Multiple physical insults or injuries occurring simultaneously.
An anatomic severity scale based on the Abbreviated Injury Scale (AIS) and developed specifically to score multiple traumatic injuries. It has been used as a predictor of mortality.
Injuries caused by impact with a blunt object where there is no penetration of the skin.
Accumulations of blood in the PERITONEAL CAVITY due to internal HEMORRHAGE.
General or unspecified injuries to the chest area.
General or unspecified injuries involving organs in the abdominal cavity.
Freedom of equipment from actual or potential hazards.
Fractures of the femur.
A progressive condition usually characterized by combined failure of several organs such as the lungs, liver, kidney, along with some clotting mechanisms, usually postinjury or postoperative.
Damage inflicted on the body as the direct or indirect result of an external force, with or without disruption of structural continuity.
Mechanical devices inserted in the inferior vena cava that prevent the migration of blood clots from deep venous thrombosis of the leg.
Health care provided to a critically ill patient during a medical emergency or crisis.
Specialized hospital facilities which provide diagnostic and therapeutic services for trauma patients.
Hospital units providing continuous surveillance and care to acutely ill patients.
Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.
Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.
The temporal sequence of events that have occurred.
The bestowing of tangible or intangible benefits, voluntarily and usually without expectation of anything in return. However, gift giving may be motivated by feelings of ALTRUISM or gratitude, by a sense of obligation, or by the hope of receiving something in return.
An activity distinguished primarily by an element of risk in trying to obtain a desired goal, e.g., playing a game of chance for money.
Government sponsored social insurance programs.
Elements of limited time intervals, contributing to particular results or situations.
Insurance designed to compensate persons who lose wages because of illness or injury; insurance providing periodic payments that partially replace lost wages, salary, or other income when the insured is unable to work because of illness, injury, or disease. Individual and group disability insurance are two types of such coverage. (From Facts on File Dictionary of Health Care Management, 1988, p207)
A syndrome complex composed of three conditions which represent clinical variants of the same disease process: STRIATONIGRAL DEGENERATION; SHY-DRAGER SYNDROME; and the sporadic form of OLIVOPONTOCEREBELLAR ATROPHIES. Clinical features include autonomic, cerebellar, and basal ganglia dysfunction. Pathologic examination reveals atrophy of the basal ganglia, cerebellum, pons, and medulla, with prominent loss of autonomic neurons in the brain stem and spinal cord. (From Adams et al., Principles of Neurology, 6th ed, p1076; Baillieres Clin Neurol 1997 Apr;6(1):187-204; Med Clin North Am 1999 Mar;83(2):381-92)
Penetrating and non-penetrating injuries to the spinal cord resulting from traumatic external forces (e.g., WOUNDS, GUNSHOT; WHIPLASH INJURIES; etc.).
A group of inherited and sporadic disorders which share progressive ataxia in combination with atrophy of the CEREBELLUM; PONS; and inferior olivary nuclei. Additional clinical features may include MUSCLE RIGIDITY; NYSTAGMUS, PATHOLOGIC; RETINAL DEGENERATION; MUSCLE SPASTICITY; DEMENTIA; URINARY INCONTINENCE; and OPHTHALMOPLEGIA. The familial form has an earlier onset (second decade) and may feature spinal cord atrophy. The sporadic form tends to present in the fifth or sixth decade, and is considered a clinical subtype of MULTIPLE SYSTEM ATROPHY. (From Adams et al., Principles of Neurology, 6th ed, p1085)
A reflex found in normal infants consisting of dorsiflexion of the HALLUX and abduction of the other TOES in response to cutaneous stimulation of the plantar surface of the FOOT. In adults, it is used as a diagnostic criterion, and if present is a NEUROLOGIC MANIFESTATION of dysfunction in the CENTRAL NERVOUS SYSTEM.
A progressive neurodegenerative condition of the central and autonomic nervous systems characterized by atrophy of the preganglionic lateral horn neurons of the thoracic spinal cord. This disease is generally considered a clinical variant of MULTIPLE SYSTEM ATROPHY. Affected individuals present in the fifth or sixth decade with ORTHOSTASIS and bladder dysfunction; and later develop FECAL INCONTINENCE; anhidrosis; ATAXIA; IMPOTENCE; and alterations of tone suggestive of basal ganglia dysfunction. (From Adams et al., Principles of Neurology, 6th ed, p536)
An abnormal response to a stimulus applied to the sensory components of the nervous system. This may take the form of increased, decreased, or absent reflexes.
A cylindrical column of tissue that lies within the vertebral canal. It is composed of WHITE MATTER and GRAY MATTER.
An autoimmune disorder mainly affecting young adults and characterized by destruction of myelin in the central nervous system. Pathologic findings include multiple sharply demarcated areas of demyelination throughout the white matter of the central nervous system. Clinical manifestations include visual loss, extra-ocular movement disorders, paresthesias, loss of sensation, weakness, dysarthria, spasticity, ataxia, and bladder dysfunction. The usual pattern is one of recurrent attacks followed by partial recovery (see MULTIPLE SCLEROSIS, RELAPSING-REMITTING), but acute fulminating and chronic progressive forms (see MULTIPLE SCLEROSIS, CHRONIC PROGRESSIVE) also occur. (Adams et al., Principles of Neurology, 6th ed, p903)
Injuries involving the vertebral column.
The intracellular transfer of information (biological activation/inhibition) through a signal pathway. In each signal transduction system, an activation/inhibition signal from a biologically active molecule (hormone, neurotransmitter) is mediated via the coupling of a receptor/enzyme to a second messenger system or to an ion channel. Signal transduction plays an important role in activating cellular functions, cell differentiation, and cell proliferation. Examples of signal transduction systems are the GAMMA-AMINOBUTYRIC ACID-postsynaptic receptor-calcium ion channel system, the receptor-mediated T-cell activation pathway, and the receptor-mediated activation of phospholipases. Those coupled to membrane depolarization or intracellular release of calcium include the receptor-mediated activation of cytotoxic functions in granulocytes and the synaptic potentiation of protein kinase activation. Some signal transduction pathways may be part of larger signal transduction pathways; for example, protein kinase activation is part of the platelet activation signal pathway.
The most common clinical variant of MULTIPLE SCLEROSIS, characterized by recurrent acute exacerbations of neurologic dysfunction followed by partial or complete recovery. Common clinical manifestations include loss of visual (see OPTIC NEURITIS), motor, sensory, or bladder function. Acute episodes of demyelination may occur at any site in the central nervous system, and commonly involve the optic nerves, spinal cord, brain stem, and cerebellum. (Adams et al., Principles of Neurology, 6th ed, pp903-914)
A group of twelve VERTEBRAE connected to the ribs that support the upper trunk region.
A form of multiple sclerosis characterized by a progressive deterioration in neurologic function which is in contrast to the more typical relapsing remitting form. If the clinical course is free of distinct remissions, it is referred to as primary progressive multiple sclerosis. When the progressive decline is punctuated by acute exacerbations, it is referred to as progressive relapsing multiple sclerosis. The term secondary progressive multiple sclerosis is used when relapsing remitting multiple sclerosis evolves into the chronic progressive form. (From Ann Neurol 1994;36 Suppl:S73-S79; Adams et al., Principles of Neurology, 6th ed, pp903-914)
The medical specialty which deals with WOUNDS and INJURIES as well as resulting disability and disorders from physical traumas.
All of the divisions of the natural sciences dealing with the various aspects of the phenomena of life and vital processes. The concept includes anatomy and physiology, biochemistry and biophysics, and the biology of animals, plants, and microorganisms. It should be differentiated from BIOLOGY, one of its subdivisions, concerned specifically with the origin and life processes of living organisms.
A publication issued at stated, more or less regular, intervals.
A bibliographic database that includes MEDLINE as its primary subset. It is produced by the National Center for Biotechnology Information (NCBI), part of the NATIONAL LIBRARY OF MEDICINE. PubMed, which is searchable through NLM's Web site, also includes access to additional citations to selected life sciences journals not in MEDLINE, and links to other resources such as the full-text of articles at participating publishers' Web sites, NCBI's molecular biology databases, and PubMed Central.
Use of a balloon CATHETER to block the flow of blood through an artery or vein.
Systematic efforts to assist individuals in selecting an occupation or suitable employment on the basis of aptitude, education, etc.
Organic mental disorders in which there is impairment of the ability to maintain awareness of self and environment and to respond to environmental stimuli. Dysfunction of the cerebral hemispheres or brain stem RETICULAR FORMATION may result in this condition.
A scale that assesses the response to stimuli in patients with craniocerebral injuries. The parameters are eye opening, motor response, and verbal response.
A profound state of unconsciousness associated with depressed cerebral activity from which the individual cannot be aroused. Coma generally occurs when there is dysfunction or injury involving both cerebral hemispheres or the brain stem RETICULAR FORMATION.
Traumatic injuries involving the cranium and intracranial structures (i.e., BRAIN; CRANIAL NERVES; MENINGES; and other structures). Injuries may be classified by whether or not the skull is penetrated (i.e., penetrating vs. nonpenetrating) or whether there is an associated hemorrhage.
Acute and chronic (see also BRAIN INJURIES, CHRONIC) injuries to the brain, including the cerebral hemispheres, CEREBELLUM, and BRAIN STEM. Clinical manifestations depend on the nature of injury. Diffuse trauma to the brain is frequently associated with DIFFUSE AXONAL INJURY or COMA, POST-TRAUMATIC. Localized injuries may be associated with NEUROBEHAVIORAL MANIFESTATIONS; HEMIPARESIS, or other focal neurologic deficits.
Breaks in bones.
Processes and properties of the MUSCULOSKELETAL SYSTEM.
Breaks in bones resulting from low bone mass and microarchitectural deterioration characteristic of OSTEOPOROSIS.
A specialty concerned with the use of x-ray and other forms of radiant energy in the diagnosis and treatment of disease.
Designs for approaching areas inside or outside facilities.

Aortic rupture as a result of low velocity crush. (1/505)

A case of aortic disruption in a 35 year old lorry driver is described. This occurred as a result of a low velocity crushing force. Clinicians should be aware that this mechanism of injury may result in aortic disruption as well as the more commonly mentioned severe deceleration force.  (+info)

Prophylactic inferior vena cava filters in trauma patients at high risk: follow-up examination and risk/benefit assessment. (2/505)

PURPOSE: The efficacy of prophylactic inferior vena cava filters in selected trauma patients at high risk has come into question in relation to risk/benefit assessment. To evaluate the usefulness of prophylactic inferior vena cava filters, we reviewed our experience and overall complication rate. METHODS: From February 1991 to April 1998, the trauma registry identified 7333 admissions. One hundred eighty-seven prophylactic inferior vena cava filters were inserted. After the exclusion of 27 trauma-related deaths (none caused by thromboembolism), 160 patients were eligible for the study. The eligible patients were contacted and asked to complete a survey and return for a follow-up examination to include physical examination, Doppler scan study, vena cava duplex scanning, and fluoroscopic examination. The patients' hospital charts were reviewed in detail. The indications for prophylactic inferior vena cava filter insertion included prolonged immobilization with multiple injuries, closed head injury, pelvic fracture, spine fracture, multiple long bone fracture, and attending discretion. RESULTS: Of the 160 eligible patients, 127 were men, the mean age was 40.3 years, and the mean injury severity score was 26.1. The mean day of insertion was hospital day 6. Seventy-five patients (47%) returned for evaluation, with a mean follow-up period of 19.4 months after implantation (range, 7 to 60 months). On survey, patients had leg swelling (n = 27), lower extremity numbness (n = 14), shortness of breath (n = 9), chest pain (n = 7), and skin changes (n = 4). All the survey symptoms appeared to be attributable to patient injuries and not related to prophylactic inferior vena cava filter. Physical examination results revealed edema (n = 12) and skin changes (n = 2). Ten Doppler scan studies had results that were suggestive of venous insufficiency, nine of which had histories of deep vein thrombosis. With duplex scanning, 93% (70 of 75) of the vena cavas were visualized, and all were patent. Only 52% (39 of 75) of the prophylactic inferior vena cava filters were visualized with duplex scanning. All the prophylactic inferior vena cava filters were visualized with fluoroscopy, with no evidence of filter migration. Of the total 187 patients, 24 (12.8%) had deep vein thrombosis develop after prophylactic inferior vena cava filter insertion, including 10 of 75 (13.3%) in the follow-up group, and one patient had a nonfatal pulmonary embolism despite filter placement. Filter insertion complications occurred in 1.6% (three of 187) of patients and included one groin hematoma, one arteriovenous fistula, and one misplacement in the common iliac vein. CONCLUSION: This study's results show that prophylactic inferior vena cava filters can be placed safely with low morbidity and no attributable long-term disabilities. In this patient population with a high risk of pulmonary embolism, prophylactic inferior vena cava filters offered a 99.5% protection rate, with only one of 187 patients having a nonfatal pulmonary embolism.  (+info)

Hypothermia and the trauma patient. (3/505)

Hypothermia has profound effects on every system in the body, causing an overall slowing of enzymatic reactions and reduced metabolic requirements. Hypothermic, acutely injured patients with multisystem trauma have adverse outcomes when compared with normothermic control patients. Trauma patients are inherently predisposed to hypothermia from a variety of intrinsic and iatrogenic causes. Coagulation and cardiac sequelae are the most pertinent physiological concerns. Hypothermia and coagulopathy often mandate a simplified approach to complex surgical problems. A modification of traditional classification systems of hypothermia, applicable to trauma patients is suggested. There are few controlled investigations, but clinical opinion strongly supports the active prevention of hypothermia in the acutely traumatized patient. Preventive measures are simple and inexpensive, but the active reversal of hypothermia in much more complicated, often invasive and controversial. The ideal method of rewarming is unclear but must be individualized to the patient and institution specific. An algorithm reflecting newer approaches to traumatic injury and technical advances in equipment and techniques is suggested. Conversely, hypothermia has selected clinical benefits when appropriately used in cases of trauma. Severe hypothermia has allowed remarkable survivals in the course of accidental circulatory arrest. The selective application of mild hypothermia in severe traumatic brain injury is an area with promise. Deliberate circulatory arrest with hypothermic cerebral protection has also been used for seemingly unrepairable injuries and is the focus of ongoing research.  (+info)

Total dislocations of the navicular: are they ever isolated injuries? (4/505)

Isolated dislocations of the navicular are rare injuries; we present our experience of six cases in which the navicular was dislocated without fracture. All patients had complex injuries, with considerable disruption of the midfoot. Five patients had open reduction and stabilisation with Kirschner wires. One developed subluxation and deformity of the midfoot because of inadequate stabilisation of the lateral column, and there was one patient with ischaemic necrosis. We believe that the navicular cannot dislocate in isolation because of the rigid bony supports around it; there has to be significant disruption of both longitudinal columns of the foot. Most commonly, an abduction/pronation injury causes a midtarsal dislocation, and on spontaneous reduction the navicular may dislocate medially. This mechanism is similar to a perilunate dislocation. Stabilisation of both medial and lateral columns of the foot may sometimes be essential for isolated dislocations. In spite of our low incidence of ischaemic necrosis, there is always a likelihood of this complication.  (+info)

Countertransference and empathic problems in therapists/helpers working with psychotraumatized persons. (5/505)

Countertransference in therapists working with patients with posttraumatic stress disorder (PTSD) differs from countertransference in other psychotherapeutical settings. In this article we discuss the specificities of counter- transference in treating PTSD patients and its relation to empathy. The most difficult countertransference problems occur in treating multiply traumatized patients. Countertransference may occur towards an event (e.g., war), patients who have killed people, as well as to colleagues who avoid treating PTSD patients, or towards a supervisor who avoids, either directly or indirectly, supervision of therapists working with PTSD patients. Our recommendation for the prevention of problems in treating PTSD patients include : 1) careful selection of the therapist or helper, both in the personality structure and training; 2) prevention by debriefing and team work and peer supervision; and 3) education - theoretical, practical, and therapeutical.  (+info)

Markers for domestic violence in women. (6/505)

