results ecls was initiated at a mean of 324.15 ± 197.8 (110 - 950) min from initial trauma. in 4 patients, ecls treatment failed due to an incapability to maintain adequate ecls flow and patient perfusion. in the other 16 patients efficiently supported by ecls, the cardiac index, mean arterial pressure, lactate concentration, pao2, paco2, and ph showed significant improvement with normal values...

High-quality resuscitation and care during transfer of head-injured patients is essential to prevent secondary brain injury. We have prospectively assessed the standard of resuscitation in 50 consecutive head-injured patients transferred to our unit, and compared our findings with previous studies performed before the advanced trauma life support course (ATLS) had become widespread and national...

In a recent issue of the Asia Pacific Journal of Medical Toxicology (APJMT), the importance of empowering medical toxicology in the Asia Pacific Region has been discussed. In the editorial by Dr. Afshari, it has been stated that national societies of medical toxicology are important infrastructure for the development of medical toxicology, and the Asia Pacific Association of Medical Toxicology ...

The importance of visualizing the entire cervical spine on radiological examination in patients with cervical trauma is well known. A review of the cervical films of 98 patients attending an accident and emergency (A&E) department was undertaken in order to assess the adequacy of imaging. It was found that 33.7% of the films were not sufficient to exclude fracture or dislocation of the cervical...

BACKGROUND A tension pneumothorax requires immediate decompression using a needle thoracostomy. According to advanced trauma life support guidelines this procedure is performed in the second intercostal space (ICS) in the midclavicular line (MCL), using a 4.5-cm (2-inch) catheter (5-cm needle). Previous studies have shown a failure rate of up to 40% using this technique. Case reports have sugge...