European journal of trauma and emergency surgery : official publication of the European Trauma Society
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Eur J Trauma Emerg Surg · Aug 2014
Reamed versus unreamed nail in the treatment of tibia shaft fractures.
The aim of the prospective randomized study was to compare the results of the treatment of tibia shaft fractures (TSF) by reamed or unreamed intramedullar nail. ⋯ There was no statistically significant difference in clinical and functional results between the groups. We suggest that both methods are comparable.
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Eur J Trauma Emerg Surg · Aug 2014
Abdominal blast injuries: different patterns, severity, management, and prognosis according to the main mechanism of injury.
To review the frequency, different patterns, anatomic severity, management, and prognosis of abdominal injuries in survivors of explosions, according to the main mechanism of injury. ⋯ The pattern, severity, management, and prognosis of ABI vary considerably, in accordance with the main mechanism of injury.
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Eur J Trauma Emerg Surg · Aug 2014
Pitfalls to avoid in the medical management of mass casualty incidents following terrorist bombings: the hospital perspective.
The unique patterns of injury following explosions together with the involvement of numerous physicians, most of whom are not experienced in trauma, may create problems in the medical management of mass casualty incidents. ⋯ Medical management should be evaluated following MCIs as this may illustrate possible problems which many need to be addressed in contingency planning.
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Eur J Trauma Emerg Surg · Aug 2014
Development and evaluation of a new simulation model for interactive training of the medical response to major incidents and disasters.
The need for and benefit of simulation models for interactive training of the response to major incidents and disasters has been increasingly recognized during recent years. One of the advantages with such models is that all components of the chain of response can be trained simultaneously. This includes the important communication/coordination between different units, which has been reported as the most common cause of failure. Very few of the presently available simulation models have been suitable for the simultaneous training of decision-making on all levels of the response. In this study, a new simulation model, originally developed for the scientific evaluation of methodology, was adapted to and developed for the postgraduate courses in Medical Response to Major Incidents (MRMI) organized under the auspices of the European Society for Trauma and Emergency Surgery (ESTES). The aim of the present study was to describe this development process, the model it resulted in, and the evaluation of this model. ⋯ The simulation system tested in this study could, with adjustments based on accumulated experience and evaluations, be developed into a tool for the training of major incident response meeting the specific demands on such training based on recent experiences from major incidents and disasters. Experienced trainees in several courses evaluated the methodology to be accurate for this training, markedly increasing their perceived knowledge and skills in fields of importance for a successful outcome of the response to a major incident.