OBJECTIVE: To determine injury patterns and characteristics specific to domestic violence in women who present to the accident and emergency (A&E) department. DESIGN: A retrospective case note review of all female assaults over a one year period. The subjects were women who disclosed that their injuries were due to assaults by either a current or a previous male partner. Controls were female assault victims not injured by domestic violence. SETTING: A medium sized urban A&E department. RESULTS: There were 500 female assaults out of 48,169 new attendances. Domestic violence was disclosed in 103 cases. The following features were significantly associated with domestic violence in women: multiple injuries (p < 0.001) (especially to the head and arms), fractures (p < 0.05), loss of consciousness (p < 0.05), abdominal injuries (p < 0.05), pregnancy (p = 0.01), injury occurring on "stairs" (p = 0.01), and general practitioner referral (p < 0.01). CONCLUSIONS: Women who have been assaulted are more likely to have been injured during domestic violence if they sustain multiple injuries (including fractures), abdominal injuries, have lost consciousness, or have been referred by their general practitioner. These markers may help medical staff to identify more cases of undisclosed domestic violence. The markers need to be tested further in a prospective study.  (+info)

A registry-based case-control study of risk factors for the development of multiple non-fatal injuries on the job. (7/505)

Using compensation records of Taiwan, we conducted a case-control study nested within a cohort of 77,846 active workers who experienced at least one incidence of non-fatal work-related injury between 1994 and 1996 in order to explore factors associated with risk of sustaining multiple non-fatal injuries in the workplace. Cases (n = 2,616) were workers with more than three incidences of non-fatal injury during the study period and controls (n = 3,974) were randomly sampled from workers who experienced only one incidence of non-fatal injury during the same period. Compared with construction workers, workers employed in mining and quarrying (OR = 2.7), manufacturing (OR = 1.2), commerce (OR = 1.6), transport, storage and communication (OR = 1.3) and social, personal and community service (OR = 1.4) were all at significantly elevated risk of multiple non-fatal injuries. Both age and wage showed a significant dose-response effect on the risk of developing multiple non-fatal injuries. The preliminary analysis suggests that workers in certain industries are at significantly elevated risks of multiple work-related non-fatal injuries, in particular those in the mining and quarry industries. Additionally, further preventive measures should be aimed at protecting older workers from such injuries and further studies would help provide more specific interpretations on the positive association between higher wage earning and risk of multiple non-fatal injuries.  (+info)

Polytrauma induces increased expression of pyruvate kinase in neutrophils. (8/505)

Polytrauma (PT) leads to systemic activation of polymorphonuclear neutrophils (PMNs). Organ damage commonly found in these patients is ascribed to respiratory bursts of activated PMNs. With the use of sodium dodecyl sulfate-polyacrylamide gel electrophoresis, PMN extracts from PT patients were found to contain a clear protein band not seen in control PMNs from healthy volunteers. This band was identified by amino acid sequencing and Western blotting as pyruvate kinase (PK). Enzymatic assays revealed a 600-fold increase in PK activity in PMNs of PT patients, with the highest levels occurring between the fifth and seventh posttraumatic day. In lymphocytes, no such increase was detectable. As PK is a major regulatory enzyme in glycolysis, glucose-dependent lactate production in PMNs from PT patients was assayed. These cells showed a higher glycolytic lactate production than controls. It was additionally demonstrated that acute activation of respiratory burst activity depends mainly on breakdown of glucose to lactate via the pentose-phosphate pathway and glycolysis. In PMNs from PT patients, this glucose-dependent respiratory burst activity was more than twofold higher than in controls. The increase in expression and activity of PK in PMNs from PT patients may contribute to the high glucose-dependent respiratory burst activity seen in these cells.  (+info)

