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Journal of Emergencies, Trauma, and Shock

Carl Freeman, Vicki Moran, Adam Fang, Heidi Isreal, Shuran Ma, Kena Vyas
Context: Nonoperative management (NOM) is the standard of care in hemodynamically stable trauma patients with blunt splenic injury. Gelfoam splenic artery embolization (SAE) is a treatment option used in trauma patients. Aims: The primary aim of this study was to retrospectively examine the use and outcomes of Gelfoam SAE in adult patients with blunt splenic injury. Settings and Design: One hundred and thirty-two adult patients with blunt splenic injury admitted to a Level 1 trauma center between January 2014 and December 2015 were included in the study...
October 2018: Journal of Emergencies, Trauma, and Shock
Reyaz Ahmed Para, Arif Hussain Sarmast, Mohammad Akbar Shah, Toufeeq Ahmad Mir, Abdul Waheed Mir, Suhail Sidiq, Abdul Qayoom Lone, Altaf Umer Ramzan
Introduction: Traumatic brain injury (TBI) is a major cause of death and disability throughout the world. Commonly used predictors of outcome both individually or in combination include age, Glasgow Coma Scale score, pupillary reactivity, early hypoxia, and hypotension. Most of the studies previously done to examine risk factors for mortality in severe TBI were done in the setting of polytrauma. Aims and Objectives: The aim and objective of this study was to do an in-depth analysis of various factors associated with the management and outcome of patients with isolated TBI admitted in an Intensive Care Unit (ICU)...
October 2018: Journal of Emergencies, Trauma, and Shock
Angeline Neetha Radjou, S Mohan Kumar
Background: Motorized two-wheelers, pedestrians, and cyclists are termed vulnerable road users (VRUs).Globally up to 50% of road deaths involve VRU and up to 80% in developing and rapidly motorizing economies. Objective: The objective of this study is to study the prehospital and clinical profile of fatally injured VRU. This would help in informed decision-making regarding prevention and trauma care infrastructure. Materials and Methods: A hospital-based study was performed at a Trauma Centre in Puducherry from January 2013 to June 2014 (18 months)...
October 2018: Journal of Emergencies, Trauma, and Shock
Arun Kumar Krishnan, Priya Menon, K P Gireesh Kumar, T P Sreekrishnan, Manish Garg, S Vijay Kumar
Background: The current standard followed for assessing central venous catheter (CVC) tip placement location is through radiological confirmation using chest X-ray (CXR). Placement of CVCs under electrocardiogram (ECG) guidance may save cost and time compared to CXR. Objective: The objective of this study is to compare the accurate placement of the CVC tip using anatomical landmark technique with ECG-guided technique. Another objective is to compare CVC placement time and postprocedural complications between the two techniques...
October 2018: Journal of Emergencies, Trauma, and Shock
Vishnu Manohar, S Bharath Prasad, Shilpa Raj, T P Sreekrishnan, K P Gireesh Kumar
Introduction: The changes in the white blood cells counts and other blood parameters are well-recognized feature in sepsis. A ratio between neutrophils and lymphocytes can be used as a screening marker in sepsis. Even though new markers such as Procalcitonin and adrenomedullin have been rolled out in the field, implementation of these markers has been hindered by cost, accessibility, and proper validation. We looked for the ability of simple neutrophil-lymphocyte count ratio (NLCR) when compared to the gold standard blood culture method in predicting bacteremia, on patients presented to emergency department (ED) with features of suspected community-acquired infections...
October 2018: Journal of Emergencies, Trauma, and Shock
Bianca M Wahlen, Ayman El-Menyar, Ruben Peralta, Hassan Al-Thani
Background: We aimed to discuss the initial experience of the implementation of point-of-care thromboelastography (POC-TEG) at the Level 1 Trauma Center of an academic health institution in Qatar. Materials and Methods: A TEG protocol was developed and tailored to our hospital requirements and patient population, after an exhausting review of the literature and international published protocols, including a synthesis of a preexisting TEG protocol from our heart hospital...
