharge between non-physician-staffed ambulances and physician-staffed ambulances.
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The aim of this study was to compare the distribution and frequency of forensic medical events in a refugee group with that of the general population, and thus, extrapolate the problems encountered in the immigrant population. ⋯ In general, the forensic event frequency in the refugee group was lower (p = 0.001); however, this was a single center study, and there could have been unrecorded cases due to an inability to access healthcare assistance, so these results may not be reliable.
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Review Meta Analysis
The influence of sertraline on depressive disorder after traumatic brain injury: A meta-analysis of randomized controlled studies.
Sertraline showed some potential in alleviating depressive disorder after traumatic brain injury. This systematic review and meta-analysis was conducted to investigate the efficacy of sertraline on the treatment of depressive disorder after traumatic brain injury. ⋯ Sertraline showed no obvious benefits for the relief of depressive disorder after traumatic brain injury.