European journal of trauma and emergency surgery : official publication of the European Trauma Society
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Eur J Trauma Emerg Surg · Feb 2025
Meta AnalysisEffectiveness of antibiotic prophylaxis in polytrauma patients: a systematic review and meta-analysis.
The use of antibiotic prophylaxis in trauma patients, particularly to prevent ventilator-associated pneumonia (VAP), is debated due to rising antibiotic resistance. Therefore, this systematic review evaluated the safety and effectiveness of antibiotic prophylaxis compared to placebo or standard care on clinical outcomes in adult polytrauma patients. ⋯ The results indicate that antibiotic prophylaxis has no significant effect on mortality and clinical status compared with placebo or standard care in adult polytrauma patients but may reduce the risk of VAP. However, the evidence is outdated and of very low certainty, with insufficient data to draw definitive conclusions regarding efficacy. Therefore, high-quality, up-to-date research is urgently needed to support clinical decision-making, and current interpretations should be treated with caution.
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Eur J Trauma Emerg Surg · Feb 2025
ReviewOptimizing acute pain management in trauma care: the role, structure and core principles of acute trauma pain services.
Trauma injuries, both accidental and violence-related, account for a significant number of fatalities and non-fatal injuries annually, with pain being a predominant symptom affecting trauma patients. Despite its prevalence, pain is often undertreated in emergency settings, leading to adverse outcomes such as delayed recovery, impaired respiratory function, and increased risk of chronic pain and post-traumatic stress disorder. ⋯ Effective pain management not only improves immediate patient well-being but also reduces long-term complications and economic burdens associated with extended hospital stays and readmissions. The integration of Acute pain service in trauma care emphasizes the importance of pain management as an integral part of patient recovery, highlighting the need for specialized services to enhance the quality and efficacy of trauma care.
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Eur J Trauma Emerg Surg · Feb 2025
Effect of pre-existing psychiatric treatment in suicidal jumpers on the need for in-hospital treatment following injury.
To study the effect of pre-existing psychiatric disorders on outcome following suicidal jump from a height. ⋯ Patients with pre-existing psychiatric disorder reaching hospital alive have higher pre- and post-injury requirements for in-hospital treatment than patients without a pre-existing psychiatric disorder. Although pre-existing psychiatric disorder does not affect early mortality, long-term mortality is increased by 14%.
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Eur J Trauma Emerg Surg · Feb 2025
Does capsule repair improve the clinical and radiological outcomes of the acute Rockwood type V acromioclavicular dislocations treated with the double endobutton technique?
The objective of the present study is to examine how repairing the capsule affects the radiological and clinical results of treating acute Rockwood type V acromioclavicular joint dislocations using the endobutton method. ⋯ Level III, Retrospective comperative study.
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Eur J Trauma Emerg Surg · Feb 2025
Firework injuries around New Year's Eve - epidemiology, injury patterns and risk factors.
This study aims to determine key demographic and behavioural risk factors contributing to firework-related injuries and their outcomes. ⋯ Firework-related injuries around New Year's Eve are associated with significant morbidity, particularly affecting the hands and often requiring surgical intervention. Bone injuries, male sex and multiple body region injuries were associated with higher need for surgical treatment. Despite most fireworks being purchased legally, there is widespread disregard to age restrictions and safety protocols. These findings highlight the necessity of public health initiatives to reduce the incidence and severity of such injuries, rather than stricter regulations.