Eur J Trauma Emerg S
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The aim of this paper is to review the art and science underpinning the application of effective triage. The paper also attempts to cut through the fog of confusion surrounding the topic and to point a way towards a generally-agreed unified approach. Triage needs to be understood in the context of the environment in which it is applied, and the paper deals with this in some detail.
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Eur J Trauma Emerg S · Oct 2008
Protocol for Reports from Major Accidents and Disasters in the International Journal of Disaster Medicine.
The aim of this protocol is to achieve a prospective, standardized methodology for reporting results and experiences from major accidents and disasters so that the data can be used for analysis, to compare results, to exchange experiences and for international collaboration in methodological development. Using this form, the authors of the reports retain full credit for the data and the publication of them. At the same time, the data will be available in the journal and on the Internet (www.europeantrauma.net), thus providing the abovementioned possibilities for scientific analysis and development.
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Eur J Trauma Emerg S · Oct 2008
Thoracic Outlet Syndrome Caused by a Pseudoaneurysm After Pseudarthrosis of the Clavicle.
Clavicle fractures are common, with the majority treated conservatively. If treated conservatively, pseudarthrosis of the clavicle is reported in up to 3% of the cases. In rare cases, pseudarthrosis of the clavicle may cause pseudoaneurysm formation, resulting in compression of the brachial plexus and the adjoining vessels, which may produce neurological symptoms and circulatory disorders. ⋯ Patient's history and radiological findings are the keys to diagnosis. Without treatment, the prognosis is poor with spontaneous development of bleeding or gangrene. Therefore, surgical treatment has to be performed, especially when neurological symptoms occur.
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Eur J Trauma Emerg S · Oct 2008
Brachial Artery Injuries: A Seven-year Experience with a Prospective Database.
A Trauma Vascular Registry was established in 1998. The aim of the study was to review brachial artery injuries. ⋯ Brachial artery injuries are the commonest vascular injuries to the limbs, with a good prognosis, provided early repair is undertaken. Arteriography is usually unnecessary and limb loss is low, provided appropriate decompression of a compartment syndrome is performed, however in this group the limb loss rate is 25% compared to the overall of 2%. The repair of a brachial artery is a good training procedure for surgical trainees, associated with a low morbidity.