European journal of trauma and emergency surgery : official publication of the European Trauma Society
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Eur J Trauma Emerg Surg · Jun 2023
A prospective comparative study of the functional results associated with the use of Björk flap tracheostomy versus standard tracheostomy.
Placement of a tracheostomy for patients requiring prolonged mechanical ventilation (PMV) improves patients' comfort, decreases dead space ventilation, allows superior airway hygiene, and reduces the incidence of ventilator-associated pneumonia. Controversy still exists regarding the role of standard tracheostomy (ST) as opposed to the less frequently done Björk flap tracheostomy (BFT). This study compares the functional outcomes of these two techniques. ⋯ We conclude that BFT may be associated with an overall shorter time to restoration of normal swallowing when compared to ST.
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Eur J Trauma Emerg Surg · Jun 2023
The potential impact of coagulation factor XIII in trauma-induced coagulopathy - a retrospective case series analysis.
The role of factor XIII (FXIII) in trauma-induced coagulopathy (TIC) is not fully understood. ⋯ The substitution of FXIII in patients who were more seriously compromised due to higher lactate levels and who presented with initially more severe bleedings than patients in the control group, resulted in a comparable transfusion necessity after 24 h. Thus, we guess that the substitution of FXIII in severely injured patients with ongoing bleeding might have an impact on their clinical outcome.
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Because of their low incidence, studies about carpal fractures are rare. The aim of the present study was to analyze epidemiology and treatment of fractured carpal bones. We retrospectively analyzed data of 178 patients admitted to our emergency room with carpal fractures over 6 years. ⋯ Usually a CT scan is needed. Treatment of scaphoid and perilunate luxation fractures is rather operative whereas the other fractures mostly allow conservative casting. Nevertheless, correct indication for treatment is important to avoid sequelae.
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Eur J Trauma Emerg Surg · Jun 2023
Semi-occlusive dressing therapy versus surgical treatment in fingertip amputation injuries: a clinical study.
Treatment of fingertip amputations is subject of controversial debates. Recently, semi-occlusive dressings have increased in popularity in these injuries. ⋯ III therapeutic.
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Eur J Trauma Emerg Surg · Jun 2023
Civilian war victims in Afghanistan: five-year report from the Kabul EMERGENCY NGO hospital.
Afghanistan has been plagued by war for more than 30 years, but little is known about the civilian cost of such a long-lasting conflict. In particular, the incidence of war injuries among civilians has largely been under-reported. EMERGENCY NGO's Surgical Centre for War Victims has been operating in Kabul since 2001, providing care free of charge to anyone injured in war. The primary aim of our study is to describe the population of patients admitted to our hospital in Kabul. ⋯ This study provides for the first time epidemiology of war-related injuries in a hospital located in a place of long-standing conflict.