European journal of trauma and emergency surgery : official publication of the European Trauma Society
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Eur J Trauma Emerg Surg · Feb 2018
Randomized Controlled Trial Comparative StudyRoutine versus selective chest and abdominopelvic CT-scan in conscious blunt trauma patients: a randomized controlled study.
CT-scan is increasingly used in blunt trauma, but the real impact on patient outcome is still unclear. This study was conducted to assess the effect of performing routine (versus selective) chest and abdominopelvic CT-scan on patient admission time and outcome in blunt trauma. ⋯ Routine chest and abdominopelvic CT-scan in conscious blunt trauma patients decreases the hospitalization time, but has no impact on patient outcome and probably might lead to overtreatment of occult injuries. The option of using a selective approach should be further evaluated to decrease radiation exposure and facility overuse.
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Eur J Trauma Emerg Surg · Dec 2017
Randomized Controlled TrialTwo injection digital block versus single subcutaneous palmar injection block for finger lacerations.
We aimed to compare two digital nerve block techniques in patients due to traumatic digital lacerations. ⋯ Single injection volar digital nerve block technique is a suitable alternative for digital anesthesias in emergency departments.
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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
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 · Dec 2016
Randomized Controlled TrialEffect of limited ischemia time on the amount and function of mitochondria within human skeletal muscle cells.
The clinical success of total knee arthroplasty (TKA) depends substantially on the quadriceps muscle function. A frequently applied thigh tourniquet during TKA may induce ischemia related injuries to quadriceps muscle cells. Animal limb muscles subjected to 2-5 h ischemia revealed dysfunctional mitochondria, which in turn compromised the cellular bioenergetics and increased the level of reactive oxygen species. The hypothesis of the present study was that tourniquet application during TKA for 60 min (min) affects the amount and function of mitochondria within musculus vastus medialis cells. ⋯ The use of tourniquet during TKA within a limited time period of 60 min remained without substantial effects on the amount and function of mitochondria within human skeletal muscle cells.