Eur J Trauma Emerg S
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Eur J Trauma Emerg S · Aug 2013
Influence of vagal injury on acute traumatic reaction after blast injury.
A prospectively randomised, controlled animal study was conducted to analyse the influence of vagal injury on acute cardio-respiratory responses to blast injury. ⋯ A vagally mediated reflex, such as a cardio-respiratory system defensive reflex that caused shock, was observed immediately after blast pressure wave injury. These observations may have important implications for the emergency management of blast injury cases.
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Implant removal in children is still a standard procedure. Implants may disturb function, and some theoretical long-term risks like growth disturbance, foreign body reaction, chronic infection and corrosion are used as arguments for removal. Implant migration or interference with any other orthopaedic treatment over the later course of life is also a matter of debate. On the other hand, the difficulty in removing single implants as well as possible perioperative complications has induced discussion about the retention of implants in childhood. ⋯ Benefits have to outweigh the risks and complications in the individual case and the procedure should not require a more extensive procedure than insertion. It has to be an individual decision in view of the lack of evidence to support routine removal as well as to refute it.
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Eur J Trauma Emerg S · Aug 2013
Technical complications during removal of locking screws from locking compression plates: a prospective multicenter study.
To assess the risk for technical complications in patients undergoing removal of locking compression plates (LCP) with head locking screws. ⋯ Titanium LCPs are prone to technical complications during implant removal, but the majority of the issues can be solved using special techniques.
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Eur J Trauma Emerg S · Aug 2013
Management of chronic traumatic arteriovenous fistula of the lower extremities.
Vascular injuries secondary to blunt or penetrating trauma are a significant cause of morbidity and mortality, especially in war-afflicted areas. Due to the violent situations of Pakistan and the unavailability of vascular services in remote areas, we are witnessing an increase in the number of delayed/chronic post-traumatic arteriovenous fistulas (AVFs) of the extremities in our institution. The purpose of this study is to share our experience of post-traumatic AVF and the incidence, presentation, and outcomes of these patients. ⋯ Long-standing traumatic AVF is becoming common in Pakistan. Surgery remains the standard treatment.
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Eur J Trauma Emerg S · Aug 2013
Cause of death and time of death distribution of trauma patients in a Level I trauma centre in the Netherlands.
The classical trimodal distribution of trauma deaths describes three peaks of deaths following trauma: immediate, early and late deaths. The aim of this study was to evaluate whether further maturation of the trauma centre and the improvement of survival have had an effect on the time of death distribution and resulted in a shift in causes of death. ⋯ The temporal distribution of trauma deaths in our hospital changed as maturation of the trauma centre occurred. There is one peak of trauma deaths in the first hour after admission, followed by a rapid decline; no trimodal distribution was observed. Over time, there was a decrease in exsanguinations and an increase of deaths due to CNS injury.