Ulus Travma Acil Cer
-
Ulus Travma Acil Cer · Mar 2010
The novel use of wooden spoons for control of massive intra-abdominal hemorrhage.
Massive intra-abdominal hemorrhage represents a challenging operative emergency. Temporary control of the aorta and inferior vena cava (IVC) using intra-luminal balloon occlusion, preemptive trans-thoracic clamping or infra-diaphragmatic clamping has been achieved with variable success. ⋯ They can be used to compress the aorta or IVC against the vertebrae, giving vascular control while leaving good surgical access. This equipment requires minimal financial investment and only basic woodworking skills.
-
Although airbags reduce the overall risk of injury and death from motor vehicle accidents, the airbag may cause injuries during deployment. We present a case of apparently isolated sternal fracture caused by airbag deployment during a motor vehicle crash and we discuss the ultrasonographic diagnosis. We also examine the mechanism of injury caused by the airbag.
-
Ulus Travma Acil Cer · Mar 2010
Risk factors for complex regional pain syndrome in patients with traumatic extremity injury.
It is not clear why complex regional pain syndrome (CRPS) develops in some patients but not in others, despite similar initiating events. The aim of this study was to investigate risk factors for CRPS in cases who had suffered traumatic upper extremity injury. ⋯ This study indicates that motor nerve injury and female gender are risk factors for CRPS. The prevention measures should be focused mainly on females and patients with motor nerve injury in order to reduce the risk of CRPS.
-
Ulus Travma Acil Cer · Mar 2010
Intensive care cost and survival analyses of traumatic brain injury.
Intensive care of Traumatic Brain Injury (TBI) is associated with substantial morbidity, mortality and cost; however, there is very little published work on this topic. The purpose of this study was to examine direct costs and survival outcomes of patients with TBI admitted to an intensive care unit (ICU). ⋯ Intensive care of TBI cases is characterized by high mortality and high cost.
-
Ulus Travma Acil Cer · Mar 2010
Value of early unilateral decompressive craniectomy in patients with severe traumatic brain injury.
The aim of our study was to evaluate the results and effectiveness of early decompressive craniectomy in the treatment of severe traumatic brain injury. ⋯ The high overall morbidity and mortality rates demonstrated in our group despite the performance of early decompressive procedures reflect the severity of the underlying injuries.