Severe leg trauma in a resource-poor environment: indications for amputation in emergencies
Médecine et Santé Tropicales, 2015Although the development of multitissue limb reconstruction has reduced the role of post-traumatic primary amputation of the leg, some patients should nonetheless undergo emergency amputations. In developing countries, the socioeconomic context associated with the limited health care supply compromises still further the prognosis of preservation ...
J C, Murison, S, Rigal, C D, Niang
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An Evaluation of Multiple Trauma Severity Indices Created by Different Index Development Strategies
Medical Care, 1983Evaluation of the effectiveness of emergency trauma care systems is complicated by the need to adjust for the widely variable case mix found in trauma patient populations. Several strategies have been advanced to construct the severity indices that can control for these population differences.
D H, Gustafson +8 more
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Energy expenditure and severity of injury and illness indices in multiple trauma patients
Critical Care Medicine, 1999To determine whether the energy expenditure of mechanically ventilated multiple trauma patients correlates with the severity of injury and illness indices before important systemic infection has complicated the clinical course, and to compare the energy expenditure with the energy expenditure expected from the Harris-Benedict equation adjusted with ...
L S, Brandi +5 more
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Reduced Plasma Oncotic Pressure is Indicative of Injury Severity in Trauma Patients
Volume 1B: Extremity; Fluid Mechanics; Gait; Growth, Remodeling, and Repair; Heart Valves; Injury Biomechanics; Mechanotransduction and Sub-Cellular Biophysics; MultiScale Biotransport; Muscle, Tendon and Ligament; Musculoskeletal Devices; Multiscale Mechanics; Thermal Medicine; Ocular Biomechanics; Pediatric Hemodynamics; Pericellular Phenomena; Tissue Mechanics; Biotransport Design and Devices; Spine; Stent Device Hemodynamics; Vascular Solid Mechanics; Student Paper and Design Competitions, 2013Trauma is the leading cause of death in people aged 1–44 years old, with hemorrhagic shock accounting for nearly half of these deaths. These fatalities often occur early, within 24 hours, but many are deemed potentially preventable with appropriate resuscitation.
Elaheh Rahbar +3 more
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[Bronchoscopy for initial care following severe thoracic trauma--basically indicated?].
Der Anaesthesist, 1992The study objective was to determine the usefulness of routine early (within 24 h after admission) and late (on the 3rd posttraumatic day) flexible fiberoptic bronchoscopy in patients with severe chest trauma.By history, physical examination, and radiologic findings, we identified 15 consecutive patients, all of whom were anaesthetized, orally ...
J, Hähnel, F, Konrad, H, Kogel
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Psychological consequences of blunt head trauma and relation to other indices of severity of injury
Annals of Emergency Medicine, 1989To investigate the relationship between APACHE II, Injury Severity Score (ISS), Glasgow Coma Score (GCS), and behavioral outcome, a group of 39 patients who had been admitted on an emergency basis with a traumatic head injury were selected from the Neuropsychology Registry for study.
I B, Gensemer +5 more
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PROPHYLACTIC VENA CAVA FILTER INSERTION IN SEVERELY INJURED TRAUMA PATIENTS
The Journal of Trauma: Injury, Infection, and Critical Care, 1993Pulmonary embolism (PE) remains a significant problem in trauma patients. A 5-year review at this institution revealed 25 PEs (seven fatal) in 2525 admitted trauma patients (1% incidence). Three groups of high-risk patients were identified: (1) those with severe head injury and coma; (2) those with spinal cord injuries with neurologic deficit; and (3 ...
F B, Rogers +4 more
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Principles of treatment and indications for surgery in severe multiple trauma.
Acta chirurgica Belgica, 1985Despite major advances, pitfalls in diagnosis and emergency treatment influence the survival chances of multitraumatized patients considerably. Diagnosis of traumatic shock cannot be made by blood pressure, pulse rate and shock index. Immediate shock therapy is indicated in all cases with severe trauma of two body regions, combined injury of one body ...
K P, Schmit-Neuerburg, T, Joka
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Background and aims Multiple rib fractures are common in blunt chest trauma and correlate with respiratory morbidity, multisystem injury and mortality.1 Regional anaesthesia has a major role in improving outcomes for such cases.2 Operative rib fixation is incorporated into UK national guidelines due to consistent efficacy in massive chest wall ...
D Burtle, T Egan, G Pahal
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[Process indicators: tools for monitoring the management of severe trauma cases in Catalonia].
Emergencias : revista de la Sociedad Espanola de Medicina de Emergencias, 2016Process indicators have been widely used to monitor the way trauma care is provided. We aimed to analyze whether data from a hospital's severe trauma register could facilitate the evaluation of aspects of the initial management of severe injuries.Observational, retrospective population-based study.
Prat, S +6 more
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