Ulus Travma Acil Cer
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Ulus Travma Acil Cer · Nov 2011
Increased nutritional risk in major trauma: correlation with complications and prolonged length of stay.
Acute Physiology and Chronic Health Evaluation II (APACHE II) and the Trauma Injury Severity Score (TRISS) are physiological and anatomical severity scores to predict trauma outcome. Nutritional Risk Screening (NRS-2002) is used for the screening of nutritional risk, which can affect outcome adversely. The objective of this study was to determine the reliability of these scales to predict disease severity, complications and mortality, and to compare the reliability of the NRS-2002 in predicting outcome with different scoring systems in trauma-intensive care unit (ICU) patients. ⋯ A significant percent of trauma patients are at nutritional risk. The NRS-2002 score can be useful in predicting complication and prolonged LOS in trauma patients.
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Ulus Travma Acil Cer · Nov 2011
The incidence of peripheral nerve injury in trauma patients in Iran.
In patients aged 1-34 years, injury is the leading cause of mortality, disability and health care costs. Two to 3% of Level I trauma patients have peripheral nerve injury (PNI). ⋯ Sharp laceration and road traffic crash have the highest rates of PNI, which are more common in young males. Open wounds from the elbow to the hand should raise suspicion of PNI in triage. Although injuries leading to PNI are rare, their outcomes and disabilities require further research.
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Ulus Travma Acil Cer · Nov 2011
Unusual emergent presentations of abdominal aortic aneurysm: can simple blood tests predict the state of emergency?
This paper attempts to see if simple blood test results can predict the state of an emergency aneurysm as being non-ruptured, contained leak or free rupture. ⋯ To avoid a delay in diagnosis, it is important to know the different presentations of emergency AAA. In the emergency room, simple laboratory parameters may be highly directive in suspicion of ruptured AAA.
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Ulus Travma Acil Cer · Nov 2011
Case ReportsLoop formation of Meckel's diverticulum causing small bowel obstruction in adults: report of two cases.
Meckel's diverticulum is the most common congenital anomaly of the gastrointestinal tract, and in the majority of cases it remains asymptomatic. The total lifetime rate of complications is 4%. ⋯ Loop formation of Meckel's diverticulum leading to small bowel obstruction is an extremely rare event. We report two such cases in which the bowel became obstructed and strangulated in a loop formed by adhesion of the distal end of the Meckel's diverticulum to the proximal ileum and mesentery.
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We present 11 cases with esophageal perforations who were treated in our department, with the intent of underlining the importance of surgical intervention. ⋯ Treatments performed before the development of mediastinitis are lifesaving in esophageal perforation patients. We think that surgical treatment performed within the first 72 hours that includes primary repair would yield favorable results.