Eur J Trauma Emerg S
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A quarter of trauma-related deaths are attributable to traumatic chest injury (TCI). ⋯ TCI is an alarming problem in Qatar, with a bimodal mortality curve. The highest mortality peak occurred in children, followed by old age. However, young males are the most exposed population. Regulatory efforts and strict enforcement of traffic laws would likely reduce morbidity and mortality.
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Eur J Trauma Emerg S · Aug 2013
Indications for implant removal after fracture healing: a review of the literature.
The aim of this review was to collect and summarize published data on the indications for implant removal after fracture healing, since these are not well defined and guidelines hardly exist. ⋯ This review illustrates the great variety of view points in the literature, with large differences in opinions and practices about the indications for implant removal after fracture healing. Since some studies have described asymptomatic patients developing complaints after removal, the general advice nowadays is to remove implants after fracture healing only in symptomatic patients and after a proper informed consent. Well-designed prospective studies on this subject are urgently needed in order to form guidelines based on scientific evidence.
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Eur J Trauma Emerg S · Jun 2013
Gastrointestinal tract access for enteral nutrition in critically ill and trauma patients: indications, techniques, and complications.
Enteral nutrition (EN) is a widely used, standard-of-care technique for nutrition support in critically ill and trauma patients. ⋯ In critically ill and trauma patients, early EN through the stomach should be instituted whenever feasible. Other approaches can be used according to patient needs, available expertise, and institutional guidelines. More research is needed in order to ensure the safe use of surgical tubes in the open abdomen.