October 2018: Journal of Emergencies, Trauma, and Shock
Mitasha Singh, Ranabir Pal, Pradeep Yarasani, Prashant Bhandarkar, Ashok Munivenkatappa, Amit Agrawal
Background: Traumatic brain injury (TBI) is the leading cause of mortality, morbidity, and disability globally. Methods for a reliable prediction of outcomes on the admission of TBI cases are of great clinical relevance to stakeholders. Objectives: This study used the International Classification of Diseases-10 codes (S00-S09) for analysis of injury distribution of TBI patients and attempted to find the prognostic predictors of Glasgow coma scale (GCS) in the outcome from readily accessible parameters...
October 2018: Journal of Emergencies, Trauma, and Shock
Satabdi Mitra, Aditya Prasad Sarkar, Asit Baran Saren, Dibakar Haldar, Indrajit Saha, Gautam Narayan Sarkar
Background: Road traffic injuries (RTIs) are a complex phenomenon caused by nonlinear combination and interaction of man, vehicles, road, and environment. Aim: This study aims to find out the outcome and severity of RTI in a district of West Bengal, India. Settings and Design: A cross-sectional study was conducted among inpatients of Departments of Surgery and Orthopedics of Bankura Sammilani Medical College and Hospital, West Bengal, India...
October 2018: Journal of Emergencies, Trauma, and Shock
Yvette Chong, Dean Krishen Sethi, Charmaine Hui Yun Loh, Fatimah Lateef
Pokemon Go is an augmented reality (AR) game which combines the use of smart mobile technology with physical exploration in the real world. It was a global phenomenon that rocked the world since 2016. Across boundaries and nations, the young and seniors were actively downloading and playing, joining the intrend gaming community. Was it a fleeting fad or a more sustainable activity? This paper discusses the literature currently available on this interesting phenomenon: its effect on physical and mental health as well as some documented hazards and distractions...
October 2018: Journal of Emergencies, Trauma, and Shock
Timothy Craig Hardcastle
No abstract text is available yet for this article.
October 2018: Journal of Emergencies, Trauma, and Shock
Kunal Nandy, Maitreyi Patel, Aparna Deshpande
No abstract text is available yet for this article.
July 2018: Journal of Emergencies, Trauma, and Shock
Kei Fujiwara, Hiromichi Ohsaka, Shunsuke Madokoro, Youichi Yanagawa
The patient was a 60-year-old male fell whose head and left chest hit the ground after falling from a height of 2 m. He complained of the left shoulder and chest pain after regaining consciousness. On arrival, he showed left bloody otorrhea, left chest tenderness, and a limited range of motion due to the left shoulder pain. Emergency chest roentgenography revealed multiple left rib fractures, left clavicular fracture with decreased radiolucency in the left lung field, suggesting lung contusion. When the patient was being transported for computed tomography, he suddenly displayed ventricular tachycardia with pulse and subsequently became VF storm, which required percutaneous cardiopulmonary support...
July 2018: Journal of Emergencies, Trauma, and Shock
Prannoy George Mathen, T P Sreekrishnan, K P Gireesh Kumar, Naveen Mohan
Camphor is a toxic compound easily available over the counter, which can cause fatal seizures in children when ingested. It is available in several forms and is commonly used in Indian households, especially for religious rituals and for its cough-suppressive and nasal-decongestant effect. The toxic effect remains unknown in most homes. Seizures are usually well controlled with intravenous benzodiazepines, and recurrences of seizures are rarely reported.
July 2018: Journal of Emergencies, Trauma, and Shock
Brooke T Davey, Carolina Quintana, Shailendra Upadhyay
A 16-year-old male developed palpitations immediately following chest impact with a soccer ball. The patient was noted to have ventricular flutter in a delayed presentation that was successfully treated. While ventricular fibrillation is the predominant arrhythmia following commotio cordis, ventricular flutter may occur as well. Ventricular flutter may be better tolerated in a young athletic individual with structurally normal heart and may lead to a delayed presentation.
