Ulus Travma Acil Cer
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Ulus Travma Acil Cer · Sep 2009
The revised Acute Physiology and Chronic Health Evaluation System (APACHE II) is more effective than the Glasgow Coma Scale for prediction of mortality in head-injured patients with systemic trauma.
The Glasgow Coma Scale (GCS) is popular, simple, and reliable, and provides information about the level of consciousness in trauma patients. Nevertheless, the necessity of using a more complex system than GCS has been questioned recently. The revised Acute Physiology and Chronic Health Evaluation system (APACHE II) is a physiologically based system including 12 physiological variables, and it also includes GCS. In addition, it is thought to be superior to GCS due to recognition of increasing age and significant chronic health problems, which adversely affect mortality. ⋯ For the assessment of mortality, the GCS score still provides simple, less-time consuming and effective information concerning head injury patients, especially in emergencies; however, for the prediction of mortality in multitrauma patients, APACHE II is superior to GCS since it includes the main physiologic parameters of patients.
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Ulus Travma Acil Cer · Sep 2009
The use of infection probability score and sequential organ failure assessment scoring systems in predicting mechanical ventilation requirement and duration.
This study examines the efficacy of two different scoring systems in predicting mechanical ventilation need (MVN) and duration (DMV) in a surgical intensive care unit (ICU). ⋯ For prediction of MVN, the SOFA scoring system on days 0, 2 and 4 has better accuracy than IPS.
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The purpose of this study was to identify water park injuries, particularly injuries related to waterslides. ⋯ In water park injuries, while children have especially head and maxillofacial trauma, extremity and spinal injuries are more frequent in the adult group. Unless sufficient and required safety precautions are maintained during water park activities, fatal injuries may occur.
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Ulus Travma Acil Cer · Sep 2009
The renal effect of replacement fluids in controlled severe hemorrhagic shock: an experimental study.
This experimental study examined the effects of resuscitation with Ringer's lactate (RL), 6% hydroxyethyl starch (130/0.4-HES), and the combination of RL and HES on renal function in hemorrhagic shock (HS). ⋯ The 6% HES (130/0.4) did not have any harmful effects on the kidney when it was used alone or in combination with crystalloid for resuscitation of HS in rabbits.
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Determining and removing aspirated foreign bodies from the airways is important in preventing complications. Foreign body aspiration is usually seen in childhood but can occur at any age. Complete or partial obstruction of the main bronchial system produces different findings, and death can result if emergency treatment is not given. We analyzed patients treated for foreign body aspiration in our clinic. ⋯ This study reports that foreign body aspiration is important in adults as well as in children, and suspicion and history are the most important diagnostic criteria. Radiologic findings with physical examination are of great importance in the evaluation of these patients.