Ulus Travma Acil Cer
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Ulus Travma Acil Cer · May 2011
Will computed tomography (CT) miss something? The characteristics and pitfalls of torso CT in evaluating patients with blunt solid organ trauma.
Selective nonoperative management has become the Standard care for blunt solid organ trauma patients, and torso computed tomography (CT) provides useful therapeutic clues. We conducted this study to determine the frequency and character of missed diagnoses in blunt solid organ trauma patients. ⋯ Discovery of missed diagnoses is not uncommon in patients who sustain severe trauma. Laparotomy revealed all of the missed diagnoses, and follow-up CT demonstrated a poor ability to detect unidentified injuries. We suggest laparotomy instead of follow-up CT in the nonoperative management of patients with blunt solid organ injuries if clinical deterioration occurs.
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Ulus Travma Acil Cer · May 2011
Case ReportsRapid resolution of acute epidural hematoma: case report and review of the literature.
Acute epidural hematomas present a serious and urgent condition. Standard management is early diagnosis and immediate surgical evacuation. Otherwise, there is a high risk of quick deterioration and death. ⋯ We present a case of traumatic right temporal epidural hematoma. This is one of the rare cases of rapid spontaneous resolution of epidural hematomas within hours. Various possible mechanisms to explain the rapid resolution are discussed together with a review of the literature regarding the conservative treatment of epidural hematoma.
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Ulus Travma Acil Cer · May 2011
Impact of para-neurologic and para-mental premorbidities on burn injury patients.
The aim of this article was to determine whether there are differences in the progression, mortality and morbidity of these premorbid patients compared to normal burn injury patients. ⋯ This article gives an overview of the current literature regarding premorbid patients in the Turkish population and draws attention to this specific topic.
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Ulus Travma Acil Cer · May 2011
Diagnostic and prognostic value of procalcitonin and phosphorus in acute mesenteric ischemia.
In this study, using an animal model of acute mesenteric ischemia (AMI), we investigated the possible use of procalcitonin and phosphorus in the early diagnosis of AMI. ⋯ Phosphorus and procalcitonin may be important parameters for use in the early diagnosis and prognosis of AMI.
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There is a grey zone about the epidemiology of trauma in eastern Turkey. The present study was aimed at obtaining data on this subject. ⋯ Assault cases caused an excessive trauma patient density in the ED, as 98.7% were discharged from the ED. Further studies are needed regarding the high rate of assault cases.