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...

Fresh frozen plasma (FFP) is indicated for the management of massive bleedings. Recent audits suggest physician knowledge of FFP is inadequate and half of the FFP transfused in critical care is inappropriate. Trauma is among the largest consumers of FFP. Current trauma resuscitation guidelines recommend FFP to correct coagulopathy only after diagnosed by laboratory tests, often when overt dilut...

OBJECTIVE There is relatively little research about effective therapeutic approaches for children in middle childhood who have attachment related diagnoses as a result of experiencing significant, early developmental trauma. This study describes findings from an intensive, dyad-based intervention, aimed at stabilizing attachment relationships with primary caregivers, increasing caregiver reflec...

Although the role of intense psychological distress in psychopathology has been recognized for centuries, the metaphorical use of the word ‘trauma’ to indicate intense psychological distress only became popular in the midst of the industrial revolution (Danese & Baldwin, 2017). The introduction of the steam engine and the spread of railways led to a sharp increase in train accidents. Strikingly...

Most acute laryngeal injuries are caused by motor vehicle accidents. Patients with multiple injuries who present with head or chest wounds should be carefully examined for signs or symptoms of laryngeal trauma. Primary patients with laryngeal injury presenting with life-threatening airway obstruction present a special problem to the accident surgeon. Tracheostomy rather than intubation is then ...

The effect of early-life vulnerability factors on the subsequent pathophysiology of severe mood disorders has yet to be fully elucidated. This study examines the relationship between early adverse life experience, family history and hypothalamic-pituitary-adrenal (HPA) axis function. Childhood trauma questionnaire (CTQ) scores, family history data and the cortisol response to the dexamethasone/...

BACKGROUND The pre-hospital triage process aims at identifying and prioritizing patients in the need of prompt intervention and/or evacuation. The objective of the present study was to evaluate triage decision skills in a Mass Casualty Incident drill. The study compares two groups of participants in Advanced Trauma Life Support and Pre-Hospital Trauma Life Support courses. METHODS A questionn...

The present study examined the impact of the developmental timing of trauma exposure on posttraumatic stress disorder (PTSD) symptoms and psychosocial functioning in a large sample of community-dwelling older adults (N = 1,995). Specifically, we investigated whether the negative consequences of exposure to traumatic events were greater for traumas experienced during childhood, adolescence, youn...

introduction gastric emphysema or pneumatosis is a rare finding. early endoscopy and urgent laparotomy is advised in post trauma patients. case presentation a 29 year old man presented with blunt abdominal injury following a high-speed motorbike crash he complained of abdominal pain and abdomen was distended. ct abdomen revealed air in the gastric wall with disruption of gastric mucosa. he had ...