July 2018: Journal of Emergencies, Trauma, and Shock
Himanshu L Kataria, Marc A Jacobson
Introduction: Elderly patients often present to the emergency department (ED) with nonspecific signs of infection and excessive fluid loss, with limited research into their management. The purpose of this audit was to assess the initial management of hypotensive elderly patients in the ED: observations within 15 min, fluid challenge within 1 h, time to assessment by a physician, and initial management of septic shock. Subjects and Methods: Online patient systems were reviewed to find 40 patients >65 years old who were hypotensive (systolic blood pressure <100 mmHg or diastolic blood pressure <60 mmHg) in the ED between 1st October 2015 and 16th November 2015...
July 2018: Journal of Emergencies, Trauma, and Shock
Ikuto Takeuchi, Hiroki Nagasawa, Kei Jitsuiki, Akihiko Kondo, Hiromichi Ohsaka, Youichi Yanagawa
Context/Aims: We retrospectively analyzed the characteristics of prehospital care for cardiopulmonary arrest (CPA) to identify the predictors of a good recovery (GR) among the recent changes in the management of Japanese prehospital care. Settings and Design: This study was a retrospective medical chart review. Subjects and Methods: We reviewed the transportation records written by emergency medical technicians and the characteristics of prehospital management of out-of-hospital (oh) CPA described by the Sunto-Izu Fire Department from April 2016 to March 2017...
July 2018: Journal of Emergencies, Trauma, and Shock
Siju V Abraham, Aboobacker Mohamed Rafi, S Vimal Krishnan, Babu Urumese Palatty, Susheela J Innah, Jerry Johny, Salish Varghese
Introduction: In Russell's viper bites, due to the lack of a better alternative, whole blood clotting test (WBCT) remains the standard test even though its reliability and sensitivity has been shown to be low. Activated partial thromboplastin time (aPTT)-based clot waveform analysis (CWA) is an optic absorbance assay that can be used as a global clotting test. In this study, the objective was to assess the changes in CWA and to compare CWA to WBCT and aPTT in patients with Russell's viper envenomation...
July 2018: Journal of Emergencies, Trauma, and Shock
R Joseph Alexis, S Jagdish, Sanjay Sukumar, Vinay R Pandit, C Palnivel, M Jency Antony
Aims: This study aims to correlate the autopsy findings with the clinical picture and imaging report in fatal head injury patients. Settings and Design: A descriptive study conducted at tertiary care hospital in South India from July 2015 to December 2016. Patients and Methods: All patients with head injuries who were admitted to our Emergency and Trauma Centre and underwent autopsy were included in the study. A structured pro forma was used for collecting information...
July 2018: Journal of Emergencies, Trauma, and Shock
Ammar Al-Hassani, Gustav F Strandvik, Ayman El-Menyar, Amit R Dhumale, Mohammed Asim, Ahmed Ajaj, Wafa Al-Yazeedi, Hassan Al-Thani
Introduction: We aimed to analyze the functional outcomes based on the admission characteristics in individuals with moderate-to-severe traumatic brain injury (TBI) over a 5-year period. Methods: A retrospective cohort study was conducted to assess the cognitive, physical, and functional outcomes based on traditional and novel metrics used in potential outcome prediction. Results: A total of 201 participants were enrolled with a mean age of 31...
July 2018: Journal of Emergencies, Trauma, and Shock
Raymond L Merritt, Michael E Hachadorian, Kristof Michaels, Eric Zevallos, Kubwimana M Mhayamaguru, Zuheily Closser, Charlotte Derr
Context: Previous studies have shown that safe venous cannulation is difficult when the internal jugular vein (IJV) overlies the carotid artery (CA) as the probability of inadvertent arterial penetration is greatly increased. Aims: The goal of this study was to examine the anatomical relationships of the IJV and CA as a function of the degree of head rotation in order to minimize the risk for CA puncture. Settings and Design: Our study was a prospective study using a sample of 496 Emergency Department patients...
July 2018: Journal of Emergencies, Trauma, and Shock
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