European journal of trauma and emergency surgery : official publication of the European Trauma Society
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Eur J Trauma Emerg Surg · Oct 2020
Comparative Study Observational StudyFirst attempt success of video versus direct laryngoscopy for endotracheal intubation by ambulance nurses: a prospective observational study.
The aim of this study was to compare the rate of first attempt success of endotracheal intubation performed by ambulance nurses in patients with a Glasgow Coma Scale (GCS) of 3 using video laryngoscopy versus direct laryngoscopy. ⋯ Although no significant effect on the first attempt success was found, video laryngoscopy did increase the overall success rate. Ambulance nurses had a more positive valuation of the video laryngoscope with respect to success chances.
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Eur J Trauma Emerg Surg · Oct 2020
Prediction of readmissions in the first post-operative year following hip fracture surgery.
To define risk factors for rehospitalization following fragility hip fractures and to create a predictive model. ⋯ High 1-year readmission rates are seen following discharge in patients with fragility hip fractures. Addressing risk factors might aid to better rehabilitate patients and reduce morbidity.
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Eur J Trauma Emerg Surg · Oct 2020
Review Practice GuidelineThe Bucharest ESTES consensus statement on peritonitis.
Peritonitis is still an important health problem associated with high morbidity and mortality. A multidisciplinary approach to the management of patients with peritonitis may be an important factor to reduce the risks for patients and improve efficiency, outcome, and the cost of care. ⋯ This document is an updated presentation of management of peritonitis and represents the summary of the final recommendations approved by a panel of experts.
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Eur J Trauma Emerg Surg · Oct 2020
PFNA and DHS for AO/OTA 31-A2 fractures: radiographic measurements, morbidity and mortality.
For this retrospective cohort study, we assessed pertrochanteric fracture types AO/OTA 31-A2. PFNA and DHS were the devices used. We determined both devices in relation to peri-operative variables, postoperative radiographic measurements, implant-related complications and mortality up to 2 years. The null hypothesis was no effect between the two devices. ⋯ Therapeutic level III.
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The suprapatellar approach for intramedullary nailing of tibial fractures is gaining popularity with reported improved patient outcomes when compared to infrapatellar techniques. The aim of this study was to investigate the learning curve of the suprapatellar technique using radiation exposure as an outcome measure. ⋯ Consultant trauma surgeons experienced no significant learning-related increase in radiation exposure when introducing a suprapatellar technique for intramedullary nailing of uncomplicated tibial fractures. Future work is required to investigate the effects of learning on other outcome measures.