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
Influence of prehospital fluid resuscitation on patients with multiple injuries in hemorrhagic shock in patients from the DGU trauma registry.
Severe bleeding as a result of trauma frequently leads to poor outcome by means of direct or delayed mechanisms. Prehospital fluid therapy is still regarded as the main option of primary treatment in many rescue situations. Our study aimed to assess the influence of prehospital fluid replacement on the posttraumatic course of severely injured patients in a retrospective analysis of matched pairs. ⋯ The high amounts of intravenous fluid replacement was related to early traumatic coagulopathy, organ failure, and sepsis rate.
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J Emerg Trauma Shock · Oct 2011
C-clamp and pelvic packing for control of hemorrhage in patients with pelvic ring disruption.
Exsanguinating hemorrhage is the major cause of death in patients with pelvic ring disruption. ⋯ Pelvic packing in addition to the C-clamp fixation effectively controls severe hemorrhage in patients with pelvic ring disruption. Early sequential measurements of blood lactate levels can be used to estimate the severity of shock and the response to the shock treatment.
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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.