Trauma-induced coagulopathy represents a life-threatening complication in severely injured patients. To avoid exsanguination, rapid surgical bleeding control coupled with immediate and aggressive haemostatic treatment is mandatory. In most trauma centres, coagulation therapy is established with transfusion of high volumes of fresh frozen plasma. Due to logistic issues, only busy trauma faciliti...

OBJECTIVE Clinical predictors for acute respiratory distress syndrome (ARDS) have been studied in few prospective studies. Although transfusions are common in the intensive care unit, the role of submassive transfusion in non-trauma-related ARDS has not been studied. We describe here the clinical predictors of ARDS risk and mortality including the role of red cell transfusion. DESIGN Observat...

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 ...

Occupational injuries requiring admission to a trauma unit were examined to outline the events surrounding the injury and to examine the costs. Sixty-nine patients were admitted over a 12-month period, representing 4.30% of all work-related injuries attending the emergency department and 4.25% of all admissions to the trauma unit. Most were male (91%), working in skilled trade occupations (65%)...

The growing prevalence of students affected by complex trauma, and the significant implications unresolved trauma for these later in life, highlights imperative a system-wide response to address effects student populations. An important step this system-level is increasing knowledge pre-service teachers trauma-informed education practice through initial teacher programs. Trauma-informed setting...

BACKGROUND Acute hyperglycemia is associated with adverse outcome in critically ill patients. Glucose control with insulin improves outcome in surgical intensive care unit (SICU) patients, but the effect in trauma patients is unknown. We investigated hyperglycemia and outcome in SICU patients with and without trauma. METHODS A 12-year retrospective study was performed at a 12-bed SICU. We col...

Background Basal cell carcinoma (BCC) is the most frequent cancer worldwide in humans. The risk factors reported literature encompass excessive sun exposure, genetic predisposition, irradiation, exposure to arsenic, and trauma. exact role of trauma etiology BCC remains unexplained. Objectives To analyze patients with treated surgically Dermatosurgery Unit, looking for possible cases secondary M...

BACKGROUND We aimed to evaluate the effect of early pelvic binder use in the emergency management of suspected pelvic trauma, compared with the conventional stepwise approach. METHODS We enrolled trauma patients with initial stabilization using a pelvic binder when suspecting pelvic injury. The inclusion criteria were traumatic injury requiring a trauma team and at least one of the following:...

INTRODUCTION Mortality from trauma remains a major challenge despite recent substantial improvements in acute trauma care. In trauma care patient resuscitation to correct hypotension from volume loss still majorly relies on use of physiological parameters such as blood pressure, pulse rate, respiratory rate, urine output and oxygen saturation. In resource limited settings these methods may not ...