Ulus Travma Acil Cer
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Ulus Travma Acil Cer · Nov 2009
The effect of blood albumin and total lymphocyte count on short-term results in elderly patients with hip fractures.
A study was performed to determine the effects of blood albumin and total lymphocyte count on the postoperative one-year period in 74 elderly hip fracture patients. ⋯ Risk of mortality in elderly hip fracture patients increases with female gender, ASA 3-4 and low total lymphocyte counts. Hypoalbuminemia is associated with longer hospitalization. Identification of these risk factors can help in the case management for a more favorable outcome.
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Ulus Travma Acil Cer · Nov 2009
Case ReportsAttempted suicide with screw penetration into the cranium.
Intracranial foreign bodies are usually secondary to penetrating injuries. Nails, knives, screwdrivers, sewing needles, bullets, and shrapnel have been described related to penetrating brain injury. In this report, we present a 34-year-old prisoner with an intracranial screw located in the right parietal lobe. ⋯ A right parietal craniectomy was performed, and the screw was removed successfully. It is important to know the type of penetrating brain injury preoperatively in order to determine the best surgical approach to remove the foreign body settled in the brain. A long-term radiological assessment should be performed to detect any future complications, such as a cerebral abscess.
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Ulus Travma Acil Cer · Nov 2009
Comparison of trauma scoring systems for predicting mortality in firearm injuries.
Prediction of mortality in trauma patients is an important part of trauma care. Trauma scoring systems are the current methods used for prediction of mortality. We aimed to evaluate and compare the performances of Injury Severity Score (ISS) and New Injury Severity Score (NISS) in firearm injuries. ⋯ ISS and NISS both performed well in mortality prediction of firearm injuries. NISS demonstrated no superiority to ISS for prediction of mortality in these patients.
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Ulus Travma Acil Cer · Nov 2009
Case ReportsNovel use of Lodox Statscan in a level one trauma center.
Trauma continues to be a large source of poor outcomes for patients in the United States. While clinical guise is very important in the acute setting, objective physical data is becoming increasingly important in the diagnosis of many injuries sustained during trauma. Radiography has always been the primary diagnostic modality applied in trauma situations but it continues to be a time-consuming and unwieldy part of the acute resuscitation of the patient. ⋯ This new machine uses a linear beam technology to scan the entire body in 13 seconds. Here, we describe this digital radiography system, its introductory use in the trauma bay, and discuss cases where it has proven valuable. Based upon our preliminary experience, the use of the device in large centers shows promise for improving morbidity and mortality outcomes in trauma patients.
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Ulus Travma Acil Cer · Nov 2009
The effects of habitual negligence among families with respect to pediatric burns.
In this study, scald burns in a Turkish population (0-16 years of age) were studied with reference to their occurrence and common causes. ⋯ Traditional behaviors may sometimes have some serious unexpected consequences. In households where family members tend to ignore an ongoing problem, governmental and non-governmental organizations should consider taking preventive measures to protect the children from the devastating consequences of such negligence.