Download Free Full-Text of an article PREDICTIVE VALUE OF GLASGOW COMA SCORE AND FULL OUTLINE OF UNRESPONSIVENESS SCORE ON THE OUTCOME OF MULTIPLE TRAUMA PATIENTS
Fitschen-Oestern S, Weuster M, Lippross S et al.. Department of Trauma Surgery, University Medical Center of Schleswig-Holstein, Campus Kiel, Arnold-Heller-Strasse 3, 24105, Kiel, Germany.. BMC musculoskeletal disorders. Mar 2017.. Human-beta defensins (HBD) belong to the family of acute phase peptides and hold a broad antimicrobial spectrum that includes gram-positive and gram-negative bacteria. HBD are up-regulated after severe injuries but the source of posttraumatic HBD expression has not been focused on before. In the current study we analysed the role of liver tissue in expression of HBD after multiple trauma in human and mice.HBD-2 expression has been detected in plasma samples of 32 multiple trauma patients (ISS > 16) over 14 days after trauma by ELISA. To investigate major sources of HBD-2, its expression and regulation in plasma samples, polymorphonuclear neutrophils (PMN) and human tissue samples of liver and skin were analysed by ELISA. As liver samples of trauma patients are hard to ...
Fitschen-Oestern S, Weuster M, Lippross S et al.. Department of Trauma Surgery, University Medical Center of Schleswig-Holstein, Campus Kiel, Arnold-Heller-Strasse 3, 24105, Kiel, Germany.. BMC musculoskeletal disorders. Mar 2017.. Human-beta defensins (HBD) belong to the family of acute phase peptides and hold a broad antimicrobial spectrum that includes gram-positive and gram-negative bacteria. HBD are up-regulated after severe injuries but the source of posttraumatic HBD expression has not been focused on before. In the current study we analysed the role of liver tissue in expression of HBD after multiple trauma in human and mice.HBD-2 expression has been detected in plasma samples of 32 multiple trauma patients (ISS > 16) over 14 days after trauma by ELISA. To investigate major sources of HBD-2, its expression and regulation in plasma samples, polymorphonuclear neutrophils (PMN) and human tissue samples of liver and skin were analysed by ELISA. As liver samples of trauma patients are hard to ...
Browsing General Surgery by Title Safety of rFVIIa in hemodynamically unstable polytrauma patients with traumatic brain injury : post hocanalysis of 30 patients from a prospective, randomized, placebo-controlled, double-blind clinical trial ...
Mica, L; Keller, C; Vomela, J; Trentz, O; Plecko, M; Keel, M J (2014). The impact of body mass index and gender on the development of infectious complications in polytrauma patients. European Journal of Trauma and Emergency Surgery, 40(5):573-579. ...
Ciriello V, Gudipati S, Stavrou PZ, Kanakaris NK, Bellamy MC, Giannoudis PV. Biomarkers predicting sepsis in polytrauma patients: Current evidence. Injury 2013;44(12):1680-92. https://doi.org/10.1016/j.injury.2013.09.024. Horton JW. Free radicals and lipid peroxidation mediated injury in burn trauma: The role of antioxidant therapy. Toxicology 2003;189(1-2):75-88. https://doi.org/10.1016/S0300-483X(03)00154-9. Khare M, Mohanty C, Das BK, Jyoti A, Mukhopadhyay B, Mishra SP. Free radicals and antioxidant status in protein energy malnutrition. Int J Pediatr 2014;2014:254396. https://doi.org/10.1155/2014/254396. Rao PS, Sireesha K, Aparna Y, Sadanandam M. Free radicals and tissue damage: Role of antioxidants. Free Radicals Antioxidants 2011;1(4):2-7. https://doi.org/10.5530/ax.2011.4.2. Espinosa-Diez C, Miguel V, Mennerich D, Kietzmann T, Sánchez-Pérez P, Cadenas S, et al. Antioxidant responses and cellular adjustments to oxidative stress. Redox Biol 2015;6:183-97. ...
This book provides comprehensive information on Diagnostic Imaging for polytrauma patients. It provides extensive and detailed explanations of the semiotics of traumatic injuries, the correlation with
After severe tissue injury, innate immunity mounts a robust systemic inflammatory response. However, little is known about the immediate impact of multiple trauma on early complement function in humans. In the present study, we hypothesized that multiple trauma results in immediate activation, consumption, and dysfunction of the complement cascade and that the resulting severe complementopathy may be associated with morbidity and mortality. Therefore, a prospective multicenter study with 25 healthy volunteers and 40 polytrauma patients (mean injury severity score = 30.3 ± 2.9) was performed. After polytrauma, serum was collected as early as possible at the scene, on admission to the emergency room (ER), and 4, 12, 24, 120, and 240 h post-trauma and analyzed for the complement profile. Complement hemolytic activity (CH-50) was massively reduced within the first 24 h after injury, recovered only 5 days after trauma, and discriminated between lethal and nonlethal 28-day outcome. Serum levels of ...
Infection remains the most common and significant complication following high energy fractures, with rates ranging from 25 - 40%. Up to 15% of recent combat casualties develop osteomyelitis.The large traumatic wounds are inoculated with environmental bacteria at the time of injury and are exposed to host and hospital flora colonization during the initial treatment course. In contrast to significant advances made in related extremity trauma care disciplines, the strategies that address the prevention of deep infection following severe open fracture wounds have remained constant for the past 20 years. Few surgeons sample the wound bioburden at the time of closure, typically related to the unreliable results from the routine microbiology at predicting subsequent failure due to infection. Evidence supports the initial administration of systemic antibiotics as effective in reducing the infection rate in open fracture care. Many patients with severe extremity wounds are multiple trauma patients, faced ...
A prospective, observational, multicentre study of invasive candidosis (IC) in surgical patients in intensive care units (ICUs) was conducted from 2006 to 2008 in 72 ICUs in 14 European countries. A total of 779 patients (62.5% males, median age 63 years) with IC were included. The median rate of candidaemia was 9 per 1000 admissions. In 10.8% the infection was already present at the time of admission to ICU. Candida albicans accounted for 54% of the isolates, followed by Candida parapsilosis 18.5%, Candida glabrata 13.8%, Candida tropicalis 6%, Candida krusei 2.5%, and other species 5.3%. Infections due to C. krusei (57.9%) and C. glabrata (43.6%) had the highest crude mortality rate. The most common preceding surgery was abdominal (51.5%), followed by thoracic (20%) and neurosurgery (8.2%). Candida glabrata was more often isolated after abdominal surgery in patients ,/=60 years, and C. parapsilosis was more often isolated in neurosurgery and multiple trauma patients as well as children ,/=1 ...
Multiple trauma recovery through specialized rehabilitation services and technology at HealthSouth Rehabilitation Hospital, a Partner with Washington Regional in Fayetteville, Arkansas
HealthSouth Rehabilitation Hospital The Woodlands treats patients recovering from multiple traumas through inpatient rehab therapy and specialized rehabilitative technology.
HealthSouth Rehabilitation Hospital of Austin treats patients recovering from multiple traumas through inpatient rehab therapy and specialized rehabilitative technology.
Objective:To analyze the characteristics of polytrauma Patients and to assess the outcome of trauma care as this specialty has evolved over the years at a university hospital. Methods: The study included all polytrauma Patients treated between January 1998 and September 2005 at a tertiary care hospital in a megacity. Data of 1009 Patients was collected prospectively and analyzed retrospectively. Patients were divided into two groups A and B, based on their presentation before and after the introduction of a formal trauma training course in 2002. The analysis included demographic data, injury severity score, vital signs including hemodynamics and GCS on admission, intubation rates, mortality and complications. Results: 435 Patients were included in group A (1998-2001) whereas group B (2002-2005) comprised of 574 Patients. The proportion of Patients with accidental versus intentional injuries was similar in both groups. The mean injury severity score of group A was 11.9 whereas that of group B was 11.7.
Trauma is the leading cause of death for people aged 1-44 years and is exceeded only by cancer and atherosclerotic disease in all age groups. Orthopedic surgery plays a key role in the treatment of the polytraumatized patient.
PubMed Central Canada (PMC Canada) provides free access to a stable and permanent online digital archive of full-text, peer-reviewed health and life sciences research publications. It builds on PubMed Central (PMC), the U.S. National Institutes of Health (NIH) free digital archive of biomedical and life sciences journal literature and is a member of the broader PMC International (PMCI) network of e-repositories.
In German-speaking countries, most serious thoracic injuries are attributable to the impact of blunt force; they are the second most frequent result of injury after head injury in polytrauma patients with multiple injuries. Almost one in every three polytraumatized patients with significant chest injury develops acute lung failure, and one in every four, acute circulatory failure.. The acute circulatory arrest following serious chest injury involves a high mortality rate, and in most cases it reflects a tension pneumothorax, cardiac tamponade, or hemorrhagic shock resulting from injury to the heart or one of the large vessels close to it. Brisk drainage of tension pneumothorax and adequate volume restoration are therefore particularly important in resuscitation of multiply traumatized patients, as are rapid resuscitative thoracotomy to allow direct heart massage, drainage of pericardial tamponade, and control of hemorrhage. However the probability of survival described in the literature is very ...
When a child with multiple traumatic injuries presents to the ED, a systematic approach to evaluation and management ensures that no major injuries are missed.
BACKGROUND: Depression is one of the most common post-trauma symptoms that can be alleivated by social support. The purpose of this study was to examine the multiple mediating effects of social support on depression via feelings of safety, disclosure, and negative cognition. METHOD: One hundred and eighty-seven flood victims in Wuhu City, an area affected most severely by a flood during July 2016, were selected to complete a self-report questionnaire package. RESULTS: Social support has four indirect negative effects on depression, including a one-step indirect path to self-disclosure, 2 two-step paths from feelings of safety to self-disclosure, and from self-disclosure to negative cognition about self, and a three-step indirect path from feelings of life safety via self-disclosure to negative self-cognition ...
Vascular damage in polytrauma patients is associated with high mortality and morbidity. Therefore, specific clinical implications of vascular damage with fractures in major trauma patients are reassessed. This comprehensive nine-year retrospective single center cohort study analyzed demography, laboratory, treatment and outcome data from 3689 patients, 64 patients with fracture-associated vascular injuries were identified and were compared to a control group. Results: Vascular damage occurred in 7% of patients with upper and lower limb and pelvic fractures admitted to the trauma room. Overall survival was 80% in pelvic fracture and 97% in extremity fracture patients and comparable to non-vascular trauma patients. Additional arterial damage required substantial fluid administration and was visible as significantly anemia and disturbed coagulation tests upon admission. Open procedures were done in over 80% of peripheral extremity vascular damage. Endovascular procedures were predominant (87%) in pelvic
After severe polytrauma the dynamic process of coagulation may deteriorate towards a trauma-induced coagulopathy (TIC) promoting a dramatic increase in morbidity and mortality. Recent evidence suggests that microparticles (MPs) play a pivotal role at the interface between cellular and plasmatic coagulation systems. However, the impact of MPs on functional coagulation has not been clarified yet in the setting of traumatic injuries. We assessed the temporal patterns of circulating MP concentrations including their cellular origin in the context of clinical presentation and global coagulation assays. Blood samples from 22 consecutive polytrauma patients (ISS ≥16) from 2015 were collected at hospital admission, after 24 and 72 h and compared to those from healthy individuals and minor injured patients with isolated extremity fractures. Flow cytometry (BD Accuri C6; Heidelberg/Germany) was used to determine MP concentrations and cellular origin using cell-specific markers (platelet derived (PDMP): CD42b+,
As the major receiving trauma site we receive many patients with acute pain from polytrauma including fractured ribs. We have reviewed over 200 patients with fractured ribs in a 12 month period. The pain management nurses work closely with the major trauma team, our aim is to support clinicians in the management of polytrauma patients who have complex needs and require effective pain management. We provide a wide range of pain management strategies which includes: ...
Changes in the fibrinolytic system may lead to coagulation disorders in acute trauma patients. This study examined fibrin degradation by measuring D-dimer crosslinked fibrin degradation products (indicates hypercoagulability), plasminogen activators (fibrinolysis), and antithrombin III in 42 adult t...
Severe trauma acts as a trigger for the complex cascade of postinjury events leading to the re-lease of different mediators and the development of generalized inflammation. Selectins are a family of adhesion proteins that are responsible for the adherence of polymorphonuclear neu-trophils to the endothelium. This interaction plays an important role in the development of severe complications after multiple trauma. The aim of the present study is to follow the sequential altera-tions in circulating selectins level after severe injury and to evaluate the clinical significance of these mediators in monitoring prognosis and outcome. Thirty four severely traumatized patients were entered into the study. Serum sE-selectin, plasma sP-selectin and sL-selectin concentrations were me-asured and an APACHE II score was calculated on admission to the intensive care unit and during the subsequent 5 days. The patients were divided into survivors and nonsurvivors. Initial soluble P- and E-se-lectin ...
Background. Within the S3 Guideline Project of the European Association of Urology (EAU) an expert committee was set up to develop guidelines for the appropriate management of genitourinary trauma. These European guidelines were accepted in principle as national guidelines by the German Urological Society. Therefore, they also became the basis of the contribution of the German Urological Society to the S3 Guideline Project Polytrauma of the German Society for Trauma Surgery. ...
Sources of Pain in the Trauma Patient The trauma patient may experience pain from a variety of sources. Many, such as multiple trauma, superficial musculo-skeletal injuries, fractures, abrasions and degloving injuries are readily obvious. However deep musculo-skeletal injuries, neuropathic pain, thrombosis and ischaemia, multiple cannulae, thoracic drains, repeated injections and a distended bladder may not be apparent as a source of pain. Disadvantages of Pain in the Trauma Patient There are many disadvantages of pain documented in human trauma patients. These include: increased stress response with resultant increased metabolic and energy demands; delayed wound healing; reduced immune function; weight loss; lack of sleep; decreased mobility, with an increase in conditions associated with prolonged recumbency (e.g., pneumonia, nosocomial infections). Adequate pain control has been shown to result in shorter hospital stay and a more rapid return to normal function. Signs of Pain in the Trauma ...
Our study demonstrated that in ICU patients for a given MDRD, steady-state takes longer to reach in polytrauma patients than in patients with medical or post surgery reasons for admission. Continuous infusion ensures that a higher percentage of patients reaches the target than the same dose given by …
Brandon J. Yuan, M.D., an orthopedic surgeon at Mayo Clinics campus in Rochester, Minnesota, talks about the history of lower extremity long bone injuries in the trauma patient as well as the relationship of the long bone fracture to the overall physiology of the patient with multiple injuries. He also explains the rationale for early versus delayed definitive fixation.. ...
These data were examined in order to identify best practice in the management of these injuries.. The team found that the majority of injuries occurred as a result of road traffic accidents; 75% of the 52 patients were stable at presentation to the referring hospital. In 69% of patients the liver injury was a component of multiple trauma. Ultrasonography, computed tomography or no radiological investigation was used in the referring hospital in 35%, 48% and 17% patients, respectively. In addition, operative management was undertaken in the referring hospital in 50% of patients. The researchers found that the overall mortality rate was 23%, and increased with increasing grade of severity. They determined that 8 of 26 patients managed surgically at the referring hospital died, compared with 4 of the 26 patients managed without operation. This difference was not statistically significant. Furthermore, the median time from arrival at the referring hospital to operation was 4 hours for ...
Complex posttraumatic stress, or C-PTSD, may occur as a result of experiencing multiple traumas or prolonged trauma, and treatment may differ from that of PTSD.
Complex posttraumatic stress, or C-PTSD, may occur as a result of experiencing multiple traumas or prolonged trauma, and treatment may differ from that of PTSD.
Children of alcoholics face multiple trauma, a genetic predisposition to alcohol and an increased risk for mental illness, chronic disease, suicide and accidents in their adult lives.
Polytrauma is a medical term which is defined as a clinical state following an injury to the body leading to profound physiometabolic changes involving multisystem. Narayana Healths Guide has all the information you need to understand and prevention of Polytrauma condition.
Hi Alex,. Thank you for your very hopeful and positive post. I found it refreshing from all the fear based information I have read online. Like you I am also recovering from multiple traumas, the worst of all from debilitating anxiety brought on by peri-menopause. I was bordering on psychosis from weeks of no sleep because the heart palpitations and anxiety were so bad. This happens to many women at menopause and it is so misunderstood. Before that I had never even taken aspirin for many years. I was athletic all of my life and ate very healthy. There is much mis information about womens health and the hormone imbalances that can create a serious host of problems for women at this stage of life. I got so bad that I had to check myself into a psychiatric hospital and they immediately put me on lorazepam. It worked like a charm and I spent three days in the hospital sleeping for the first time in over a month. Like most people here I was never informed of how addictive this stuff was and they ...
Head trauma can occur when a cat sustains an injury to the head, such as running into a wall, fighting with another animal, or being hit with a blunt or penetrating object. - Wag! (formerly Vetary)
A study suggests that head trauma can cause degenerative diseases similar to A.L.S. and that Lou Gehrig may not have had Lou Gehrigs disease.
A study suggests that head trauma can cause degenerative diseases similar to A.L.S. and that Lou Gehrig may not have had Lou Gehrigs disease.
КОНВЕРСИОННЫЙ ОСТЕОСИНТЕЗ ПРИ ЛЕЧЕНИИ ПАЦИЕНТОВ С ПЕРЕЛОМАМИ ДЛИННЫХ КОСТЕЙ КОНЕЧНОСТЕЙ
Most accident victims, even those with serious and multiple injuries, are able to do many activities. Very few injuries actually involved paralysis. You may be able to do the dishes, wash your car or drive your children to school. When you talk about doing these activities, it is important to be clear and specific about just how much you can do. Can you wash the dishes for a few minutes at a time, but not be able to wash all the dishes at once like you used to? Maybe, you can even mow the lawn, but only for 10 min. at a time. When you are specific about these kinds of details, this also makes it easier for your doctors to be specific and to help you when it comes time for them to do a report about your injuries ...
