Articles: trauma.
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COPD Rehabilitation PostersSESSION TYPE: Poster PresentationsPRESENTED ON: Saturday, March 22, 2014 at 01:15 PM - 02:15 PMPURPOSE: Introduction: Despite the proven benefits of pulmonary rehabilitation programs (PR), these show a considerable drop-out and low attendance. Objectives: To identify the characteristics of patients with poor adherence to a specific COPD rehabilitation program. ⋯ The following authors have nothing to disclose: Virginia Almadana, Concepcion Romero, Agustin Valido, Ana Gómez-Bastero, Jesús Sánchez, Teodoro MontemayorNo Product/Research Disclosure Information.
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Massive posttraumatic bleeding is the leading cause of potentially preventable death among patients with severe trauma. Immediate diagnosis and treatment of traumatic coagulopathy and its differentiation from surgical bleeding after major trauma are critical in the management of such patients. ⋯ Therapy based on massive transfusion protocol and on laboratory coagulation tests would be insufficient to stop bleeding. We conclude that rotational thromboelastometry/thromboelastography analysis plays a critical role in the management of traumatic bleeding and helps us provide more aggressive and targeted therapy for coagulopathy both in the acute and later phases of treatment of severe bleeding.
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Cardiovascular CasesSESSION TYPE: Case ReportsPRESENTED ON: Saturday, March 22, 2014 at 04:15 PM - 05:15 PMINTRODUCTION: Paroxysmal supraventricular tachycardia (PSVT) following blunt cardiac injury (BCI) is rare but reported in the literature. AV nodal reentrant tachycardia (AVNRT) is the commonest form of PSVT encountered in clinical practice. We present a unique case of AVNRT after a blunt chest trauma with concomitant pulmonary embolism. ⋯ This case illustrates two unusual sequelae of blunt chest trauma-- pulmonary embolus and sustained AV nodal reentrant tachycardia.Reference #1: "Trauma Associated With Cardiac Dysrhythmias: Results Froma Large Matched Case-Control Study." Ismailov et al. The Journal of Trauma Injury, Infection, and Critical Care. 2007;62.Reference #2: "Blunt cardiac injury." Bock et al. Cardiology Clinics. Volume 30, Issue 4, November 2012.Reference #3: "Thromboembolism as a complication of myocardial contusion: a new capricious syndrome." Timberlake et al. Journal of Trauma. 1988 April 28(4)DISCLOSURE: The following authors have nothing to disclose: Joy Victor, Mangalore Amith Shenoy, Sameer Chadha, Felix Yang, Gerald Hollander, Jacob ShaniNo Product/Research Disclosure Information.
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Critical Care CasesSESSION TYPE: Case ReportsPRESENTED ON: Saturday, March 22, 2014 at 04:15 PM - 05:15 PMINTRODUCTION: The use of recombinant activated Factor VIIa(rFVIIa) was first approved in the United States in 1999 for treating bleeding episodes in patients with congenital and acquired Hemophilia A and B, hemophilia with inhibitors to factor VIII and IX, and surgical prophylaxis. The indications have been limited due to its risk of thrombosis. We are reporting a case of rFVIIa use for life threatening diffuse alveolar hemorrhage. ⋯ The following authors have nothing to disclose: Felix Hernandez, Michael Alvarez, Jose Ramirez, Gustavo FerrerNo Product/Research Disclosure Information.
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Cardiovascular Case Report Posters ISESSION TYPE: Case Report PosterPRESENTED ON: Sunday, March 23, 2014 at 01:15 PM - 02:15 PMINTRODUCTION: Central venous catheters (CVC) are placed in large caliber veins, and though relatively safe, complications can occur. When chest radiograph cannot verify proper CVC placement, further assessments are mandated. We present a case of questionable placement of a left-sided CVC. ⋯ The following authors have nothing to disclose: Andrew Oh, Andrew SchaffrinnaNo Product/Research Disclosure Information.