BACKGROUND The deployed Intensive Therapy Unit (ITU) in the British military field hospital in Camp Bastion, Afghanistan, admits both adults and children. The purpose of this paper is to review the paediatric workload in the deployed ITU and to describe how the unit copes with the challenge of looking after critically injured and ill children. METHODS Retrospective review of patients <16 year...

HYPOTHESIS Abdominal computed tomographic (ACT) scans are useful in the evaluation of sepsis of unknown origin in patients with major trauma. DESIGN Prospective case series of consecutive patients. SETTING Intensive care unit of level I academic trauma center. PATIENTS Eighty-five critically injured patients admitted to the intensive care unit in 32 months (6% of all intensive care unit a...

1Regional Trauma Services and Departments of Surgery and Critical Care Medicine, Foothills Medical Centre, Calgary, Alberta, Canada 2Letterkenny University Hospital, Letterkenny, Donegal Ireland 3Regional Trauma Services, Foothills Medical Centre, Calgary, Alberta, Canada 4Department of Surgery, Division of Trauma — University of Campinas, São Paulo, Brazil 5Department of Surgery, Foothills Med...

Violent trauma and road traffic injuries kill more than 2.5 million people in the world every year, for a combined mortality of 48 deaths per 100,000 population per year. Most trauma deaths occur at the scene or in the first hour after trauma, with a proportion from 34% to 50% occurring in hospitals. Preventability of trauma deaths has been reported as high as 76% and as low as 1% in mature tra...

INTRODUCTION A number of issues concerning stress ulcer prophylaxis remain unresolved despite numerous randomized, controlled trials and several meta-analyses. The role of stress ulcer prophylaxis, particularly in trauma patients, is further complicated by the lack of trials utilizing clinically important bleeding as an endpoint. Given the lack of consensus regarding stress ulcer prophylaxis in...

INTRODUCTION This retrospective pilot study provides information on trauma admissions to the Surgical Intensive Care Unit (SICU) of a tertiary hospital in Singapore. The aim was to use the data collected to generate awareness and interest in this area. The authors also wish to use the information to advocate subsequent in-depth collection and analysis of data and the development of a Trauma Reg...

Aims, Objectives and Background Appropriate timely imaging improves trauma outcomes. In adults, the default is whole-body computed tomography (CT). However, in children more selective should be used. those requiring CT, national standard ≤30mins of arrival. The aims this study were to compare appropriateness CT time initial paediatric patients conveyed directly a major centre (MTC) with initial...

Nose is one of the most important aesthetic unit of the face.Management of nasal trauma plays a significant role in the practices of the majority of facial and reconstructive surgeons. Replantation, although technically very challenging, is undoubtedly the procedure of choice following traumatic nasal amputation. Here we present an illustrative case report of the traumatic amputation of a nasal...