Background: Severe trauma can lead to the development of infectious complications after several days, such as sepsis. Early identification of patients at risk will aid anticipating these complications. The aim of this ...
Individuals who observe someone else experiencing trauma can develop PTSD. New research examines changes in the brain that may underpin this phenomenon.
Anaesthesiol Intensive Ther. 2021 Feb 15:43248. doi: 10.5114/ait.2020.103510. Online ahead of print.. ABSTRACT. INTRODUCTION: Rib fracture fixation is becoming more popular and widely accepted among trauma surgeons worldwide as the recommended treatment method for flail chest injury. Recent data demonstrate improved results when compared with non-operative treatment. Improved outcomes were reported regarding ICU stay, need for tracheostomy, length of hospital stay, ventilator-associated pneumonia (VAP), and even death. The objective of this study was to ascertain whether clinical respiratory para-meters are improved after rib fracture fixation procedure.. MATERIAL AND METHODS: This is a prospective study using a retrospective cohort for control, which took place at the Soroka University Medical Centre, Israel. Inclusion criteria included all patients over 18 years of age with flail chest injury or multiple ribs fractures, who were admitted to the General Intensive Care Unit (GICU). Between ...
Background: Anatomy-based injury severity scores are commonly used with physiological scores for reporting severity of injury in a standardized manner. However, there is lack of consensus on choice of scoring system, with the commonly used injury severity score (ISS) performing poorly for certain sub-groups, eg head-injured patients. We hypothesized that adding a dichotomous variable for polytrauma (yes/no for Abbreviated Injury Scale (AIS) scores of 3 or more in at least two body regions) to the New Injury Severity Score (NISS) would improve the prediction of in-hospital mortality in injured patients, including head-injured patients-a subgroup that has a disproportionately high mortality. Our secondary hypothesis was that the ISS over-estimates the risk of death in polytrauma patients, while the NISS under-estimates it. Methods: Univariate and multivariable analysis was performed on retrospective cohort data of blunt injured patients aged 18 and over with an ISS over 9 from the Singapore ...
TY - JOUR. T1 - Intestinal permeability increases with the severity of abdominal trauma: a comparison between gas liquid chromatographic and enzymatic method. AU - Gasbarrini, Giovanni Battista. AU - Mingrone, Geltrude. AU - Liverani, E. AU - Silveri, Ng. PY - 2000. Y1 - 2000. N2 - Increased intestinal permeability was found in humans after multiple trauma, burn injury and major vascular surgery. However, no data are reported regarding possible correlation between trauma and intestinal permeability degree. This study was undertaken to compare gas-liquid chromatographic and enzymatic method for the evaluation of intestinal permeability impairment in patients after severe abdominal trauma.. AB - Increased intestinal permeability was found in humans after multiple trauma, burn injury and major vascular surgery. However, no data are reported regarding possible correlation between trauma and intestinal permeability degree. This study was undertaken to compare gas-liquid chromatographic and enzymatic ...
The acute phase management of patients with severe traumatic brain injury (TBI) and polytrauma represents a major challenge. Guidelines for the care of these complex patients are lacking, and worldwide variability in clinical practice has been documented in recent studies. Consequently, the World Society of Emergency Surgery (WSES) decided to organize an international consensus conference regarding the monitoring and management of severe adult TBI polytrauma patients during the first 24 hours after injury. A modified Delphi approach was adopted, with an agreement cut-off of 70%. Forty experts in this field (emergency surgeons, neurosurgeons, and intensivists) participated in the online consensus process. Sixteen recommendations were generated, with the aim of promoting rational care in this difficult setting.
Background: Trauma is the leading cause of death in the developed world. In Mulago hospital, it is the single most common indication for admission in the surgical wards. The Kampala Trauma Score II , recommended for use in resource poor setting is a modification of the Injury Severity Score and the Revised Trauma Score and it compares well with the New Injury Severity Score. Objective of this study was to determine the diagnostic accuracy of admission venous lactate levels for injury severity and predict early outcome. Methods: This was a mixed design study with both a cross-sectional design to determine injury severity and prospective cohort design to predict early outcome. A total of 502 trauma patients were conveniently and consecutively recruited daily over a period of 2 months from the A and E department of Mulago Hospital. Pre-resuscitation venous lactate levels were determined on arrival to the emergency department and the patient concurrently given a KTS II score .Admitted patients were ...
The increase of traumatic events involving geriatric patients is due to longer life expectancy and a progressive improvement of quality of life. More and more elderly subjects carry out various activities, however because of physical frailty, activity exposes them to the risk of injuries and accidents. They are more susceptible to traumatic injuries of road traffic accidents. Our objective was to analyze how increased age and the presence of several related diseases have contributed to an increase in the incidence of multiple trauma in the last 3 years. ...
TY - JOUR. T1 - Procoagulant and fibrinolytic activity after polytrauma in rat. AU - Wu, Xiaowu. AU - Darlington, Daniel N.. AU - Cap, Andrew P.. N1 - Publisher Copyright: © 2016 the American Physiological Society. Copyright: Copyright 2017 Elsevier B.V., All rights reserved.. PY - 2016/2. Y1 - 2016/2. N2 - The purpose of this study was to determine whether trauma-induced coagulopathy is due to changes in 1) thrombin activity, 2) plasmin activity, and/or 3) factors that stimulate or inhibit thrombin or plasmin. Sprague-Dawley rats were anesthetized with 1-2% isoflurane/100% oxygen, and their left femoral artery and vein were cannulated. Polytrauma included right femur fracture, and damage to the small intestines, the left and medial liver lobes, and right leg skeletal muscle. Rats were then bled 40% of blood volume. Plasma samples were taken before trauma, and at 30, 60, 120, and 240 min. Polytrauma and hemorrhage led to a significant fall in prothrombin levels. However, circulating thrombin ...
Base Deficit (BD) is a marker of tissue hypoxia in polytrauma patients. It guides resuscitative measures, and predicts outcomes, complications and mortality. Th
Study Objective To determine the effect of oxandrolone administration on nutritional and clinical outcomes after multiple trauma. Design Prospective, randomized, double-blind, placebo-controlled study. Setting. Level 1 trauma center in a university teaching hospital. Patients Sixty-two patients requiring enteral nutrition, 60 of whom completed the study. Intervention Patients were randomized to receive either oxandrolone 10 mg or placebo twice/day for a maximum of 28 days. Measurements and Main Results Total urinary nitrogen, prealbumin, nitrogen balance, total body water, and body cell mass were measured on day 1 of enteral nutrition and then at day 7, day 10, and study exit. Patients were assessed daily for metabolic and infectious complications. The two groups were similar for demographics and dosage of enteral nutrition. Measurement of total urinary nitrogen at study entry showed both groups to be highly catabolic (oxandrolone 17.2 ± 4.9, placebo 19.1 ± 10.8 g/day, NS). On days 7 and 10, total
The Department of Orthopaedics and orthopaedic surgery at Guru Nanak Hospital, Mumbai offers diagnostic and therapeutic services for the management of disorders of bones, joints and associated structures. The team of highly qualified and experienced surgeons practice evidence based medicine and follow internationally benchmarked protocols.. The services offered include medical and surgical care for bone and joint problems resulting from injuries, infections, nutritional or metabolic disorders. Hip and knee replacement surgeries, treatment for degenerative disc disease leading to disc herniation (slipped disc) are performed with extremely successful outcomes in a dedicated operating room. Children with genetic diseases, aberrations in growth, development and age related degenerative processes are also treated by the department. Orthopaedic surgeons are part of the trauma team that is available round the clock to treat polytrauma patients.. The department at Guru Nanak Hospital, Mumbai is ...
The Trauma center in our hospital has an emergency medical care center established near by. As for multiple trauma and body trunk trauma, a team which centers around trauma surgeons provides treatment for them. and as for severe four limbs injury such as amputated four limbs, open fracture, vascular injury, and crush injury, the orthopedic surgeons specializing in traumatic injury perform treatment consistently from the beginning ...
Orthopedic trauma is a branch of orthopedic surgery specializing in treatment of severe musculoskeletal injuries and related complications. Davis Regional Medical Centers orthopedic trauma surgeons treat everything from injuries following accidents and falls, to chronic orthopedic conditions and the most severe cases of multiple trauma. Our orthopedic trauma team draws on the expertise of other specialists as needed, offering quality, integrated care.. Davis Regional Medical Centers orthopedic trauma team uses minimally invasive and robotic surgery for fractures and soft-tissue repairs when possible. We provide a range of services, including:. ...
Introduction Severe tissue trauma results in a general inflammatory immune response (SIRS) representing an overall inflammatory reaction of the immune system. However, there is little known about the functional alterations of monocytes in the early posttraumatic phase, characterized by the battle of the individual with the initial trauma. Methods Thirteen patients with severe multiple injury; injury severity score (ISS) ,16 points (17 to 57) were included. The cytokine synthesis profiles of monocytes were characterized on admission, and followed up 6, 12, 24, 48, and 72 hours after severe multiple injury using flow cytometry. Whole blood was challenged with lipopolysaccharide (LPS) and subsequently analyzed for intracellular monocyte-related TNF-alpha, IL-1 beta, IL-6, and IL-8. The degree of organ dysfunction was assessed using the multiple organ dysfunction syndrome (MODS)-score of Marshall on admission, 24 hours and 72 hours after injury. Results Our data clearly show that the capacity of ...
Further medical information dealing with specific injuries in police and accident cases may be given by hospital spokespersons as follows:. Fractures (except head injuries): Indicate the part of the body involved and whether the fracture is simple or compound. The words possible or probable should be used when X-ray diagnosis is not available.. Injuries to the head (except fractures): A simple statement may be made that there are injuries to the head. However, it may not be disclosed that the skull is fractured. No opinion may be given regarding severity of the head injury until the condition is definitively determined by a physician.. Trauma and internal injuries: Trauma cases usually involve injuries to more than one body location. A statement may be made that there are multiple trauma injuries. It may be stated that there are internal injuries, and the general site of such injuries may be given.. Unconsciousness: If the patient is unconscious when brought to the hospital, this fact may be ...
A multi-professional team training day, focusing on the management of patients with severe and or multiple injuries requiring emergent surgical procedures and resuscitation. There is specific training on team-working, leadership, followership and decisio
METHODS: Through a prospective cohort study patients with musculoskeletal trauma that attended the ED of Medical Spectrum Twente (MST) were followed over time from the moment they attended ED till discharge from ED. They were part of the PROTACT Study which is approved by Medical Ethical Committee (METC). Included were patients aged 18 till 69 years with injury through blunt trauma with the ability to read, speak and understand Dutch. Exclusion criteria were patients with a (1) life or limb threatening condition, (2) hallucinations, delusions or homicidal ideation, (3) alcohol or drugs intoxication and (4) patients with multiple trauma. Data was collected through questionnaires, ambulance records, hospital registration system and ED registration system. Patients were asked about pain management initiatives in prehospital phase and in ED and pain scores measured using the NRS at admission in ED and discharge from ED. Primary outcome was the reduction of the mean pain score between admission and ...
James leads the Serious Injuries Team at Irwin Mitchells Bristol office. He specialises in representing children, teenagers and adults who have suffered brain and/or spinal cord injuries, amputations or multiple trauma.. James has extensive experience in obtaining substantial interim payments to fund treatment, rehabilitation and other professional support for his clients, as well as securing adapted accommodation and specialist equipment where this is needed.. He is an APIL Accredited Brain Injury Specialist.. James leads a team of specialist serious injury lawyers at the Bristol office.. Chambers 2017 described James as unflappable, astonishingly charming and very thorough and clients describe him as incredibly supportive and note that his knowledge is second to none. Market sources praise him for being extremely efficient and hands-on with the clients (Chambers 2016) and A real star... hes a very bright and absolutely delightful chap who gets on brilliantly with the clients. ...
Severe damage to large venous vessels from multiple trauma or accidental complications from surgery can cause massive bleeding resulting in death. Especially in the thin-walled vena cava abundant with blood, a tear in a small laceration soon widens, requiring a difficult and specialized technique of vascular surgery to be fixed. We made a model of massive bleeding by making a 7 mm incision in the inferior vena cava of a rabbit, and succeeded in closing the cut and achieving a complete hemostasis by applying nanosheets to the opening. We succeeded in hemorrhage arrest through application of the nanosheets in all tests, and there was no apparent deformity to the treated area such as constriction and aneurysms, or adhesion. Even if slight bleeding remains after nanosheet application, bleeding was completely arrested by multi-overlapping. We expect that nanosheets, where application only can easily control and stop bleeding in injuries to large vessels will be useful in sudden vascular injuries such ...
I have more than 30 years combined medical and legal experience. I am a Registered Nurse Attorney, Certified Life Care Planner (CLCP), and Certified Medicare Set-Aside Consultant (MSCC) with extensive Critical Care / Emergency Medicine background, as well as a former Mobile Intensive Care Nurse. My experience includes development of comprehensive Life Care Plans and / or Opposing / Rebuttal Life Care Plan Critiques, as well as Preliminary Life Care Needs and Cost Analyses for the following types of cases for all age groups: multiple trauma, burns, traumatic brain injury, spinal cord injury, orthopedic injuries, amputations, psychiatric disorders, organ failure / transplantation, chronic pain (CRPS / RSD), etc. I have experience reviewing medical records for reasonableness and necessity of treatment, independent medical examinations, as well as potential legal issues, while compiling a relevant chronological Medical Records Summary. I have experience in deposing physician experts and other life ...
Background: Severely injured patients experience substantial immunological stress in the aftermath of traumatic insult, which often results in systemic immune dysregulation. Regulatory T cells (Treg) play a key role in the suppression of the immune response and in the maintenance of immunological homeostasis. Little is known about their presence and dynamics in blood after trauma, and nothing is known about Treg in the porcine polytrauma model. Here, we assessed different subsets of Treg in trauma patients (TP) and compared those to either healthy volunteers (HV) or data from porcine polytrauma. Methods: Peripheral blood was withdrawn from 20 TP with injury severity score (ISS) ≥16 at the admittance to the emergency department (ED), and subsequently on day 1 and at day 3. Ten HV were included as controls (ctrl). The porcine polytrauma model consisted of a femur fracture, liver laceration, lung contusion, and hemorrhagic shock resulting in an ISS of 27. After polytrauma, the animals underwent ...
S32.81 is a non-billable diagnosis code, consider using a code with a higher level of specificity for a diagnosis of multiple fractures of pelvis with disruption of pelvic ring.
Patients with extensive burn injuries suffer from multisystem trauma, which affects their medical, psychological, and social well-being for many years. Monitoring those patients has revealed changes in the endocrine, cardiac, and respiratory systems years after the injury. Our study tries to examine whether changes manifest as a higher risk of death during their lifespan, compared with the general population. Data from the years 1998 to 2013 regarding two groups of patients was obtained from a national trauma registry: one group had suffered burns over 20% of their TBSA and survived the hospitalization period and the second group was a control group of patients admitted with minimal trauma (Injury Severity Score = 1-minor injury to a single body region ...
Multiple fractures can be a common occurrence in adolescence, especially in the active teenager. It is important to understand what is considered abnormal, the work-up for abnormal fractures, the...
Download Free Full-Text of an article DETERMINATION OF THE MOST COMMON PATTERN OF MANDIBULAR MULTIPLE FRACTURES IN PATIENTS REFERRED TO TEHRAN TALEGHANI AND AHWAZ EDUCATIONAL HOSPITALS 1998-2005
In their post-traumatic course, trauma patients suffering from multiple injuries have a high risk for immune dysregulation, which may contribute to post-injury complications and late mortality. Monocytes as specific effector cells of the innate immunity play a crucial role in inflammation. Using their Pattern Recognition Receptors (PRRs), notably Toll-Like Receptors (TLR), the monocytes recognize pathogens and/or pathogen-associated molecular patterns (PAMPs) and organize their clearance. TLR2 is the major receptor for particles of gram-positive bacteria, and initiates their phagocytosis. Here, we investigated the phagocytizing capability of monocytes in a long-term porcine severe trauma model (polytrauma, PT) with regard to their TLR2 expression. Polytrauma consisted of femur fracture, unilateral lung contusion, liver laceration, hemorrhagic shock with subsequent resuscitation and surgical fracture fixation. After induction of PT, peripheral blood was withdrawn before (-1 h) and directly after trauma
The resources, both physical and intellectual within the hospital, and the ability to anticipate the specific problems associated with the patient with multiple injuries.. The International Association for Trauma Surgery and Intensive Care (IATSIC) is a founding component of the Société International de Chirurgie (International Society of Surgery) - ISS/SIC. Under the patronage and supervision of IATSIC, the Definitive Surgical Trauma Care (DSTCTM) course has been developed for surgeons who may be faced with the definitive care of a patient with multiple injuries. Since best possible in-hospital care needs a coordinated multimodal approach by an informed and trained team and in most settings the in-hospital team of acute trauma care will consist of nursing staff, surgeons, anaesthetists and intensivists, the Definitive Anaesthetic Trauma Care (DATC) course has been developed in order to help anaesthetists and intensivists to develop trauma related competencies focusing on Damage Control ...
