Journal of emergencies, trauma, and shock
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J Emerg Trauma Shock · Jul 2014
Procedural sedation for pediatric patients in the emergency department at King Khalid University Hospital, Riyadh, K.S.A.
Procedural sedation and analgesia (PSA) has become the standard of care for diagnostic and therapeutic procedures undertaken in the Emergency Department (ED). In the Pediatric Emergency Department (PED) of King Khalid University Hospital (KKUH), which is a major teaching hospital in Riyadh Kingdom of Saudi Arabia we developed a standard protocol for PSA since 2005. The aim of this article is to report the experience at KKUH in pediatric PSA. ⋯ Intravenous Ketamine is a consistently effective method of producing a rapid, brief period of adequate sedation and analgesia in children in the ED with no major side-effects noted in our experience.
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J Emerg Trauma Shock · Jul 2014
ReviewSurgical management in treatment of Jehovah's witness in trauma surgery in Indian subcontinent.
The Jehovah's Witness religion is a Christian movement, founded in the US in the 1870s, with 7 million followers worldwide with only 0.002% in India. There is minimal to complete absence of awareness about the existence of this community in our society. ⋯ Besides legal and ethical issues in treating these group of patients, the biggest challenge exist even in the western world is their management in trauma scenario where few options exist. We have discussed the issues and recommendations in management in trauma scenario in our Indian subcontinent.
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J Emerg Trauma Shock · Jul 2014
Early initiation of prophylactic heparin in severe traumatic brain injury is associated with accelerated improvement on brain imaging.
Venous thromboembolic prophylaxis (VTEp) is often delayed following traumatic brain injury (TBI), yet animal data suggest that it may reduce cerebral inflammation and improve cognitive recovery. We hypothesized that earlier VTEp initiation in severe TBI patients would result in more rapid neurologic recovery and reduced progression of brain injury on radiologic imaging. ⋯ Early initiation of prophylactic heparin in severe TBI is not associated with deterioration neurologic exam and may result in less progression of injury on brain imaging. Possible neuroprotective effects of heparin in humans need further investigation.
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The scope of ultrasound is emerging in medical science, particularly outside traditional areas of radiology practice. ⋯ Ultrasound is safe, quick, noninvasive, repeatable, and bedside tool to assess the airway and can provide real-time dynamic images relevant for several aspects of airway management.
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J Emerg Trauma Shock · Jul 2014
Awareness about basic life support and emergency medical services and its associated factors among students in a tertiary care hospital in South India.
The knowledge and skills about the basic life support (BLS) and the advanced life support are the most important determining factors of the cardiopulmonary resuscitation (CPR) success rates. ⋯ Awareness level on BLS is below average indicating the importance of professional training at all levels in a tertiary care health institution.