American journal of surgery
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America faces an impending national crisis as fewer nurses are being trained and fewer are remaining active in the nursing profession. By improving our attitudes toward nurses and by offering educational incentives, we may still be able to provide enough nurses to avoid a catastrophic nursing shortfall.
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Bladder injuries constitute one of the most common urological injuries involving the lower urinary tract. The methods of diagnosis and management of bladder trauma have been well established and accepted. However, bladder injuries are usually associated with other major injuries, and it is our concern here how bladder injuries have been managed as part of multiple trauma. ⋯ We report our results of dealing with bladder injuries from the point of view of trauma surgeons who treat bladder injury as part of multiple injuries. Although known as a procedure of choice for diagnosis of bladder injury, the retrograde cystogram was performed in fewer than half of the patients (24 of 51), which means it is not feasible in many situations. The patient outcome was determined by the severity of injury of the patient but not by the severity of bladder injury.