BACKGROUND Use of opioids may predispose drivers to road trauma, yet the effect of opioid dose on this association is unknown. METHODS We conducted a population-based nested case-control study of patients aged 18 to 64 years who received at least 1 publicly funded prescription for an opioid from April 1, 2003, through March 31, 2011. Cases were defined as having an emergency department visit ...

The medical response to mass casualty terrorist bombings (MCTB) has received extensive treatment in the trauma and emergency medicine literature over the past 25 years. An effective medical response must consider four fundamental aspects: (1) the objective of the response, (2) the typical injury pattern, (3) triage, and (4) the delivery of care. This report discusses the key components of each ...

Opposing authors provide succinct, authoritative discussions of controversial issues in emergency medicine. Authors are provided the opportunity to review and comment on opposing presentations. Each topic is accompanied by an Editor’s Note that summarizes important concepts. Participation as an authoritative discussant is by invitation only, but suggestions for topics and potential authors can ...

The present study aims: to revise all the cases of paediatric accidents attended at a Emergency Service of a tertiary Hospital; to analyze the epidemiological variables; and to try to draw conclusions in view of prevention. In order to achieve that, the 14.301 accidents attended during 1989 have been collected. The relation between little boys and little girls is 58.2:41.8. The average age is 7...

Introduction: Unintentional falls are the leading cause of traumatic injuries, without fatal consequences, with significant morbidity in population children and adolescents. Goal: The main goal this research was to analyze manner falling relation age gender, assess type injury anatomical region body affected by sustained during a fall patients ≤19 years treated emergency medical services Republ...

Background: Penetrating cardiac injuries are rare in South African and international literature. regarded as one of the most lethal trauma patients. The mechanism injury varies across world. In developing countries, stab wounds cause majority penetrating injuries. These remain clinically challenging associated with high mortalities. Aim: To describe our experience outcome their management at a ...

Abstract: Aim: Wound is a fragile and complex injury which can be as simple minor cut to the deep lesions traumatic gash. Depending on patient’s internal external conditions, wounds progress backward or forward. Acute hemorrhage wound infections are main cause of loss life in critical conditions war field accidents. Innovation: BioFibGel bandage/dressing green nanotechnology based care product ...

INTRODUCTION This is very rare case report regarding late ventricular septal defect (VSD) following blunt trauma. CASE REPORT A 23-year-old motorcycle rider lost control and crashed to another motorcycle. He was transferred to emergency department by emergency medical services. Initial evaluation revealed some minor trauma which was managed, and he was discharged. There was a lately developed...

BACKGROUND Absolute poverty and gross income inequity can foment violence through various and multiple mechanisms. Poor people are highly prone to exploitation and manipulation by those who are wealthy and more powerful. The poor are as susceptible to being victims as being perpetrators of crime. OBJECTIVE To study the trends in homicides in the Mthatha area. METHOD A review of records of 5...

abstract background: there are a large number of patients with penetrating abdominal trauma who have normal vital signs and negative abdominal examination when referred to trauma centers. agreat deal of controversy exists between authorities about screening these patients for emergency explorative laparotomy. many references have reported more than 90% sensitivity for dpl as a diagnostic method...