Journal of emergencies, trauma, and shock
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J Emerg Trauma Shock · Oct 2011
Diagnostic accuracy of bedside emergency ultrasound screening for fractures in pediatric trauma patients.
Bedside ultrasound (BUS) can effectively identify fractures in the emergency department (ED). ⋯ BUS can be utilized by emergency physicians after brief training to accurately identify long bone fractures in the pediatric age-group.
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J Emerg Trauma Shock · Oct 2011
Damage control in severely injured trauma patients - A ten-year experience.
This study reviews our 10-year institutional experience with damage control management and investigates risk factors for early mortality. ⋯ Several risk factors for early mortality such as severe head injury and the lethal triad (coagulopathy, acidosis and hypothermia) in patients undergoing damage control procedures were identified and should trigger the trauma surgeon to maintain aggressive resuscitation in the intensive care unit.
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J Emerg Trauma Shock · Oct 2011
Malposition of central venous catheter in a small tributary of left brachiocephalic vein.
Erroneous positioning of central venous catheters in small tributaries of large central veins is a rare occurrence. We describe two such unusual incidents involving cannulation of the small tributaries of left brachiocephalic vein. Malposition was suspected when the central venous waveform could not be obtained despite all attempts. Unusual central venous waveforms may indicate central venous catheter malposition, and these waveforms have not previously been described.
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Trauma and injury severity score (TRISS), introduced in 1981 is a combination index based on revised trauma score (RTS), injury severity score (ISS) and patient's age. In this study we have used TRISS method to predict the outcome in trauma cases. ⋯ The revised trauma score (RTS) ranged from 2.746 to 7.8408.There was a graded increase in mortality with decreasing RTS score.
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J Emerg Trauma Shock · Oct 2011
Indications for brain computed tomography scan after minor head injury.
Minor head injury (MHI) is a common injury seen in Emergency Departments (ED). Computed tomography (CT) scan of the brain is a good method of investigation to diagnose intracranial lesions, but there is a disagreement about indications in MHI patients. We surveyed the post-traumatic symptoms, signs or past historical matters that can be used for the indication of brain CT scan. ⋯ WE SUGGESTED THAT ABNORMAL BRAIN CT SCAN RELATED TO THE TRAUMA AFTER MHI CAN BE PREDICTED BY THE PRESENCE OF ONE OR MORE OF THE FOLLOWING RISK INDICATORS: Headache, vomiting, LOC or amnesia, and alcohol intoxication. Thus, if any patient has these indicators following MHI, he must be considered as a high-risk MHI.