Pa lippincott williams wilkins figure, philadelphia i herbal viagra. Accessed july, am iii approach to multisystem trauma. Penetrating injuries to the potentially severe condition. N engl j med , chole ra, domb gh differential diagnosis includes many common features in other zones where more vigorous and even bringing death. Palpate for tissue adhesive, specialists can work with both hands.
Introduction. Severe combined injury remains an important issue urgent surger. In Ukraine mortality in the structure of causes of death traumatic...
This resource is for intensivisits involved in the care of trauma patients to help them implement best care practices for trauma victims in the intensive care unit. It coverse management priorities for trauma patients in the ICU, the use of monitors and drains in trauma patients, resuscitation from hemorrhagic shock, massive transfusions and coagulopathy, ventilator management of trauma patients including patients with chest trauma, as well as management ICU strategies and solutions for specific types of trauma, including traumatic brain injury, spinal cord injury, and burn management. ...
Room 4: Nutrition of the polytraumatized patient in the ICU: Why, When, What and How much?, Prof. R. Stocker, Zürich, Prof. Dr. Z. Stanga, Bern, Dr. T. Haltmeier, Bern/ ...
With the Corona Virus, what causes severe disease and death is severe inflammation in the lungs. Patients essentially die of drowning. It turns out that CBD c
ICD-10-CM - S00-T88 Injury, poisoning and certain other consequences of external causes - S30-S39 Injuries to the abdomen, lower back, lumbar spine, pelvis and external genitals - S32.810S
K.H. SIRODZHOV, S.A. ISUPOV, A.T. RAKHIMOV Institute of Postgraduate Education of Medical Personnel of the Republic of Tajikistan, 59 I. Somoni Avenue,
IndyCar driver Dario Franchitti, who suffered multiple injuries in a racing crash in Houston, was released from a Houston hospital Thursday. The four-time series champion left Memorial Hermann Texas
Here we discuss the four phases of whiplash, the multiple injuries that can result from whiplash and the treatments to recover from whiplash.
Craig Chalmers wants prosecutors to make a decision on whether to charge the rides operators after his son Ben suffered multiple injuries in the Tsunami ride crash.
Date: May 16, 2008. Jayson Werth was acquired in December 2006 - a minor move by all means. He was a player with a history of multiple injuries, having untapped potential somewhere in his athletic frame. The Phillies saw that potential - just as the Dodgers did when they took him - and hoped he could contribute in 2007.. He did. As the fourth outfielder, Werth was perfect. He hit eight homers and carried a respectable .298 average. But when Aaron Rowand departed for San Francisco, and Geoff Jenkins struggled early in 2008, the weight on Werths shoulders grew heavier. He had to take on the role of everyday starter - May 16, 2008 showed he could do that in spades.. It was a rain evening in Philadelphia, and the Phils were set to play odd rival Toronto. Werth went to work quickly, with his first at bat, in the second inning. The first home run, off David Purcey, was a strong-mans blast. It fell into right field, clearing the fence off an outside fastball that Werth dug to hit. The three-run shot ...
My little lad is a huge fan of Lego. In fairness who isnt? Although our house is overrun with the stuff and Ive sustained multiple injuries by standing on various sharp little pieces in my bare feet, I love it too. Its an excellent, durable, creative toy and has given him, and consequently us, hours…
Trauma is the best reason for dying between humans below the age of forty and it ranks 3rd for all age teams. nonetheless, rather few clinicians focus on trauma and coaching is usually got via experience. The variety of trauma sufferers is predicted to keep growing as pre-hospital care maintains to develop. in addition, hospitals more and more see trauma treatment, which calls for no pre-approval, as a superb income. Given those developments, the variety of possibilities for experts proficient in trauma, together with anesthesiologists and significant care physicians, will expand in the years forward. This publication addresses the necessity for an up to date, accomplished and clinically centred quantity for practitioners and trainees in trauma anesthesia and significant care. its geared up via organ procedure. The editor is an attending surgeon at a huge city clinic heart famous around the globe for its striking emergency clinical providers together with trauma care and is recruiting best ...
Background Restoration of blood supply to an organ after a critical period of ischemia results in parenchymal injury and dysfunction of the organ referred to as reperfusion injury ...
A singer shares how her work with Rolfer and Rolf Movement Practitioner Bibiana Badenes helped her recover from significant polytrauma caused by a motor vehicle accident. The rehabilitative work, even when different than traditional Rolfing® Structural Integration, was based in the Rolfing Principles of Intervention ...
The 42-year-old victim is critical though the bus saved him from certain death, doctors at Sion Hospital are currently treating him for multiple fractures and head injuries
Though the bone is broken in three places, he is experiencing a lot of pain and part of the bone is sticking out at a strange angle (and apparently feels as though it will pierce his skin) the man sent him home in only a sling. This would not be a concern but for the fact that the man seemed prejudiced against my uncle after his refusal to be part of the clinical trial, and the fact that many websites suggest that surgery is required in the case of multiple fractures. Is there anybody with any knowledge of multiple collarbone fractures that can help please?. Reply Follow This Thread Stop Following This Thread Flag this Discussion ...
A ready-to-feed enteral product designed for use in the nutritional management of metabolically stressed patients with injuries such as multiple fractures, wounds, burns, d...
7. Define the Borderline patient in polytrauma. Discuss the clinical and investigative parameters to decide whether the patient should be managed by Early Total Care (ETC) Vs Damage Control Orthopedics -(DCO). ...
They listen to tales of lifes worst moments, but they cant go home and tell their spouses about what theyve heard. Sometimes no amount of schooling is enough to shield them from taking on some of their patients suffering.
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This is a list of simple intervention techniques you can easily use to interrupt yourself when you are triggered by past trauma, stress or conditioning. The first requirement for any of these techniques to be useful is for you to begin to notice your thoughts, feelings & behaviors & to utilize whatever process feels most appropriate at the time. It is important to remember that if you feel overly activated or upset by your reactions it may be useful for you to have assistance by someone trained in trauma resolution. Please feel free to contact me at the Services link if you feel I can help you in this process. Use these and all processes at your own discretion, for only you can truly determine what is best for your BodyHeartMind. ...
A navegação em trauma da Brainlab® cobre todas as principais indicações de trauma, com precisão na primeira passada e redução da exposição a raios X.
Find the training resources you need for all your activities. Studyres contains millions of educational documents, questions and answers, notes about the course, tutoring questions, cards and course recommendations that will help you learn and learn.
Ledingham, IM; Watt, I (1983). "Influence of sedation in critically ill multiple trauma patients". Lancet. 1 (8336): 1270. doi: ... Using a continuous etomidate infusion for sedation of critically ill trauma patients in intensive care units has been ...
Sergeant Johnson later died from multiple blunt-force trauma. According to the government's investigations, Airman Rico ...
J Trauma. 66 (5): 1468-77, discussion 1477. doi:10.1097/TA.0b013e3181a27e7f. PMID 19430256.CS1 maint: multiple names: authors ... PMID 17522526.CS1 maint: multiple names: authors list (link) "Indianapolis Journal 13 May 1902". Hoosier State Chronicles: ...
... multiple myeloma; or trauma. A normal thoracic spine extends from the 1st thoracic to the 12th thoracic vertebra and should ...
Vallier HA, Wang X, Moore TA, Wilber JH, Como JJ (2013). "Timing of orthopaedic surgery in multiple trauma patients; ... Early appropriate care (EAC) is a system in orthopaedic trauma surgery aiming to identify serious major trauma patients and ... parts of the Trauma triad of death) would also be indications for DCO with external fixation. Early total care (ETC) became ... "External fixation as a bridge to intramedullary nailing for patients with multiple injuries and with femur fractures: damage ...
... "multiple [or] split personalities." Within one year of his 1885 diagnosis, the term "multiple personality" appeared in ... While working on a farm at age 17, Vivet became paralyzed from the waist down due to severe trauma resulting from a viper ... Though Stephenson denied that Jekyll had multiple personality disorder; and it would seem that he was only made aware of the ... Philosopher Ian Hacking has argued that the term "multiple personality disorder" first came into use on July 25, 1885, when ...
"The Southern Arizona Trauma Alert" (PDF). 4. Tucson, Arizona: University Medical Center. March 2, 2006. Archived from the ... His brother-in-law gave his cause of death as "multiple neuritis". His obituary attributed his death to a nervous breakdown. ... Goodfellow is credited as the United States' first civilian trauma surgeon. His pioneering work in the treatment of abdominal ... He experimented with designs for bullet-resistant clothing made of multiple layers of silk. By 1900, gangsters were wearing $ ...
Trauma, Violence, & Abuse. 13 (1): 41-56. doi:10.1177/1524838011426152. PMID 22186168. S2CID 46028000.CS1 maint: multiple names ... is now used for victims of any kind of trauma. It targets trauma-related symptoms in children including post-traumatic stress ... Multiple injuries or fractures at different stages of healing can raise suspicion of abuse. The psychologist Alice Miller, ... Caffey J (1946) Multiple fractures in long bones of infant suffering from chronic subdural haematoma. American Journal of ...
Raikin S, Froimson MI (1997). "Bilateral brachial plexus compressive neuropathy (crutch palsy)". J Orthop Trauma. 11 (2): 136- ... "Rheumatoid Arthritis: 17 Warning Signs of Serious Complications".CS1 maint: multiple names: authors list (link). ...
Trauma, Violence, & Abuse. 10 (3): 225-246. doi:10.1177/1524838009334456. PMID 19433406. S2CID 12467944.CS1 maint: multiple ... Multiple theories exist as to how this functions. Some scientists propose a maladaptive form of learning; the initial abuse ... doi:10.1111/j.2044-8333.2012.02044.x.CS1 maint: multiple names: authors list (link) Jackson M.A., Valentine S.E., Woodward E.N ... In her work, Campbell explains how molecular changes occur in response to trauma, and how this can influence discrepancies in ...
PMID 17142411.CS1 maint: multiple names: authors list (link) Barron E, Rambani R, Bailey H, Sharma HK (2013). "Cost ... Distraction osteogenesis Bone fracture Trauma surgery Traumatology External fixation Eidelman, M; Katzman, A. (October 2008). " ... Retrieved 15 November 2015.CS1 maint: multiple names: authors list (link) Patil S, Montgomery R (2006). "Management of complex ... Textbook of orthopedics and trauma (2nd ed.). Jaypee Brothers Publishers. ISBN 9788184482423. US Active 6129727A, Ed Austin; ...
It is used to define the term major trauma. A major trauma (or polytrauma) is defined as the Injury Severity Score being ... Baker SP, O'Neill B, Haddon W, Long WB (1974). "The Injury Severity Score: a method for describing patients with multiple ... The Journal of Trauma. Lippincott Williams & Wilkins. 28 (1): 69-77. doi:10.1097/00005373-198801000-00010. PMID 3123707. Trauma ... The Injury Severity Score (ISS) is an established medical score to assess trauma severity. It correlates with mortality, ...
Journal of Trauma & Dissociation. 3 (1): 75-88. doi:10.1300/J229v03n01_06. ISSN 1529-9732. Multiple Personality Disorder. (2005 ... There are arguments that a person can have multiple hosts. In some very mild forms of DID, the host can be present for extended ... "Understanding Multiple Personality Disorders". www.nurseslearning.com. Retrieved 2017-05-13. "Dissociative Identity Disorder , ... "Guidelines for Treating Dissociative Identity Disorder in Adults (2005)". Journal of Trauma & Dissociation. 6 (4): 69-149. 2006 ...
Karmakar, MK; Ho, AM (Mar 2003). "Acute pain management of patients with multiple fractured ribs". The Journal of Trauma. 54 (3 ... This pain can arise from chest surgery, physical trauma, aggravation of the shingles virus, or pressure put upon the nerves ... Ho, AM; Karmakar, MK; Critchley, LA (Aug 2011). "Acute pain management of patients with multiple fractured ribs: a focus on ...
Brain tumor Brain abscess Sturge-Weber syndrome Cerebral palsy Cerebrovascular accident Multiple sclerosis Esquenazi A (2004 ... "Evaluation and management of spastic gait in patients with traumatic brain injury". J Head Trauma Rehabil. 19 (2): 109-18. doi: ...
Arch Orthop Trauma Surg. 133 (9): 1257-65. doi:10.1007/s00402-013-1788-4. PMID 23748798.CS1 maint: multiple names: authors list ... doi:10.1378/chest.115.2.563.CS1 maint: multiple names: authors list (link) Ikeda, K.; Ikeda K, Nomori H, Mori T, Kobayashi H, ... PMID 17296654.CS1 maint: multiple names: authors list (link) Kazuhiro, U.; Kazuyoshi S, Yoshikazu K, Tao-Sheng L, Katsuhiko U, ... Video-assisted thoracoscopic surgery is a minimally-invasive technique to resect lung nodules that saves the patient the trauma ...
Suzette Brewer, "War of Words: ICWA Faces Multiple Assaults From Adoption Industry", Indian Country Today, 8 July 2015; ... "A collaborative and trauma-informed practice model for urban Indian child welfare. Child Welfare, 91(3), 89-112".. CS1 maint: ...
S2CID 22379696.CS1 maint: multiple names: authors list (link) Elhai, J. D., Gray, M. J., Naifeh, J. A., Butcher, J. J., Davis, ... and Trauma symptom inventory For example, he developed the Fptsd scale of the Minnesota Multiphasic Personality Inventory-2 as ... S2CID 39895515.CS1 maint: multiple names: authors list (link) Elhai, J. D., Ruggiero, K. J., Frueh, B. C., Beckham, J. C., Gold ... ISBN 1-56530-284-2.CS1 maint: multiple names: authors list (link) Frueh, B. C., Elhai, J. D., Grubaugh, A. L. , Monnier, J., ...
The trauma of birth (1929). Richards, I. A. Mencius on the mind: experiments in multiple definition (1964). Rignano, Eugenio. ...
Peg projection with trauma only. Obliques and Flexion and Extension on special request. In the US, five or six projections are ... A skeletal survey including the skull can be indicated in for example multiple myeloma. The spine (that is, the vertebral ... Facial Bones - The standard protocol in the UK is OM and OM 30°. In case of trauma, the standard UK protocol is to have a CT ... ISBN 9781437727708.CS1 maint: multiple names: authors list (link) Ritenour, Mary Alice Statkiewicz Sherer, Paula J. Visconti, E ...
Attack Survivors Suffer Trauma. [online] Available at: [Accessed 28 March 2020]. Madrid, Isis, Sakuntala Narasimhan, and WeNews ... The campaign #EndAcidSale was awarded multiple awards for marketing. These include: Gold and Innovative Channel Thinking Award ...
Bombay, Matheson, Anisman.[1] Intergenerational Trauma: Convergence of Multiple Processes among First Nations peoples in Canada ... It is a cycle of abuse and its roots lie in factors such as: colonisation, oppression, intergenerational trauma and the ongoing ... An example of inter-generational trauma would be the Corey and Cody Manyshots case involving two Aboriginal youth kidnapping ... intergenerational trauma perspective would understand that both Corey and Cody Manyshots were the subject of collective trauma ...
CS1 maint: multiple names: authors list (link). *↑ Zanarini M.C.; F.R. Frankenburg (1997). "Pathways to the development of ... Some researchers think that it might be caused by trauma in childhood, such as sexual abuse, physical abuse and neglect.[14][15 ... Herman, Judith Lewis; Judith Herman MD (1992). Trauma and recovery. New York: BasicBooks. ISBN 0-465-08730-2. .. ... having unsafe sex or frequent sex with multiple partners, spending a lot of money, and driving dangerously.[5] Impulsive ...
CS1 maint: Multiple names: authors list (link). *↑ Roth FS, Koshy JC, ''et al.'' 2010. "Pearls of Orbital Trauma Management". ... "Fixed and dilated pupils after trauma, stroke, and previous intracranial surgery: management and outcome". Journal of Neurology ...
Operative Techniques in Orthopaedic Trauma Surgery. Lippincott Williams & Wilkins. ISBN 9781451102604.CS1 maint: multiple names ... Most hip fractures in people with normal bone are the result of high-energy trauma such as car accidents, falling from heights ... Retrieved 2017-04-23.CS1 maint: multiple names: authors list (link) Area of subtrochanteric fractures: Mark A Lee. " ... a hip fracture is a fragility fracture due to a fall or minor trauma in someone with weakened osteoporotic bone. ...
In addition, multiple agencies may have been involved in each case (including the FBI, local police, social services agencies ... Though trauma specialists frequently claimed the allegations made by children and adults were the same, in reality the ... I believe that the majority of victims alleging "ritual" abuse are in fact victims of some form of abuse or trauma. Lanning ... In cases where SRA is alleged to occur, Lanning describes common dynamics of the use of fear to control multiple young victims ...
Operative Techniques in Orthopaedic Trauma Surgery. Lippincott Williams & Wilkins. ISBN 9781451102604.CS1 maint: multiple names ... Multiple contributing factors are often identified. These can include environmental factors and medical factors (such as ... ISBN 9781588905567.CS1 maint: multiple names: authors list (link) Metcalfe D, Judge A, Perry DC, Gabbe B, Zogg CK, Costa ML ( ... Retrieved 23 April 2017.CS1 maint: multiple names: authors list (link) Boldin C, Seibert FJ, Fankhauser F, Peicha G, Grechenig ...
Bappaditya died of multiple organ failure on 7 November 2015 in Kolkata, aged 45. The following is the list of films directed ... "evaki promotes tale of her trauma". IBN. Archived from the original on 6 October 2012. Retrieved 2 March 2010. CS1 maint: ...
A Level II trauma center, the community hospital is the largest private employer in Salem and the only hospital in the city. ... "Multiple Opportunities for Creating Sanctuary." Psychiatric Quarterly, 74.2 (June 2003): 173. Harvey, Cynthia and Monica ... In 1999, the hospital was downgraded from a Level II to a Level III trauma center by the State of Oregon. Beginning in 2001, ... Salem Hospital was elevated to a Level II trauma center from Level III in December 2010. The Salem Hospital Heliport (FAA LID: ...
In multiple electrode aggregometry, anticoagulated whole blood is mixed with saline and a platelet agonist in a single-use ... Small interruptions in the endothelium are handled by physiological mechanisms; large interruptions by the trauma surgeon. The ... The advantage to this method is that a single donation provides at least one therapeutic dose, as opposed to the multiple ... Regardless of the initial method of preparation, multiple donations may be combined into one container using a sterile ...
Trauma - picked up for an additional 3 episodes, bringing the total to 16, on November 19, 2009. An additional 4 episodes were ... "CBS Renews Two and a Half Men, Big Bang for Multiple Seasons - Today's News: Our Take". TVGuide.com. March 18, 2009. Retrieved ...
Robbins Schug, Gwen (2012). "A peaceful realm? Trauma and social differentiation at Harappa". International Journal of ... Pages using multiple image with auto scaled images. *Commons category link is on Wikidata ... with the highest prevalence of both disease and trauma present in the skeletons from Area G (an ossuary located south-east of ... the city walls).[15] Furthermore, rates of cranio-facial trauma and infection increased through time demonstrating that the ...
... cuts and bruises from multiple weapons, rashes and pustules, thorn scratches, and the bites of venomous animals. The figure ... Historical Trauma, and the Early Modern Stage ...
Pages using multiple image with auto scaled images. *Articles containing video clips ... 2002 Trauma-sensitive yoga. *2008 Yoga nidra. *International Association of Yoga Therapists • Richard Miller ...
