Use of ceiling-mounted radiographic equipment in an emergency room for management of the multiply injured patient is described. The protocol of the Advanced Trauma and Life Support manual is followed and three plain radiographs (lateral cervical spine, anteroposterior views of the chest and pelvis) are obtained by the radiographers, who are members of the trauma team. Abnormalities were diagnos...

1 Oral and maxillofacial surgery and trauma specialist, Hospital da Restauração, Recife, PE. Oral and maxillofacial surgeon. 2 Oral and maxillofacial surgery and trauma specialist, Hospital da Restauração, Recife, PE. Oral and maxillofacial surgeon. 3 Medical resident in oral and maxillofacial surgery, Hospital da Restauração, Recife, PE. Dental surgeon. 4 Doctoral degree in oral biology, Paris...

© 2017 Advanced Biomedical Research | Published by Wolters Kluwer Medknow Sir, For critically ill trauma patients who suffer from respiratory failure, mechanical ventilation (MV) is an essential and universal form of treatment.[1] Hypokalemia normally occurs immediately after trauma, and it appears that hypokalemia occurs more frequently in the more severely injured.[2,3] Hypokalemia, a frequen...

Background Trauma patients are characterised by alterations in the immune system, increased exposure to infectious complications, sepsis and potentially organ failure and death. Glutamine supplementation to parenteral nutrition has been proven to be associated with improved clinical outcomes. However, glutamine supplementation in patients receiving enteral nutrition and its best route are still...

The primary purpose of this narrative is to elucidate the numerous significant changes that occur at the intensive care unit (ICU) level as a medical center pursues becoming a Level I trauma center. Specifically, we will focus on the following important areas: (1) leadership and strategy issues behind the decision to move forward with becoming a trauma center; (2) preparation needed to take a h...

In the pediatric patient, traumatic injury is the leading cause of death and blunt trauma is themost commonmechanism of injury. Renal injuries account for 8 to 12% of pediatric blunt abdominal injuries. Children, more so than adults, are prone to sustain major renal injury due to blunt trauma given the relatively large size of pediatric kidneys and decreased protection in children.1–3 The prima...

Road accidents are the main cause of serious injuries worldwide, accounting for over 10% trauma cases resulting in death or significant physical impairment. Thoracic injuries, on other hand, responsible a quarter all trauma-related deaths. In such cases, pneumothorax is most common thoracic injury, affecting 30 to 40% patients with trauma. This injury occurs twice as often closed traumas penetr...

Contemporary literary traumatheory indicates that experiencing trauma creates a fear that destroys identity. In fact, experiencing trauma creates a new identity for the victim. The representation of the trauma and the formation of the new identity for the victim are the building blocks of trauma novels. Due to the nature of trauma, it seems impossible to fully describe traumatic experiences by ...

OBJECTIVE Many trauma centers have separated emergency and general surgery from trauma care. However, decreased trauma volume and more frequent nonoperative management may limit operative experience and the economic viability of the trauma service. Trauma surgeons at our Level I trauma center have long provided all emergency surgical care and elective surgery. We sought to determine the impact ...