European journal of emergency medicine : official journal of the European Society for Emergency Medicine
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Comparative Study
Comparison of trauma mortality between two hospitals in Turkey to one trauma center in the US.
The development of comprehensive international trauma case registries could be used to perform outcomes analysis and comparisons between countries with the goal of improving trauma care worldwide. ⋯ This study demonstrates significantly worse outcomes in trauma care and higher mortality rates in Turkey versus PSTC. Developing a trauma registry to monitor improvements in patient care and to target injury prevention strategies should be a high priority for the Turkish healthcare system.
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Ultrasound at the bedside is being increasingly used by emergency physicians and others assessing the acutely ill and injured patient. Recent studies have described a sonographic sign, known as the 'sliding lung sign', which appears to hold promise in certain emergency situations including diagnosis of a pneumothorax and confirmation of endotracheal tube placement. This review article provides an introduction to the concept of the 'sliding lung sign' and gives an insight as to how it can be practically elicited and how it may potentially be used at the bedside in the emergency department.
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The objective of this study was to assess the effectiveness of noninvasive motion ventilation (NIMV) in patients with chronic obstructive pulmonary disease (COPD), having infectious exacerbation and severe hypercapnic neurological dysfunction in the emergency room. ⋯ We consider that severe neurological dysfunction and pH of less than 7.25 do not constitute absolute contraindications to the use of NIMV. This kind of management can be implemented in the emergency room with favorable results.