Scand J Trauma Resus
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Scand J Trauma Resus · Apr 2017
Treatment-limiting decisions in patients with severe traumatic brain injury in a Norwegian regional trauma center.
Treatment-limiting decisions (TLD) for severe traumatic brain injury (sTBI) have been sparsely studied. This study determine prevalence, main reason for, categories and timing of TLDs in a Norwegian regional trauma setting. ⋯ TLDs were found in 17% of sTBI patients. Value considerations behind TLDs in this care context need to be further explored.
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Scand J Trauma Resus · Apr 2017
In-hospital airway management training for non-anesthesiologist EMS physicians: a descriptive quality control study.
Pre-hospital airway management is a major challenge for emergency medical service (EMS) personnel. Despite convincing evidence that the rescuer's qualifications determine efficacy of tracheal intubation, in-hospital airway management training is not mandatory in Austria, and often neglected. Thus we sought to prove that airway management competence of EMS physicians can be established and maintained by a tailored training program. ⋯ Number of TIs per EMS physician is low in the pre-hospital setting. A training concept that assures an additional 60+ TIs per year appears to minimize failure rates. Thus, a fixed amount of working days in anesthesia seems crucial to maintain proficiency. CONCLUSIONS: In-hospital training programs are mandatory for non-anesthetist EMS physicians to gain competence in airway management and emergency anesthesia.Our results might be helpful when discussing the need for regulation and financing with the authorities.
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Scand J Trauma Resus · Apr 2017
Multicenter Study Observational StudyHypothermia in trauma victims at first arrival of ambulance personnel: an observational study with assessment of risk factors.
Hypothermia is common in trauma victims and is associated with increased mortality, however its causes are little known. The objective of this study was to identify the risk factors associated with hypothermia in prehospital management of trauma victims. ⋯ Prospective, multicenter, open, observational study; Level IV.
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Scand J Trauma Resus · Apr 2017
ReviewLessons from a large trauma center: impact of blunt chest trauma in polytrauma patients-still a relevant problem?
Thoracic trauma is the third most common cause of death after abdominal injury and head trauma in polytrauma patients. The purpose of this study was to investigate epidemiological data, treatment and outcome of polytrauma patients with blunt chest trauma in order to help improve management, prevent complications and decrease polytrauma patients' mortality. ⋯ Although 84.5% of patients suffered from serious or even severe chest injury, neither in the conservative nor in the surgically treated group a significant impact of injury severity on ICU stay, intubation days, complications or mortality was observed. AISthorax was only related to the rate of chest tube insertions and ICU admission. Management with early chest tube insertion when necessary, pain control and chest physiotherapy resulted in good outcome in the majority of patients.
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Scand J Trauma Resus · Apr 2017
The association of patient and trauma characteristics with the health-related quality of life in a Dutch trauma population.
It is suggested in literature to use the Health Related Quality of Life (HRQoL) as an outcome indicator for evaluating trauma centre performances. In order to predict HRQoL, characteristics that could be of influence on a predictive model should be identified. This study identifies patient and injury characteristics associated with the HRQoL in a general trauma population. ⋯ This study revealed eight factors (described above) which could be used to predict the HRQoL in trauma patients.