Ulus Travma Acil Cer
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Ulus Travma Acil Cer · Apr 2006
Review[Prehospital life support in trauma patients: basic or advanced trauma life support].
The controversy between Advanced Trauma Life Support (ATLS) and Basic Life Support (BLS) in the prehospital care of trauma patients has not been resolved yet. The purpose of this study was to examine the literature with respect to the type of prehospital care applied to the trauma patients. ⋯ As a conclusion, the data in the literature do not support the routine use of on-field ATLS in trauma patients. Prospective randomized trials comparing ATLS and BLS in prehospital management of trauma patients are needed to clarify this issue.
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Ulus Travma Acil Cer · Apr 2006
Case ReportsAsymptomatic chronic ossified epidural hematoma in a child: a rare entity.
A 6-year-old boy presented with an asymptomatic ossified chronic epidural hematoma. He was neurologically intact and had no complaints. ⋯ Computed tomography indicated an ossified epidural hematoma in the left frontal region. In children, surgery for asymptomatic ossified chronic epidural hematoma with significant cerebral compression should be considered to relieve cerebral compression and prevent possible future brain damage.
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Bronchial rupture due to tracheobronchial trauma is a very rare condition. Early evaluation is necessary in order to avoid irreversible changes such as fibrosis and bronchial stenosis. ⋯ Radiological and bronchoscopic evaluation revealed right upper lobe atelectasis secondary to fibrosis. Patient underwent right upper lobectomy.
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Gas in hepatic portal vein is a rare entity. This may be apparent after mesenteric ischemia, blunt abdominal trauma, intestinal obstruction, and intra-abdominal infection. Intrahepatic gas was detected by direct abdominal graphy in a 58 year-old man who was admitted to our emergency service with acute abdomen. ⋯ The patient who had had significant concomittant operative risks, died prior to surgery. Gas in portal vein is a good predictive factor for diagnosis, management, and prognosis. This sign may avoid unnecessary surgery and also it may help to make an early decision for surgery.
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Ulus Travma Acil Cer · Apr 2006
[Pulmonary and systemic fat embolism as a cause of death in forensic autopsy practice].
The aim of this study was to evaluate the possible correlations between the grade of fat embolism and age, gender, severity of trauma and post-traumatic survival time. ⋯ There were no correlations between the grade of fat embolism and age, gender, the severity of trauma. Post-traumatic survival time and the severity of trauma had a very weak negative correlation without any statistical significance.