Ulus Travma Acil Cer
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Ulus Travma Acil Cer · Oct 2008
Review[War surgery in the 21st century: current approach to trauma cases].
Death caused by trauma is a major social problem in both the military and the civilian world. The goal is to reduce injuries and deaths to acceptable limits. ⋯ Significant changes have occurred recently in the treatment of trauma cases. In our study, we aimed to search the literature in order to describe the principles of proper medical approach, to review the operational strategies recommended in the field and to develop a consensus to the extent possible.
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Ulus Travma Acil Cer · Oct 2008
Comparative StudyA prospective and comparative study of referrals to neurosurgeons in an emergency department: does use of guidelines for head trauma affect the assessment made by non-neurosurgeons?
Restriction of the direct admission of all head-injured patients to the neurosurgical unit remains common practice in many parts of the world. This study was conducted to assess if the initial neurological examination of patients with a head trauma and their management are adequately performed before the referrals and also to determine whether strict use of guidelines for the management of patients with head injuries can be effective. ⋯ In hospitals where there are no specialist trauma surgeons, neurosurgeons should train non-neurosurgeons regarding the accurate selection of neurosurgical cases that need an emergency intervention. In this training, use of guidelines for the management of head injuries is very effective.
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Ulus Travma Acil Cer · Oct 2008
Should the New Injury Severity Score replace the Injury Severity Score in the Trauma and Injury Severity Score?
This study was performed to compare the efficacies of Injury Severity Score (ISS) and New Injury Severity Score (NISS), and to investigate whether replacing ISS with NISS in Trauma and Injury Severity Score (TRISS) changes the predictive power for mortality. ⋯ Use of NISS instead of ISS in the TRISS model demonstrated no significant difference, and it can thus be recommended for use.
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Ulus Travma Acil Cer · Oct 2008
Do C-reactive protein and body mass index predict duration of mechanical ventilation in critically ill trauma patients?
The predictive ability of body mass index (BMI) or C-reactive protein (CRP) as a simple, inexpensive, and dynamic marker of critical illness in patients requiring mechanical ventilation (MV) is unknown. This study was thus conducted to determine the incidence and presence of a relationship between the predictors of BMI or CRP and duration of MV in trauma patients admitted to the intensive care unit (ICU). ⋯ Both BMI and CRP, comparable with the SOFA score, can be used in estimating the risk of prolonged MV.
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Perioral electrical burns are rarely seen household injuries that cause both functional and aesthetic deformities requiring special consideration for reconstruction. The cause is usually a child younger than 3 years old biting an electrical cord. An eleven-month-old girl admitted to the emergency room with perioral electrical burn after biting an electrical cable of a television. ⋯ To reconstruct the lip defect, an inferior-based nasolabial flap from the lateral side was used. The mucosa of the flap was dissected and advanced to form the lower lip vermillion. With this case presentation, the principles and options for perioral electrical burns are presented.