Loose, poorly fitting dentures may also cause minor trauma to the mucosa, which is thought to increase the permeability of the ... This is an uncommon form of chronic (more than one month in duration) candidal infection involving multiple areas in the mouth ... ISBN 978-1-4377-0416-7. CS1 maint: Multiple names: authors list (link) CS1 maint: Extra text: authors list (link) Anil Ghom; ... Candida-associated lesions are primary oral candidiases (confined to the mouth), where the causes are thought to be multiple. ...
Certain diseases or an accidental trauma can also cause a spontaneous abortion. Putting the woman under trauma or stress to ... reducing the number of fetuses to lower the health risks associated with a multiple pregnancy (like twins) ...
These include trauma centers, burn treatment centers, advanced neonatology unit services, organ transplants, high-risk ... CS1 maint: Multiple names: authors list (link) *^ What Are Symptoms? What Are Signs?. Medical News Today. ... Emergency medicine is concerned with the diagnosis and treatment of acute or life-threatening conditions, including trauma, ... trauma surgery, urology, vascular surgery, and pediatric surgery. In some centers, anesthesiology is part of the division of ...
They are often initiated by minor trauma, and subjects with poor nutrition are at higher risk. Once developed, the ulcer may ... ISBN 0-7216-2921-0. CS1 maint: Multiple names: authors list (link) Stedman's Electronic Medical Dictionary Medcyclopedia- ... Adequate footwear is important to prevent trauma. General good health and nutrition also reduce ulcer risk. Adequate and prompt ... More widespread use of shoes and socks also provides protection from initiating trauma[citation needed]. Despite this, ...
... as well as multiple government agencies, indicate safety standards to ensure that radiation dosage is as low as possible.[8] ... "risks of medical imaging at patient doses below 50 mSv for single procedures or 100 mSv for multiple procedures over short time ...
Upon impact, his hood pins severed, causing it to open and slam up against the windshield multiple times. As Michael Waltrip ... The official cause of Earnhardt's death was given by the Volusia County medical examiner's office as blunt force trauma to his ... However, in severe cases, the driver may be sent directly to the emergency trauma room at the hospital near the circuit. ...
This article has multiple issues. Please help improve it or discuss these issues on the talk page. (Learn how and when to ... defecating blood or black tarry stools that can not be easily attributed to facial trauma or oral surgery, eating beets or ... was considered an essential part of the physical examination for all trauma patients. However, the sensitivity of the DRE for ... "Poor test characteristics for the digital rectal examination in trauma patients". Annals of Emergency Medicine. 50 (1): 25-33 ...
Multiple metastatic tumors are generally treated with radiotherapy and chemotherapy rather than surgery and the prognosis in ... Necrosis: the (premature) death of cells, caused by external factors such as infection, toxin or trauma. Necrotic cells send ... In standard external beam radiation therapy, multiple treatments of standard-dose "fractions" of radiation are applied to the ... multiple endocrine neoplasia, and neurofibromatosis type 2 carry a high risk for the development of brain tumors.[21][22] ...
... including accidental trauma to multiple areas of the body.[4] ... was defined multiple times with different content (see the help ...
... multiple myeloma) and metabolic diseases (diabetes, cystinosis). ...
Hayden was taken to Rimini hospital with severe injuries, and was subsequently moved to the major trauma unit at the Maurizio ... The pair would swap positions multiple times before Hayden finally found a firm advantage over Melandri, but the combined ... and multiple fractured vertebrae. As a result of the injuries, Hayden was placed on life support in an intensive care unit.[186 ... passing and re-passing each other on multiple occasions.[13] At the Valencian Community race, Hayden would finish just outside ...
Teeth that have multiple traumatic events also showed to have higher chance of pulp necrosis (61.9%) compared to teeth that ... Dental trauma refers to trauma (injury) to the teeth and/or periodontium (gums, periodontal ligament, alveolar bone), and ... Trauma is the most common cause of loss of permanent incisors in childhood. Dental trauma often lead to the main complication ... "Primary teeth - Dental Trauma Guide". Retrieved 2019-01-20.. *^ a b c Flores MT, Andersson L, Andreasen JO, Bakland LK, ...
CS1 maint: Multiple names: authors list (link) *^ a b c d e f Wierckx, K.; Van Caenegem, E.; Elaut, E.; Dedecker, D.; Van de ... Main article: Sex assignment § Assignment in cases of infants with intersex traits, or cases of trauma ... CS1 maint: Multiple names: authors list (link) *^ a b Hage, J. J., Bouman, F. G., De Graaf, F. H., & Bloem, J. J. (1993). " ... CS1 maint: Multiple names: authors list (link) *^ Lawrence, A. A. (2005). "Sexuality before and after male-to-female sex ...
... has multiple benefits which contribute to the maintenance of health and the drive toward rehabilitation for ... Individuals exposed to trauma benefit from their essential rehabilitative tools in order to follow the course of recovery from ... Classical music can have multiple layers, including a melodic line, harmony structure and base line. All of these aspects work ... Amir, Dorit (2004). "Giving Trauma a Voice: The Role of Improvisational Music Therapy in Exposing, Dealing with and Healing a ...
CS1 maint: Multiple names: authors list (link) *^ a b c Daskalakis NP, Bagot RC, Parker KJ, Vinkers CH, de Kloet ER (Sep 2013 ... Stressors that are uncontrollable, threaten physical integrity, or involve trauma tend to have a high, flat diurnal profile of ... such as rheumatoid arthritis and multiple sclerosis.[7][8][11] ... CS1 maint: Multiple names: authors list. *All articles with ...
Henderson, C. Y.; Nikita, E. (2015-06-30). "Accounting for multiple effects and the problem of small sample sizes in osteology ... Schug, Robbins; Gwen; Gray, Kelsey; Mushrif-Tripathy, Veena; Ram Sankhyan, Anek (2012). "A Peaceful Realm? Trauma and social ... De la Cova, Carlina (2010). "Cultural Patterns of Trauma among 19th-Century-Born Males in Cadaver Collections". American ...
Practices such as triple gloving and multiple respirators do not provide a higher level of protection and present a burden to ... Workplace violence can also cause psychological trauma.[25] ... schedules can reduce stress and burnout among multiple sectors ...
Journal of Emergencies, Trauma, and Shock. 3(4), 348-352.. *^ a b Instructional Simulation. (n.d.) In Wikipedia. Retrieved July ... CS1 maint: Multiple names: authors list (link). *^ "How Common Are Medical Mistakes". wrongdiagnosis.com. 2008. Retrieved ... "Gaumard Trauma HAL product page". Retrieved 29 September 2016.. *^ a b Kincaid, Bala, et al. (2001), IST-TR-01-06. ... Trauma HAL simulator (High tech)[55]. AdvantagesEdit. Studies have shown that students perform better and have higher retention ...
Goddess beliefs take many forms: some people in the Goddess movement recognize multiple goddesses, some also include gods, ... theology and Islam is also used to strengthen the spiritual connection to the women of Islam when they undergo severe trauma, ...
The roots of teeth may be single in number (single-rooted teeth) or multiple. Canines and most premolars, except for maxillary ... Lastly, they protect the gingiva from undue frictional trauma but also providing the proper degree of stimulation to the ...
2002). "The effect of severe traumatic brain injury on the family". Journal of Trauma. 52 (6): 1121-4. doi:10.1097/00005373- ... caused by complete oxygen deprivation due to an interference in cerebral blood flow which affects multiple areas of the brain. ... Problems after delivery can include severe prematurity, severe lung or heart disease, serious infections, trauma to the brain ...
Trauma/coma[change , change source]. In August 2007, US scientists used DBS on a 38-year-old man who was in a coma for six ... CS1 maint: multiple names: authors list (link). *↑ Kleiner-Fisman G, Herzog J, Fisman DN, et al. "Subthalamic nucleus deep ...
CS1 maint: Multiple names: authors list (link). *Gennard, Dorothy E., 2007 Forensic entomology : an introduction ISBN 978-0-470 ... a Study in Trauma and Environmental Hazards. II. New York: W. B. Saunders. pp. 1072-1095.. ...
See also: Anabolic-androgenic steroids abuse § Childhood trauma. Yohimbine has been studied as a way to improve the effects of ... One possible explanation for this finding is the existence of powerful and multiple inhibitory controls on sexual behavior in ... "Pharmacology of cognitive enhancers for exposure-based therapy of fear, anxiety and trauma-related disorders". Review. ...
... registered trauma charity providing trauma education for medical professionals worldwide). *Trauma.org (trauma resources for ... Baker SP, O'Neill B, Haddon W, Long WB (1974). "The Injury Severity Score: a method for describing patients with multiple ... and hospitalization time after trauma. It is used to define the term major trauma (polytrauma), recognized when the ISS is ... Wound, an injury in which skin is torn, cut or punctured (an open wound), or where blunt force trauma causes a contusion (a ...
They include trauma (damage caused by stressful events) and genetics (schizophrenia running in families). Having a ... "Multiple-informant ranking of the disabling effects of different health conditions in 14 countries". The Lancet 354 (9173): 111 ... It is very easy to show that trauma, such as sexual abuse (forced unwanted sexual behaviour towards somebody) increases the ... The idea that the disease is caused by multiple factors (not just one mental cause) inspired the new name. The change increased ...
Torri Wright-Krol presents Healing Trauma Workshop - Sunday, February 4, 2018 , Sunday, February 11, 2018 at Canyonwood Suites ... Healing Trauma Workshop at Canyonwood Suites 8835 Southwest Canyon Lane Suite #404A, Portland, OR 97225 ... During these travels, we most likely have experienced trauma that has been imprinted on our brain and DNA, reminding us of the ... Then we will go into deeper meditation around releasing and continued unraveling of the trauma. This second day will involve ...
... after severe trauma. Male pigs (sus scrofa) sustained severe trauma (including unilateral chest trauma, femur fracture, liver ... Chest trauma resulted in severe lung damage on both CT and histological analyses. Furthermore, severe inflammation with a ... The pO2/FiO2 ratio in trauma animals decreased over the observation period (p , 0.0001) but not in the sham group (p = 0.2967 ... This reproducible model allows to examine local and systemic consequences of trauma and is valid for investigation of potential ...
An autopsy conducted Monday concluded a good Samaritan died of multiple traumatic injuries when he was hit by a car while ...
Figure 1: Schematic representation of oxidative stress in the critically ill patient with multiple traumas. Primary trauma ... and eventually multiple organ dysfunction syndrome (MODS) [5, 6]. A high percentage of patients with multiple traumas are ... a retrospective analysis from the German Trauma Registry (Trauma Register DGU)," Scandinavian Journal of Trauma, Resuscitation ... Redox Changes Induced by General Anesthesia in Critically Ill Patients with Multiple Traumas. Marius Papurica,1,2 Alexandru ...
Office says the preliminary autopsy reports show that the woman found dead on Interstate 10 in Metairie died from multiple ... Preliminary autopsy results show woman found dead on I-10 died from multiple blunt force trauma. Share ... preliminary autopsy reports show that the woman found dead on Interstate 10 in Metairie died from multiple blunt force trauma. ...
One year after diagnosis he had a whiplash cervical trauma due to a tricycle accident caused by a hole in the road. This low- ... One year after diagnosis he had a whiplash cervical trauma due to a tricycle accident caused by a hole in the road. This low- ... energy trauma caused an unstable C4-C5 cervical fracture with spinal cord injury which required surgical decompression and ... energy trauma caused an unstable C4-C5 cervical fracture with spinal cord injury which required surgical decompression and ...
PLOS Medicine publishes research and commentary of general interest with clear implications for patient care, public policy or clinical research agendas. Get Started ...
Tratamiento de las fracturas costales por trauma de torax ... Which is Better to Multiple Rib Fractures, Surgical Treatment ... Multiple fractured ribs is a common clinical. manifestations of chest trauma, there are statistics show that the chest trauma ... after major trauma with multiple rib fractures.. Injury 2014; 1383: 1-5.. Dongel I, Coskun A, Ozbay S, Bayram M and Atli. B. ... Trauma Acute Care Surg 2014, 76: 462-468.. Karmakar MK, Ho AM. Acute pain management of patients with multiple fractured ribs. ...
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When a child with multiple traumatic injuries presents to the ED, a systematic approach to evaluation and management ensures ... A literature search was performed in PubMed using the search terms: multiple trauma, pediatrics, emergency room, trauma, ... Epidemiology and management of injuries to the spinal cord and column in pediatric multiple-trauma patients. Eur J Trauma Emerg ... Pediatric trauma mortality by type of designated hospital in a mature inclusive trauma system. J Emerg Trauma Shock. 2011;4(1): ...
Taking trauma-related dissociation as a point of departure, this paper examines the various constructs used to denote normal or ... Other concepts proposing psychological divisions as part of normal personality have also been applied to trauma-related ... clinical interest in the phenomenon of trauma-related dissociation has waxed and waned. From the time of Pierre Janet, various ... An Historical Perspective and Contemporary Proposal on Trauma-Related Dissociation ( In the last two centuries, ...
Included were 297 adult trauma patients with multiple trauma who underwent a whole-body CT-scan on admission and were treated ... Our study suggests that obesity influences pre-hospital and ED treatment and early immune response in multiple trauma. ... Impact of pathologic body composition assessed by CT-based anthropometric measurements in adult patients with multiple trauma: ... Boulanger BR, Milzman D, Mitchell K, Rodriguez A. Body habitus as a predictor of injury pattern after blunt trauma. J Trauma. ...
Occasionally trauma evaluation can be made difficult by superimposed pathology such as HME, which in this case is extensive. No ... Hereditary multiple exostoses (HME) and pelvic trauma. Case contributed by Dr Matt Skalski ... Occasionally trauma evaluation can be made difficult by superimposed pathology such as HME, which in this case is extensive. No ... Additional osseous excressences are observed at multiple sites on the ribs and at the right transverse process of L3. ...
Week 11: Multiple trauma Flashcards Preview NUR4630 , Week 11: Multiple trauma , Flashcards ... Standard trauma labs: CBC, K, Cr, PTT, Utox, EtOH, ABG. * Standard trauma radiographs: CXR, pelvis, lateral C-spine ( ... Trauma captain: person running the show, either physician or APNP who specializes in trauma ... ABCDEs of trauma care. A Airway and c-spine protection. B Breathing and ventilation. C Circulation with hemorrhage control. D ...
Introduction Rib fracture fixation is becoming more popular and widely accepted among trauma surgeons worldwide as the ... Clinical outcomes of critically ill multiple trauma patients with rib fractures. A prospective study with retrospective control ... Clinical outcomes of critically ill multiple trauma patients with rib fractures. A prospective study with retrospective control ... 2021). Clinical outcomes of critically ill multiple trauma patients with rib fractures. A prospective study with retrospective ...
An acute interhemispheric subdural hematoma Incidental lytic lesions consistent with multiple myeloma While traumatic subdural ... Interhemispheric subdural hematoma and incidental multiple myeloma in a trauma patient. Case contributed by Dr Dayu Gai ◉ ◈ ... From the case: Interhemispheric subdural hematoma and incidental multiple myeloma in a trauma patient ... Multiple myeloma is common neoplastic disorder of plasma B cells. It is most commonly associated with punched out lytic lesions ...
2010) Current theories on the pathophysiology of multiple organ failure after trauma. Injury 41:21-6.CrossRefGoogle Scholar ... Patients with blunt or penetrating multiple injuries who were admitted to our Level I Trauma Center with an Injury Severity ... Three septic patients died 30.7 ± 12.3 d (range 16-55 d) after trauma as a consequence of multiple organ failure. Further ... Molecular Mechanisms Underlying Delayed Apoptosis in Neutrophils from Multiple Trauma Patients with and without Sepsis. ...
We experienced a case of severe multiple trauma with impending cardiac arrest, in which REBOA was used to avoid cardiac arrest ... Keywords: Resuscitative endovascular balloon occlusion of the aorta, Coagulopathy, Multiple trauma, Massive hemothorax, Pelvic ... Delayed hemothorax after blunt thoracic trauma: an uncommon entity with significant morbidity. J Trauma. 1998;45:673-6. doi: ... induced by trauma shock and trauma itself. Therefore, we considered that bleeding accompanied by extremely minor thoracic ...
... multiple scelosis, ulnar nerve entrapment, angina pectoris as a medical condition including introduction, prevalence, prognosis ... Overview of Trauma, brachial plexus injury neuropathy, pronator teres syndrome, mononeuritis multiplex, syringomyelia, ... Diseases » Trauma, brachial plexus injury neuropathy, pronator teres syndrome, mononeuritis multiplex, syringomyelia, multiple ... What is Trauma, brachial plexus injury neuropathy, pronator teres syndrome, mononeuritis multiplex, syringomyelia, multiple ...
... an article PREDICTIVE VALUE OF GLASGOW COMA SCORE AND FULL OUTLINE OF UNRESPONSIVENESS SCORE ON THE OUTCOME OF MULTIPLE TRAUMA ... This study aimed to assess the predictive value of GCS and FOUR score on the outcome of multiple trauma patients admitted to ... CONCLUSION: Findings of this study indicate that the predictive value of FOUR score and GCS on the outcome of multiple trauma ... PREDICTIVE VALUE OF GLASGOW COMA SCORE AND FULL OUTLINE OF UNRESPONSIVENESS SCORE ON THE OUTCOME OF MULTIPLE TRAUMA PATIENTS. ...
CURRENT CASE Splenules in Patient with Multiple Prior Fractures and Abdominal Trauma Diagnosis Hidden ...
Multiple trauma/internal injury. Known as: Multitrauma/inwendige letsels, USEITA ULKOISIA/SISAISIA VAMMOJA, MULT SKADE/INDRE ... Multiple organ failure (MOF) is a major cause of morbidity and mortali ty in the critically ill patient. Emerging in the 1970s ...
HealthSouth Rehabilitation Hospital of Austin treats patients recovering from multiple traumas through inpatient rehab therapy ... Multiple Trauma. Rehabilitation for multiple trauma recovery includes a team approach focusing on maximum healing with patient ... Advanced Critical Care Rehabilitation for Multiple Trauma Multiple trauma is a number of injuries sustained during the same ... Here are some tips to help prevent injuries that could lead to multiple traumatic conditions.. To prevent injury in a motor ...
In trauma patients who are sedated and ventilated for different reasons a routine follow-up CT is beneficial. ... We investigated whether routine follow-up CT is beneficial in sedated and mechanically ventilated trauma patients. Methods. The ... Routine Follow-Up Cranial Computed Tomography for Deeply Sedated, Intubated, and Ventilated Multiple Trauma Patients with ... In trauma patients who are sedated and ventilated for different reasons a routine follow-up CT is beneficial.…. ...
Multiple Sclerosis (MS) is a debilitating disease of the central nervous system that disrupts communication between the brain ... Multiple Sclerosis, Neck Trauma, and the Glymphatic System Dr. Adam Tanase · Wednesday · Topics · No Comments ... In a whiplash trauma, the neck is forced into hyper-extension and then hyper-flexion. Even at speeds as slow as 8mph, this ... Could past trauma like a whiplash affect the structural alignment and integrity of the upper cervical spine and contribute to ...
Adrenal gland trauma is a rare condition that typically stems from blunt force trauma, and is associated with multiple organ ... Blunt trauma at age 64 initiated recurrent, severe pain under the nevus; multiple large epidermal cysts then developed within ... BACKGROUND: Over the past, the severe thoracic trauma has had decisive influence on the outcome of multiple injured patients. ... What impact on the patients outcome does the thoracic trauma have today? METHODS: Prospective data collection of multiple ...
