BACKGROUND Loss of follow-up represents a potential source of bias. Suggested guidelines propose 20% loss of follow-up as acceptable. However, these guidelines have not been established through scientific investigations. The goal of this study was to evaluate how loss of follow-up influences the statistical significance in a trauma database. METHODS A database of 637 polytrauma patients with ...

conclusions trained emrs like their fellow rrs have the ability to perform fast scan with high diagnostic value in patients with blunt abdominal trauma. objectives this study was conducted to compare the diagnostic accuracy of fast performed by emergency medicine residents (emr) and radiology residents (rrs) in detecting peritoneal free fluids. patients and methods patients triaged in the emerg...

SUMMARY: Acute trauma is often associated with the progressive deterioration of multiple organ systems in humans and is the leading cause of death in trauma care units. Previous studies have suggested that multiple organ failure is likely related to uncontrolled systemic inflammation. However the causal mechanisms remain unknown. Current methods of assessing trauma patient status and predicting...

we report a rare, severe case of traumatic globe avulsion and its assessment and management. a 60-year-old man was presented with complete globe avulsion following a facial trauma. left globe was luxated out of the orbit. no direct or indirect light reflexes or any eye movement could be noted. ct-scan showed complete laceration of the left optic nerve, globe protrusion and multiple orbital bone...

OBJECTIVE Uncontrolled hemorrhagic shock is a significant factor in death of severe multiple trauma patients. The acute management of injured bleeding in emergency department (ED) may improve patient outcomes. The medical records of severe multiple trauma patients with hemorrhagic shock in our ED were reviewed to summarize an evidence-based approach to the management of critically injured bleed...

conclusions complications of trauma-related injuries are significant factors affecting the outcome of patients. there has been limited research directly exploring this topic, possibly due to the difficulty of undertaking such studies. a particularly important research topic is the prevention and management of complications in elderly trauma patients with comorbidities. in conclusion, complicati...

BACKGROUND In this study, we aimed to determine the effects of trauma severity on cardiac involvement through evaluating the trauma severity score together with diagnostic tests in multiple trauma patients. A trauma score was determined using various trauma severity scales. METHODS After obtaining the approval of the ethics committee of the faculty, this prospective study was performed throug...

A ppropriate management of a polytrauma patient begins at the scene of the accident. Early initiation of Advanced Trauma Life Support (ATLS) protocols by emergency medical personnel and rapid transport to an appropriate facility is essential to maximize a patient’s chance of survival. Fifty percent of trauma deaths occur within minutes of the accident, usually due to hemorrhage or head injuries...

More than 30 years ago Dr. Henry K. Beecher advocated gastric emptying on all war casualties prior to the administration of anesthesia. The primary reason was to avoid aspiration of gastric contents, but a secondary one was the interference with circulation that seemed to occur with gastric distention.1 Since World War II there have been reports in the literature of acute gastric dilatation fol...

PURPOSE OF REVIEW 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. RECENT FINDINGS Restrictive transfusion triggers are beneficial for patient outcome in trauma.The actual European Trauma Treatment Guidelines suggest the use of point-of-care ...