Eur J Trauma Emerg S
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Eur J Trauma Emerg S · Feb 2011
Anesthetic management of injuries following the 2008 Wenchuan, China earthquake.
The authors report anesthetic considerations and management of injuries after the 2008 Wenchuan earthquake, Sichuan, China. ⋯ Epidural anesthesia and peripheral nerve block are the anesthetic techniques of choice for post-earthquake injuries due to limited conditions and appliances. More attention should be paid to preoperative evaluation, anesthetic techniques, anesthetic management, anesthetic application and postoperative recovery according to patient conditions and the limited environment.
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Eur J Trauma Emerg S · Feb 2011
Toward a new definition of 'refugee': is the 1951 convention out of date?
Definitions, by necessity, may change or need to be changed to accommodate situations that arise. The United Nations recognized that the emergence of new refugee situations required changes in the Convention. These changes were codified in the 1967 Protocol Relating to the Status of Refugees. ⋯ As new classifications of refugees develop, there needs to be changes in the definition of what is a refugee. There has been a growing consensus in the international arena to recognize those displaced by environmental causes. We need to take steps to develop an inclusive definition of refugee that includes those displaced by environmental causes.
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Eur J Trauma Emerg S · Feb 2011
Acute ischemia of the lower limb after injury by gunshot: case report and review of literature.
Civilian and military vascular trauma has evolved dramatically. It is estimated that 80% of all cases of vascular injuries are due to peripheral vascular trauma, most involving the lower extremities. Arterial below-knee injuries by gunshot still remain a challenge, with an associated rate of amputation of 20-54%. ⋯ This case report shows the importance of an adequate team approach for treatment of a gunshot extremity injury with vascular lesion. The authors want to highlight the scientific background evidence and the value of comparing worldwide civilian trauma center outcomes, mostly reported previously from the military field.
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Eur J Trauma Emerg S · Feb 2011
Flexor tendon repair using a new suture technique: a comparative in vitro biomechanical study.
The purpose of this experimental study was to evaluate the biomechanical characteristics of two new four-strand core suture techniques for flexor tendon repair. ⋯ From these experimental results, the new Marburg 1 core suture technique can be considered for flexor tendon repair in a clinical setting with the use of active motion protocols.
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Eur J Trauma Emerg S · Feb 2011
Prehospital triage, discrepancy in priority-setting between emergency medical dispatch centre and ambulance crews.
The timely provision of emergency medical services might be influenced by discrepancies in triage-setting between emergency medical dispatch centre and ambulance crews (ACR) on the scene resulting in overloaded emergency departments (ED) and ambulance activities. The aim of this study was to identify such discrepancies by reviewing ambulance transports within a metropolitan city in the western region of Sweden. ⋯ Appropriate ambulance use is one important part of emergency preparedness. Overuse results in decreased emergency medical services (EMS) availability and ED-overcrowding. Several factors, such as an imprecise triage system and increased public demands, may influence such overutilization. Improving the triage system and comprehensive public education on appropriate use of ambulances are two important steps toward a better use of national EMS resources.