Transfusion strategy in multiple trauma patients.. Research paper by Oliver M OM Theusinger, Philipp P Stein, Donat R DR Spahn ... in the context of multiple trauma patients.Restrictive transfusion triggers are beneficial for patient outcome in trauma.The ... Transfusion practices in trauma.. Research paper. by V Trichur VT Ramakrishnan, Srihari S Cattamanchi ... Emerging treatment strategies for trauma-induced coagulopathy.. Research paper. by B B Sorensen, D D Fries ...
... the current knowledge on nonblood component fluid resuscitation and choice of fluids in patients with multiple trauma. RECENT ... studies exist to either support or refute the use of nonblood component fluid resuscitation of hemorrhagic shock in trauma ... PURPOSE OF REVIEW Fluid resuscitation in trauma patients with hemorrhagic shock is controversially discussed in the literature ... Fluid resuscitation in multiple trauma patients.. @article{Ertmer2011FluidRI, title={Fluid resuscitation in multiple trauma ...
... has been widely used in treating patients with severe torso trauma. However, complications developing around the site proximal ... endovascular balloon occlusion of the aorta may increase the bleeding of minor thoracic injury in severe multiple trauma ...
... sensitivity and accuracy compared to chest radiography for the detection of pneumothorax in patients with multiple trauma. ... Rapid detection of pneumothorax by ultrasonography in patients with multiple trauma Crit Care. 2006;10(4):R112. doi: 10.1186/ ... Methods: Over a 14 month period, patients with multiple trauma treated in the emergency department were enrolled in this ... Introduction: Early detection of pneumothorax in multiple trauma patients is critically important. It can be argued that the ...
  • Multiple Sclerosis (MS) is a debilitating disease of the central nervous system that disrupts communication between the brain and body and is often accompanied by secondary conditions like pain, muscle weakness, vertigo, headache, and visual disturbances. (drtanase.com)
  • By understanding the mechanisms of whiplash, we can begin to build a theoretical framework around how these injuries may contribute to the pathogenesis or exacerbation of multiple sclerosis. (drtanase.com)
  • This mechanical injury causes a chemical and inflammatory reaction in the spinal cord that may be the tip of the iceberg for those already susceptible to multiple sclerosis. (drtanase.com)
  • What Causes Multiple Sclerosis? (imaginis.com)
  • The protective myelin covering of the nerve fibers in the central nervous system is damaged in people with multiple sclerosis. (imaginis.com)
  • The precise causes of multiple sclerosis (MS) are not yet known, however, scientific research indicates that that a number of factors in combination are probably involved. (imaginis.com)
  • In the U.S., multiple sclerosis occurs more frequently in states that are above the 37th parallel than in states below it. (imaginis.com)
  • Multiple sclerosis is not directly hereditary. (imaginis.com)
  • Sophisticated new techniques for identifying and mapping genes may help answer questions about the role of genetics in the development of multiple sclerosis. (imaginis.com)
  • The role of trauma in causing multiple sclerosis or in triggering subsequent MS exacerbation (also referred to as attacks, relapses or flares) has been a controversial subject for many years. (imaginis.com)
  • A 66-year-old, Patricia Frost has been severely handicapped by the multiple sclerosis which has continued to plague her for well over a decade. (medindia.net)
  • Multiple sclerosis is treated with drugs that modify the course of the disease, suppress immunity and relieve symptoms. (medindia.net)
  • When Dr. Back and his group looked at human brain tissue affected by white matter injury and multiple sclerosis, they found activated FoxO3 in OPCs that were blocked from producing myelin. (medindia.net)
  • What Is Multiple Sclerosis (MS)? (everydayhealth.com)
  • Multiple sclerosis, or MS, is a disease of the central nervous system that can cause symptoms throughout the body. (everydayhealth.com)
  • The term "multiple sclerosis" refers to the multiple areas of scar tissue - often called "lesions" - that develop along affected nerve fibers and that are visible in MRI scans. (everydayhealth.com)
  • The lesions caused by MS, and the resulting disruption of nerve impulses throughout the body, are what cause most of the symptoms associated with multiple sclerosis. (everydayhealth.com)
  • How Do I Know Which Multiple Sclerosis Treatment is Right for Me? (everydayhealth.com)
  • About 15 percent of people with MS are diagnosed with PPMS, according to the National Multiple Sclerosis Society (NMSS). (everydayhealth.com)
  • The trauma caused to children in childhood could affect the trajectory of multiple sclerosis development and response to treatment in adulthood, a new study in mice found. (lokmat.com)
  • Multiple sclerosis is a progressive autoimmune disease in which the body attacks and strips away the protective coating around neurons, resulting in a wide range of neurological symptoms. (lokmat.com)
  • Multiple sclerosis ( MS ) is a demyelinating disease in which the insulating covers of nerve cells in the brain and spinal cord are damaged. (wikipedia.org)
  • There is no known cure for multiple sclerosis. (wikipedia.org)
  • Multiple sclerosis is the most common immune-mediated disorder affecting the central nervous system . (wikipedia.org)
  • [17] The name multiple sclerosis refers to the numerous scars (sclerae-better known as plaques or lesions) that develop on the white matter of the brain and spinal cord. (wikipedia.org)
  • The Brain Series continues with a panel discussion about multiple sclerosis. (charlierose.com)
  • Epilepsy is more common than Parkinson's disease , multiple sclerosis , cerebral palsy , and muscular dystrophy all combined. (encyclopedia.com)
  • Male pigs ( sus scrofa ) sustained severe trauma (including unilateral chest trauma, femur fracture, liver laceration and hemorrhagic shock). (nature.com)
  • The majority of severe chest traumas are associated with significant concomitant injuries such as long bone fractures, abdominal injuries and hemorrhagic shock 1 , 2 . (nature.com)
  • PURPOSE OF REVIEW Fluid resuscitation in trauma patients with hemorrhagic shock is controversially discussed in the literature. (semanticscholar.org)
  • guardar Guardar Which is Better to Multiple Rib Fractures, Surgica. (scribd.com)
  • Clinical outcomes of critically ill multiple trauma patients with rib fractures. (termedia.pl)
  • Inclusion criteria included all patients over 18 years of age with flail chest injury or multiple ribs fractures, who were admitted to the General Intensive Care Unit (GICU). (termedia.pl)
  • Between October 2015 and December 2018, we identified 24 patients who had their rib fractures operatively fixed and compared them to 61 patients with flail chest and multiple rib fractures, who were admitted to our GICU between the years 2010 and 2015 and were treated non-opera-tively. (termedia.pl)
  • A typical example is the auto accident victim - with fractures, internal injuries and head trauma. (healthsouthfayetteville.com)
  • Multiple rib fractures and unstable thoracic cage injuries are common in blunt trauma. (biomedcentral.com)
  • Fifty-four trauma patients with median Injury Severity Score 20 (9-66) and median New Injury Severity Score 34 (16-66) who presented with multiple rib fractures and flail chest, and underwent surgical stabilization with plate fixation were recruited. (biomedcentral.com)
  • Patients with multiple rib fractures and flail chest show a gradual improvement in symptoms associated with pain, quality of life, mobility, disability and lung function over 1 year post surgery. (biomedcentral.com)
  • Multiple rib fractures occur in 10 % of poly-traumatized patients due to blunt, high-energy trauma [ 1 ] and can lead to unstable thoracic cage injuries or flail chest [ 2 ] with respiratory insufficiency. (biomedcentral.com)
  • The aim of this prospective study was to examine the long-term patient outcomes associated with pain, physical function, QoL and lung function after surgical stabilization of multiple rib fractures or flail chest. (biomedcentral.com)
  • CONCLUSIONS: We suggest that surgical treatment of flail chest and multiple rib fractures has clinical benefit and improves respiratory parameters even in the presence of multiple trauma injuries. (infectoforum.net)
  • Intense inflammatory response and infections, as well as multiple organ dysfunctions, significantly increase the rate of morbidity and mortality in these patients. (hindawi.com)
  • This issue provides a systematic approach to the management of pediatric patients with multiple traumatic injuries, with specific attention to commonly missed injuries and injuries that may cause significant morbidity or mortality. (ebmedicine.net)
  • Early recognition of serious injuries, initiation of appropriate diagnostic studies, and rapid stabilization of injuries are key to decreasing morbidity and mortality in the multiply injured pediatric trauma patient. (ebmedicine.net)
  • In nonmassive bleeding, allogeneic transfusion of blood products increases the appearance of serious adverse events and mortality and should be avoided unless clearly indicated.Transfusion in trauma has to be an individual decision for a specific patient, not for a specific laboratory value. (sparrho.com)
  • In patients with severe chest trauma there was a higher incidence of posttraumatic ARDS (33% versus 7.7%) and mortality (21% versus 4%) when early intramedullary femoral nailing was done. (ovid.com)
  • The primary endpoint was the effectiveness of trauma management with REBOA with respect to in-hospital mortality. (biomedcentral.com)
  • Mortality data alone does not reveal the profound impact of trauma. (mhmedical.com)
  • BACKGROUND: Postinjury multiple organ failure (MOF) remains a significant cause of morbidity and mortality. (ox.ac.uk)
  • The purpose of this study was to compare three commonly used scores: the Denver Postinjury Multiple Organ Failure Score, the Sequential Organ Failure Assessment (SOFA), and the Marshall Multiple Organ Dysfunction Score, by descriptive analysis of the populations described by each score, and their predictive ability for mortality. (ox.ac.uk)
  • We would recommend use of the Denver score since it is simplest to calculate, identifies a high-risk group of patients, and has the strongest association with early trauma mortality. (ox.ac.uk)
  • Although beta-blockade has been shown to decrease morbidity and mortality in patients at risk for myocardial infarction after elective surgery, their use in trauma patients with potential underlying cardiac disease has not been previously studied. (clinicaltrials.gov)
  • We hypothesize that routine administration of beta-blockers after resuscitation will reduce morbidity and mortality in elderly trauma patients with, or at risk for, underlying cardiac disease. (clinicaltrials.gov)
  • This study will provide the first randomized, prospective trial designed to reduce morbidity and mortality in elderly trauma patients at risk for cardiac disease. (clinicaltrials.gov)
  • Morbidity and mortality rates are variable across United States trauma centers. (wikipedia.org)
  • Cohorts of similar verified trauma centers had differences in risk-adjusted mortality rates with a large amount of variance between low-outlier and high-outlier trauma centers. (wikipedia.org)
  • The aggregate group had a relative risk-mortality of 3.3, while the single-system trauma cohort had a mortality 5.9 times higher for high-outlier facilities. (wikipedia.org)
  • In conclusion, a clinically relevant, long-term model of blunt chest trauma with concomitant injuries has been developed. (nature.com)
  • Although the clinical relevance of thoracic injuries in multiple trauma patients is apparent, particularly the long-term progression of ventilation changes, as well as the physiological, morphologic and inflammatory changes after blunt chest trauma are not yet fully understood. (nature.com)
  • The most common injuries are represented by traumatic brain injury, spinal cord injury, traumatic injuries of the lung parenchyma, abdominal traumas, traumatic injuries of the pelvis and of extremities, and a number of phenomena that usually accompany the multiple traumas, such as hemorrhagic shock or hypothermia [ 2 - 4 ]. (hindawi.com)
  • Moreover, a series of secondary injuries are installed after the primary injuries such as systemic inflammatory response syndrome (SIRS), sepsis, and eventually multiple organ dysfunction syndrome (MODS) [ 5 , 6 ]. (hindawi.com)
  • Primary trauma induces a series of secondary injuries due to the biological and biochemical imbalances. (hindawi.com)
  • When children with multiple serious injuries present to the ED, how do you ensure that you identify and address all of their injuries? (ebmedicine.net)
  • Management of the child with multiple traumatic injuries can be challenging, and important injuries may not be readily recognized. (ebmedicine.net)
  • Multiple trauma is a number of injuries sustained during the same accident, fall, assault, etc. (healthsouthaustin.com)
  • Each year, 90,000 people sustain multiple injuries serious enough to produce long-term disability. (healthsouthaustin.com)
  • Our experienced teams of professionals offer extensive, comprehensive rehabilitation programs for patients recovering from traumatic conditions such as closed head, spinal cord and multi-trauma/multi-system injuries. (healthsouthaustin.com)
  • Here are some tips to help prevent injuries that could lead to multiple traumatic conditions. (healthsouthaustin.com)
  • After a traumatic event, seeking support and knowledge about an individual's condition(s) can help patients and their loved ones cope with and increase their awareness of what lies ahead for recovery from multiple traumatic injuries. (healthsouthaustin.com)
  • We reviewed the University of Wisconsin Hospital and Clinics' trauma database for tree stand-related injuries from 1999 to 2013. (readbyqxmd.com)
  • Our major trauma compensation lawyers secure funded rehabilitation, practical specialist support, and financial compensation for clients with multiple or severe injuries which could lead to permanent disability or death. (boyesturnerclaims.com)
  • Multiple trauma describes a variety of injuries suffered during one incident. (healthsouthfayetteville.com)
  • The tactics, approaches and results of multistage complex specialized treatment of patient K., 56 years old who has got severe concomitant injuries to various areas of the body and extremities (including multiple maxillofacial trauma ) after falling from a height are presented. (bvsalud.org)
  • The injury severity score: a method for describing patients with multiple injuries and evaluating emergency care. (ac.ir)
  • The German Pelvic Registry of the German Trauma Society is a multicenter prospective registry which collects data of patients with pelvic injuries since 2003. (clinicaltrials.gov)
  • The influence of a concomitant abdominal trauma on the quality of care regarding operative parameters like reduction quality or the clinical course in pelvic injuries has not been investigated yet. (clinicaltrials.gov)
  • I think we can see that most easily in boxers, where repeated head injuries or head trauma from boxing can lead to a form of dementia. (theconversation.com)
  • The second cohort was composed of trauma patients with penetrating truncal injuries with an AIS score ≥ 3 in at least one region including the neck, thorax, and abdomen. (wikipedia.org)
  • A comparison of the trauma score, the revised trauma score, and the pediatric trauma score. (ac.ir)
  • The Jefferson Parish Coroner's Office said the preliminary autopsy reports show that the woman found dead on Interstate 10 in Metairie died from multiple blunt force trauma. (wdsu.com)
  • As the porcine physiologic response to severe trauma simulates the human post-traumatic situation more closely than any other non-primates, the experiments were performed in pigs. (nature.com)
  • Cop Doc's Guide to Public Safety Complex Trauma Syndrome" is written in response to the need for an advanced, specialized guide for clinicians to operationally define, understand, and responsibly treat complex post-traumatic stress and grief syndromes in the context of the unique varieties of police personality styles. (routledge.com)
  • The U.S. military , for which brain trauma has become an urgent priority, has sponsored many studies to identify the genes or life circumstances that might make a person more vulnerable to long-term effects of traumatic brain injury. (chicagotribune.com)
  • To demonstrate the approaches' implementation of specialized multidisciplinary and high-tech medical care in multistage complex treatment of patient with multiple trauma including combined severe trauma of the maxillofacial region such as minimally invasive surgical tactics with early and delayed osteosynthesis (e.g. selection of optimal surgical tactics within the periodization of traumatic disease concept). (bvsalud.org)
  • Rational surgical tactics and the timely initiation (immediately after admission of the victim to 1st level trauma center ) of pathogenesis intensive therapy with modern drugs and antibiotics contributed to the exclusion of infectious complications in the third period (the period of maximum likelihood of complications ) of traumatic illness. (bvsalud.org)
  • A high percentage of patients with multiple traumas are requiring emergency surgery at the admission time or several times during the length of stay in the intensive care unit (ICU). (hindawi.com)
  • Abstract: To compare the surgery and conservative treatment of multiple fractured ribs, we designed a randomized controlled trial in the single center of thoracic surgery ward. (scribd.com)
  • After admission condition assessment (general clinical evaluation, operation condition assessment, the digital method of pain assessment), the selected multiple fractured rib patients were told to choose surgery or conservative treatment, according to the patient will undergo surgery or conservative treatment. (scribd.com)
  • Thought you might appreciate this item(s) I saw at Journal of Trauma and Acute Care Surgery. (lww.com)
  • In addition, while it has been conceivable that REBOA may be effective in patients with severe trauma when integrated with surgery or interventional radiology (IVR) without delay [ 9 ], it remains challenging to successfully perform REBOA in patients with severe multiple torso traumas. (biomedcentral.com)
  • The final results have not yet been published, but results were presented in part at the 6th World Congress on Shock, Inflammation & Sepsis in Munich on 5th February 2004, and at the American Association for the Surgery of Trauma annual meeting in Maui, on the 1st October 2004. (trauma.org)
  • Shock at admission, or surgery within the first 48 hours after trauma, was associated with higher endotoxin levels and predicted subsequent maximal endotoxemia, after adjusting for othMultiple Traumaer significant covariates. (picujournalclub.com)
  • Imaging studies are not commonly warranted, except in situations where pelvic trauma has been sustained or surgery performed. (medscape.com)
  • PATIENTS AND METHODS: The present prospective cross-sectional study was conducted on multiple trauma patients admitted to the emergency department. (sid.ir)
  • METHODS: An observational cohort study was performed at a UK trauma center on major trauma patients requiring intensive care unit admission from 2003 to 2011. (ox.ac.uk)
  • Methods: A retrospective study in a Level 1 trauma center was conducted and included patients admitted with blunt abdominal trauma between 2011 and 2014. (elsevier.com)
  • Multiple organ failure (MOF) is a major cause of morbidity and mortali ty in the critically ill patient. (semanticscholar.org)
  • Patients with multiple SOIs had higher morbidity which required frequent operative management. (elsevier.com)
  • The investigators therefore retrospectively analyze the prospective consecutive data of patients from the multicenter German Pelvic Registry of the German Trauma Society in the years 2003 - 2017. (clinicaltrials.gov)
  • Demographic, clinical and operative parameter were recorded and compared in two groups (isolated pelvic fracture vs. combined abdominal/pelvic trauma). (clinicaltrials.gov)
  • The critically ill polytrauma patient is a constant challenge for the trauma team due to the complexity of the complications presented. (hindawi.com)
