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
Extra-parenchymal splenic abnormalities not vascular injury predict need for primary splenectomy.
Radiographic indications for primary splenectomy (PS) in blunt splenic injury (BSI) after radiographic diagnosis are unknown. Improved understanding of radiographic characteristics of patients requiring splenectomy will help to appropriately triage patients to PS or non-operative management (NOM). ⋯ Need for PS is predicted by extra-parenchymal pathology in subcapsular hematoma and hemoperitoneum. Splenic vascular injuries through PSA and active contrast extravasation do not predict the need for PS and can be considered for NOM.
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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.