International journal of trauma nursing
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Guerilla warfare procedures injuries that are intended to have a psychologic as well as a physical effect on the victims. Intentional violence in the form of punishment beatings or shootings inflicted on one person are used to control the behavior of members of a like group. Bombings and social chaos are used to disrupt life in the community and produce random types of violent injuries. In Belfast health care providers care for trauma victims from both sides of the warfare and are subject to becoming victims of violence themselves.
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A level 1 trauma center is challenged to provide optimal trauma care to patients in the region it serves. One approach is to increase the knowledge and clinical skills of all trauma care providers, especially those who work outside urban areas. This article describes one trauma center's experience of integrating rural nursing education into an existing medical trauma outreach program. The educational strategies, example of course content, and organizational aspects of the program are described, along with marketing strategies used to promote the program.
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The anatomy of a child's airway presents multiple challenges for health care providers who must maintain adequate ventilation and oxygenation. The care giver must be knowledgeable about the anatomic differences between children and adults and skilled in the use of pediatric airway adjuncts to provide safe, effective airway management.
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Open pelvic fractures have a greater than 40% mortality rate. Traumatic hemipelvectomy, a severe form of open fracture, is a life-threatening injury that requires rapid resuscitation, surgical intervention, and critical-care monitoring. Survivors benefit from aggressive and consistent rehabilitation. This case presentation discusses the multiple aspects of care of a traumatic hemipelvectomy and the ways in which the staff were able to accommodate the cultural needs of an Amish patient and family.