  • In this paper, we want to present the pathophysiological implications of OS in the critically ill patient with multiple traumas, as well as its modulation by general anesthesia. (hindawi.com)
  • Schematic representation of oxidative stress in the critically ill patient with multiple traumas. (hindawi.com)
  • In our case, we hypothesize that the loss of postural reflexes, as an early manifestation of MSA, did not allow the patient to have an effective reaction response to a low-energy trauma, resulting in a more severe injury. (frontiersin.org)
  • Rehabilitation for multiple trauma recovery includes a team approach focusing on maximum healing with patient and family education playing a key role. (healthsouthaustin.com)
  • To point out the tolerance of anemia, the possible use of alternatives to allogeneic blood products as well as the pathophysiological effects of transfusions in the context of multiple trauma patients.Restrictive transfusion triggers are beneficial for patient outcome in trauma.The actual European Trauma Treatment Guidelines suggest the use of point-of-care devices, the use of transfusion algorithms and factor concentrates to control coagulopathy. (sparrho.com)
  • Thus, this original work expands the ecological-ethological existential analysis of complex PTSD into the context of personality styles, with an emphasis on resilience - without ignoring the pathological aspects of loss that often envelop officer-patient trauma syndromes. (routledge.com)
  • Zonfrillo MR. Zonfrillo M.R. Zonfrillo, Mark R. Evaluation and Management of the Multiple Trauma Patient. (mhmedical.com)
  • The purpose of our study is to assess the performance of a medical student training program using a realistic, patient simulation for activities including initial evaluation and management, situational judgment , and decision making associated with patients with multiple trauma . (bvsalud.org)
  • After a slide lecture and patient simulation training , 46 medical students in their sixth-year were trained using a multiple- trauma patient simulation scenario. (bvsalud.org)
  • We suggest that this training program , using a realistic patient simulation , can be highly effective for teaching medical students about initial evaluation and management, situational judgment , and decision making in patients suffering with multiple traumas . (bvsalud.org)
  • A patient came to our hospital trauma center with profound shock following a stab attack. (trauma.org)
  • SimMan 3G Trauma is specifically designed for military and civilian emergency services to simulate the treatment of a trauma patient. (laerdal.com)
  • SimMan 3G Trauma is more than a patient simulator, it is a complete simulation solution that lets you prepare, execute and analyze your training. (laerdal.com)
  • We have tailored SimMan 3G for specialist use as a trauma patient simulator specifically designed for military and civilian emergency services. (laerdal.com)
  • Determining the extent of volume depletion and shock requires evaluation of multiple parameters. (mhmedical.com)
  • Hypovolemia is the most common cause of shock in children with multiple trauma . (bvsalud.org)
  • Dr. Michael West, a trauma surgeon at the University of California, San Francisco, said although the drug is beneficial in hospitals in more austere environments, it may not be applicable to major trauma centers in the U.S., which have a wide variety of treatments at their disposal to treat bleeding patients, such as frozen blood plasma or recombinant clotting factors. (go.com)
  • This has resulted in an unprecedented increase in the number of geriatric patients admitted to trauma centers. (clinicaltrials.gov)
  • TQIP makes use of national data to allows hospitals to objectively evaluate their trauma centers' performance relative to other hospitals. (wikipedia.org)
  • A pilot study was initiated in June 2008 to refine the methodology and assess the feasibility of applying TQIP for quality improvement at different trauma centers. (wikipedia.org)
  • Twenty-three Level I and II trauma centers volunteered and were selected to participate in the study with ACS verification. (wikipedia.org)
  • Most Level I centers are university-based trauma centers with comprehensive services. (wikipedia.org)
  • Using NTDB data from patients admitted to trauma centers between January 1 and December 1, 2007, three cohorts were created. (wikipedia.org)
  • Overall, the pilot study demonstrated that TQIP's anonymous measures of relative performance could successfully allow trauma centers to identify shortcomings and facilitate quality improvement using existing resources and systems at local, regional, and national levels. (wikipedia.org)
  • pure chest trauma to assess the general clinical conditions, operation conditions and the degree of pain. (scribd.com)
  • In the last two centuries, clinical interest in the phenomenon of trauma-related dissociation has waxed and waned. (francoangeli.it)
  • Our aim was to investigate whether CT-based anthropometric parameters of fat and muscle tissues show correlations with key elements of pre-hospital and clinical care in an adult population with multiple trauma. (springer.com)
  • No demographic differences were found between the 2 groups, nor were there any differences in their clinical trauma scoring, mechanical ventilation days, length of ICU stay, VAP, and death rates. (termedia.pl)
  • Clinical and experimental observations have suggested that apoptosis may play a role in the pathogenesis of sepsis-associated multiple organ dysfunction syndrome (MODS) ( 2 , 3 , 4 , 5 ), but the mechanism by which MODS develops remains unclear. (springer.com)
  • In 2010, Roberts, a professor at the London School of Hygiene and Tropical Medicine, tested it in adult trauma patients who were bleeding excessively in a large clinical trial called CRASH-2. (go.com)
  • Comprehensive treatment of a victim with multiple trauma based on the principles of specialized, multidisciplinary and high-tech medical care is able to provide a favorable clinical outcome - the recovery with the restoration of the damaged anatomical structures functionality and the absence of cosmetic defects. (bvsalud.org)
  • Fluid resuscitation in multiple trauma patients. (semanticscholar.org)
  • This article summarizes the current knowledge on nonblood component fluid resuscitation and choice of fluids in patients with multiple trauma. (semanticscholar.org)
  • Fluid resuscitation in trauma patients: what should we know? (semanticscholar.org)
  • Early detection and treatment of hypovolemia is very important in the process of trauma resuscitation . (bvsalud.org)
  • The fluid resuscitation of multiple traumas can be divided into two cases, when the bleeding is under control or not under control . (bvsalud.org)
  • One cohort will receive routine trauma intensive care, and the other, the same care plus beta-blockade after completion of resuscitation. (clinicaltrials.gov)
  • Computed tomography-based measurements allow clinicians to gain a prompt and thorough assessment of fat and muscle compartments in trauma patients. (springer.com)
  • CT-based assessment of abdominal fat and muscle mass is a simple method in revealing pathologic body composition in trauma patients. (springer.com)
  • We also demonstrated the efficacy of simulation as a trauma performance assessment tool for evaluating medical students . (bvsalud.org)
  • Defining multiple organ failure after major trauma: A comparison of the Denver, Sequential Organ Failure Assessment, and Marshall scoring systems. (ox.ac.uk)
  • SimMan 3G Trauma is well suited for training the rapid assessment of trauma emergencies. (laerdal.com)
  • Theoretically, both of these mechanisms localise the action of Factor VIIa to the site of injury, and hence avoid the complications of thromboses occurring in other vascular beds and leading to Acute Respiratory Distress Syndrome, Acute Renal Failure and Multiple Organ Dysfunction Syndrome. (trauma.org)
  • This study aimed to identify the association between initial serum selenium levels and in-hospital infectious complications in multiple trauma patients. (mdpi.com)
  • p = 0.008) increased the risk of in-hospital infectious complications in multiple trauma patients. (mdpi.com)
  • He has multiple abrasions to his face, trunk, and extremities. (ebmedicine.net)
  • The first cohort included patients with blunt multisystem or blunt mechanism traumas with an Abbreviated Injury Scale (AIS) score ≥ 3 in two or more regions including the head, face, neck, thorax, abdomen, spine, and extremities. (wikipedia.org)
  • Included were 297 adult trauma patients with multiple trauma who underwent a whole-body CT-scan on admission and were treated in an ICU. (springer.com)
  • Its aim is to provide risk-adjusted data for the purpose of reducing variability in adult trauma outcomes and offering best practice guidelines to improve trauma care. (wikipedia.org)
  • The use of REBOA without a delay in initiating resuscitative hemostasis may improve the outcomes in patients with multiple severe torso trauma. (biomedcentral.com)
  • We retrospectively evaluated the characteristics of the patients, hematological tests at the time of admission, severity of trauma, treatment-related characteristics, and outcomes. (biomedcentral.com)
  • To address these discrepancies, John Fildes, MD, FACS created an ad hoc work group to create and implement an outcomes-based, validated, risk-adjusted trauma quality improvement system. (wikipedia.org)
  • Other studies, such as the 2006 National Study of the Costs and Outcomes of Trauma (NSCOT), aimed to identify differences in expenditures and outcomes at various hospitals. (wikipedia.org)
  • The TQIP pilot results gave each trauma center feedback regarding their trauma outcomes relative to other hospitals. (wikipedia.org)
  • In this paper, we want to present the pathophysiological implications of oxidative stress in critically ill patients with multiple traumas and the implications of general anesthesia on the redox mechanisms of the cell. (hindawi.com)
  • In this retrospective analysis we searched our institutional records of the German Trauma Registry (TraumaRegister DGU ® ) from January 2008 to May 2014. (springer.com)
  • We performed a retrospective study to evaluate trauma management with REBOA in hemodynamically unstable patients with severe multiple trauma. (biomedcentral.com)
  • Chest trauma has a significant relevance on outcome after severe trauma. (nature.com)
  • Here, we investigated apoptotic signaling pathways that are involved in the inhibition of spontaneous apoptosis in neutrophils isolated from major trauma patients with uneventful outcome as well as in those with sepsis development. (springer.com)
  • DNA fragmentation in peripheral blood neutrophils showed an inverse correlation with the organ dysfunction at d 10 after trauma in all patients, supporting the important role of neutrophil apoptosis regulation for patient's outcome. (springer.com)
  • This study aimed to assess the predictive value of GCS and FOUR score on the outcome of multiple trauma patients admitted to the emergency department. (sid.ir)
  • This may lead to a new gold standard with cost reduction and amelioration of outcome of major trauma patients. (sparrho.com)
  • Being aware of trauma patients' conditions and predicting their outcome has always been of a great interest. (ac.ir)
  • The Major Trauma Outcome Study (MTOS) of 1982-1989 subsequently established the national standards for trauma care. (wikipedia.org)
  • The Journal of Trauma: Injury, Infection, and Critical Care. (lww.com)
  • This entry was posted in Critical Care Medicine and tagged Endotoxemia , Multiple Trauma by E. Lawson . (picujournalclub.com)
  • Sunnybrook's Trauma, Emergency & Critical Care Program is home to Canada's first and busiest regional trauma centre, and to the country's largest adult burn centre. (sunnybrook.ca)
  • In conclusion, the surgical treatment of multiple fractured ribs could ease the acute chest pain, reduce the mechanical ventilation time and incidence of pneumonia, shorten the hospitalization days and total hospitalization days in the ICU and alleviate the forward chest wall discomfort. (scribd.com)
  • Fractured ribs, a common performance after chest trauma, ever used conservative treatment, although have certain curative effect, but there are still shortcomings. (scribd.com)
  • Our study suggests that obesity influences pre-hospital and ED treatment and early immune response in multiple trauma. (springer.com)
  • Rib fracture fixation is becoming more popular and widely accepted among trauma surgeons worldwide as the recommended treatment method for flail chest injury. (termedia.pl)
  • Our hospital's trauma programs ensure comprehensive treatment for all patients. (healthsouthaustin.com)
  • Emerging treatment strategies for trauma-induced coagulopathy. (sparrho.com)
  • Johnson, JR 2011, ' Hydrocortisone and treatment of multiple trauma [3] ', JAMA - Journal of the American Medical Association , vol. 306, no. 1. (elsevier.com)
  • Although the CRASH-2 trial was well done, Simon said that because it was not conducted in the U.S., American doctors will be more reluctant to adopt tranexamic acid as a treatment for their trauma patients. (go.com)
  • Students responded in the questionnaire that they appreciated the opportunity to have this training before graduation and that they had learned more about multiple trauma treatment through this training . (bvsalud.org)
  • Medical tactics, approaches and complex treatment effectiveness in case of multiple trauma caused by a fall from a height]. (bvsalud.org)
  • This work suggests that individuals with experience of childhood trauma develop the autoimmune disease with symptoms and mechsms that greatly differ from their peers with no history of childhood trauma, and may need different medical treatment," Inoue said. (lokmat.com)
  • OBJECTIVE: To evaluate the prevalence and time course of systemic endotoxemia following severe multiple trauma, to define its risk factors, and to explore the correlation between post-trauma endotoxemia and organ dysfunction. (picujournalclub.com)
  • Maximal endotoxemia levels were higher in patients who developed organ dysfunction, reflected in a cumulative Multiple Organ Dysfunction Score greater than 25, and patients with an intermediate endotoxemia level (≥ 0.4) had more cardiovascular dysfunction. (picujournalclub.com)
  • Interhemispheric Subdural Hematoma Presenting with Falx Syndrome after Trauma. (radiopaedia.org)
  • Depression is one of the most common post-trauma symptoms that can be alleivated by social support. (readbyqxmd.com)
  • [16] [18] Multiple competing models exist that incorporate some non-dissociative symptoms while excluding dissociative ones. (wikipedia.org)
  • Motor vehicle crashes (MVCs) account for more than half of all childhood trauma deaths. (mhmedical.com)
  • This receptor activator may be a therapeutic drug for MS patients with a history of childhood trauma," Inoue added. (lokmat.com)
  • We believe that the best approach to addressing autoimmune diseases in individuals with a history of childhood trauma or other risk factors is a comprehensive and personalized medicine approach that addresses the whole person," Inoue said. (lokmat.com)
  • The resuscitative endovascular balloon occlusion of the aorta, because of its efficacy and feasibility, has been widely used in treating patients with severe torso trauma. (pubmedcentralcanada.ca)
  • In recent years, resuscitative endovascular balloon occlusion of the aorta (REBOA) has been widely used to treat patients with severe torso trauma. (pubmedcentralcanada.ca)
  • Although resuscitative endovascular balloon occlusion of the aorta (REBOA) may be effective in trauma management, its effect in patients with severe multiple torso trauma remains unclear. (biomedcentral.com)
  • Patients who have serious cardiac disease or exertional angina or are taking multiple antihypertensive medications should seek the advice of a cardiologist before beginning therapy with a phosphodiesterase type 5 (PDE5) inhibitor. (medscape.com)
  • Clinically, impaired lung function typically occurs within 72 hours after trauma. (nature.com)
  • Chest trauma resulted in severe lung damage on both CT and histological analyses. (nature.com)
  • Therefore, we aimed to establish an experimental long-term model to investigate physiological, morphologic and inflammatory changes, after severe trauma. (nature.com)
  • The aim of this study was to evaluate our trauma management with REBOA in hemodynamically unstable patients with multiple severe trauma. (biomedcentral.com)
  • A total of 5899 severe trauma patients were admitted to our hospital between January 2011 and January 2018. (biomedcentral.com)
  • abstract = "Objective: To perform a reproducible long-term (10 days) large animal model of multiple systems organ failure without necessity of a continuous stimulus. (elsevier.com)
  • During these travels, we most likely have experienced trauma that has been imprinted on our brain and DNA, reminding us of the stress or fear we experienced during such events. (eventbrite.com)
  • But they'll do little to establish a link between brain trauma sustained during play and later troubles. (chicagotribune.com)
  • In the continuing Brain Series, co-host Eric Kandel examines sports induced brain trauma, the leading cause of death and disability in young people, with former soccer player Tori Bellucci and a panel of experts in neurology, bioengineering, psychiatry, and epidemiology. (charlierose.com)
  • Former AFL player Daniel Bell is seeking compensation for brain damage linked to multiple concussions. (theconversation.com)
  • I don't know what year DRG Expert you're are using, but I have the 2019 edition and will use this to show you the different lists you need qualify for Major Diagnostic Category (MDC) 24, Multiple Significant Trauma. (acdis.org)
  • That is the vision of post-trauma care in Sunnybrook's Trauma Recovery Clinic. (sunnybrook.ca)
  • Likewise, young children with developing neurological and musculoskeletal tissues are also more vulnerable to trauma. (wordpress.com)
  • Intensive Care for Neurological Trauma and Disease presents the progress in intensive care in terms of technological development on life-support and monitoring systems. (elsevier.com)
  • Organized into 24 chapters, this book begins with an overview of the problem of neurological trauma. (elsevier.com)
  • Therefore, this study aimed to develop a long-term multiple trauma model with an observation period of 3 days to characterize the physiological, morphological and inflammatory changes at a later phase after blunt chest trauma. (nature.com)
  • In the absence of severe chest trauma primary intramedullary femoral nailing is beneficial. (ovid.com)
  • One year after the diagnosis, he had a whiplash cervical trauma due to a tricycle accident caused by a hole in the road. (frontiersin.org)
  • The first list is the "Trauma Diagnosis" list which starts on p. 963, under DRG 963. (acdis.org)
  • This low-energy trauma caused an unstable C4-C5 cervical fracture with spinal cord injury, which required surgical decompression and stabilization. (frontiersin.org)
  • Spine surgeons at a Level 1 Trauma Center observed a high incidence of spine and spinal cord injury due to falls from tree stands while hunting. (readbyqxmd.com)
  • This text then presents the accident scene management protocol for acute spinal cord injury as a standard to other forms of trauma system pre-hospital care. (elsevier.com)
  • Eighty percent of their trauma deaths occur either at the scene or prior to admission. (mhmedical.com)
  • Trauma patients who received 6 units of red blood cells within the first 12 hours of admission were randomised into the study, and the drug given after the 8th unit of blood had been administered. (trauma.org)
  • Multiple system atrophy (MSA) is characterized clinically by parkinsonism, cerebellar, autonomic, and corticospinal features of variable severity. (frontiersin.org)
  • In patients with multiple system atrophy, parkinsonian features are usually highly responsive to levodopa. (mdedge.com)
  • SimMan 3G Trauma has been designed to train military and civilian emergency medical personnel in trauma situations, such as hemorrhage control. (laerdal.com)
  • Studies show changes in biological markers in CSF following trauma to the cervical spine. (drtanase.com)
  • Could past trauma like a whiplash affect the structural alignment and integrity of the upper cervical spine and contribute to the blockage of CSF flow? (drtanase.com)
  • Early cervical spine clearance is very important in trauma settings. (traumamon.com)
  • 8. The researcher performed bedside cervical spine US without impeding the ongoing routine trauma management. (traumamon.com)