European journal of trauma and emergency surgery : official publication of the European Trauma Society
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Eur J Trauma Emerg Surg · Oct 2017
Randomized Controlled TrialThe protective effect of Shenfu injection against elderly severe pneumonia.
The purpose of this study is to investigate the effect of Shenfu injection (SFI) on the tumor necrosis factor-α (TNF-α) and the interleukin (IL-6, IL-8, IL-10) of elderly patients who suffered from severe pneumonia. ⋯ The application of Shenfu injection exhibited a positive and effective effect on removing the inflammation media during the treatment of elderly severe pneumonia.
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Eur J Trauma Emerg Surg · Oct 2017
ReviewWound ballistics 101: the mechanisms of soft tissue wounding by bullets.
The mechanisms of soft tissue injury by bullets are reviewed, in the belief that the current incidence of firearm injuries in many urban areas necessitates an understanding of wound ballistics on the part of trauma surgeons who may not be familiar with the wounding factors involved. ⋯ The bullet's construction and ballistic behavior within tissue determine to what extent the previously overestimated velocity factor may influence wound severity. The damage produced from temporary cavitation depends on the tensile properties of the tissues involved, and in high-energy injuries may lead to progressive muscle tissue necrosis. Therefore, the term "high-energy" should be reserved for those injuries with substantial tissue damage extending beyond the visible wound tract.
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Eur J Trauma Emerg Surg · Oct 2017
Randomized Controlled TrialCombat application tourniquet (CAT) eradicates popliteal pulses effectively by correcting the windlass turn degrees: a trial on 145 participants.
We aimed to define an ideal range of windlass turn degrees for 100 % success rates within the study population. ⋯ In order to adequately stop limb hemorrhage, soldiers should be taught their optimal turn degrees.
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Eur J Trauma Emerg Surg · Oct 2017
The pattern of the Syrian refugee's injuries managed in King Abdullah University Hospital (Jordan).
This study was conducted to assess the pattern, the magnitude, the severity, the distribution, and the results of the management of the injured Syrian refugees at King Abdullah University Hospital (KAUH). ⋯ Extremities and head and neck were the most injured regions. The referral from the forward centers and the procedures performed in our hospital improved the management outcomes. The management required long hospital stay and was costly.
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Eur J Trauma Emerg Surg · Oct 2017
Comparative StudyThe clinical results of a novel method for minimal invasive dynamic hip screw fixation of intertrochanteric fractures compared to the conventional one.
Hip intertrochanteric fractures are very frequent. Early mobilization reduces the associated mortality and morbidity rate. DHS is still commonly used in many centers. We describe a new minimal invasive DHS technique (MIDHS) depending on radiological land marks, facilitating the application of DHS in a proper way without the use of an angle guide and we retrospectively compared the functional results of the new technique with that of the conventional DHS (CDHS) technique. ⋯ The new MIDHS technique is a trustable procedure that may help the surgeon to perform DHS fixation in a proper way. It offers a better motoric function, less pain. However, further studies should be conducted to evaluate the validity of such radiological land marks in proximal femoral surgery.