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Retrobulbar Hematoma in a Patient with Thyroid Eye Disease. 甲状腺眼病患者的球后血肿。
IF 1.4
Journal of Emergencies, Trauma, and Shock Pub Date : 2022-10-01 Epub Date: 2022-12-07 DOI: 10.4103/jets.jets_164_21
Christina Y Weng
{"title":"Retrobulbar Hematoma in a Patient with Thyroid Eye Disease.","authors":"Christina Y Weng","doi":"10.4103/jets.jets_164_21","DOIUrl":"10.4103/jets.jets_164_21","url":null,"abstract":"<p><p>A 37-year-old female with a history of thyroid eye disease presented after trauma to the right side of her face. Visual acuity was light perception and a relative afferent pupillary defect was detected. There was gross proptosis of the unruptured right globe with diffuse conjunctival hemorrhage. Computed tomography revealed an intraconal retrobulbar hematoma (RBH) with anterior herniation of the globe. The extraocular muscles were thickened, consistent with her thyroid eye disease, and her superior rectus was avulsed. The optic nerve was on stretch, but there was no evidence of transection. The patient ultimately underwent enucleation with the plan for an eventual ocular prosthesis. In RBH, blood accumulates in the retrobulbar space and can lead to an increase in intraocular pressure, optic nerve stretch, or mechanical blockage of ocular perfusion. A brief review of RBH is included to emphasize the most important aspects of diagnosis and management of this vision-threatening emergency.</p>","PeriodicalId":15692,"journal":{"name":"Journal of Emergencies, Trauma, and Shock","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9838644/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10540445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
What's New in Emergencies, Trauma, and Shock - Camel, Cattle, Borewell, or Sewer Injuries: Time for Public Health Contextualization of Injury Prevention. 紧急情况、创伤和休克的新情况——骆驼、牛、Borewell或下水道伤害：是时候将伤害预防纳入公共卫生情境了。
IF 1.2
Journal of Emergencies, Trauma, and Shock Pub Date : 2022-10-01 Epub Date: 2022-12-07 DOI: 10.4103/jets.jets_147_22
Sunil Kumar Raina
{"title":"What's New in Emergencies, Trauma, and Shock - Camel, Cattle, Borewell, or Sewer Injuries: Time for Public Health Contextualization of Injury Prevention.","authors":"Sunil Kumar Raina","doi":"10.4103/jets.jets_147_22","DOIUrl":"10.4103/jets.jets_147_22","url":null,"abstract":"","PeriodicalId":15692,"journal":{"name":"Journal of Emergencies, Trauma, and Shock","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9838645/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10535596","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Surgical Excision of Double Skull: A Rare Entity of Ossified Subdural Hematoma in a Footballer. 双颅骨外科切除术：足球运动员罕见的骨化性硬膜下血肿。
IF 1.4
Journal of Emergencies, Trauma, and Shock Pub Date : 2022-10-01 Epub Date: 2022-12-07 DOI: 10.4103/jets.jets_58_22
Rahul Sharma, Anand Katkar, Ashok Bhanage, G Prem Kumar Reddy
{"title":"Surgical Excision of Double Skull: A Rare Entity of Ossified Subdural Hematoma in a Footballer.","authors":"Rahul Sharma,&nbsp;Anand Katkar,&nbsp;Ashok Bhanage,&nbsp;G Prem Kumar Reddy","doi":"10.4103/jets.jets_58_22","DOIUrl":"10.4103/jets.jets_58_22","url":null,"abstract":"","PeriodicalId":15692,"journal":{"name":"Journal of Emergencies, Trauma, and Shock","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9838643/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10539983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Emergency Departments: Preparing for a New War. 急诊科：为新的战争做准备。
IF 1.2
Journal of Emergencies, Trauma, and Shock Pub Date : 2022-10-01 Epub Date: 2022-12-07 DOI: 10.4103/jets.jets_143_22
Vivek Chauhan, Sarah Secor-Jones, Lorenzo Paladino, Indrani Sardesai, Amila Ratnayake, Stanislaw P Stawicki, Thomas J Papadimos, Kelly O'Keefe, Sagar C Galwankar
{"title":"Emergency Departments: Preparing for a New War.","authors":"Vivek Chauhan, Sarah Secor-Jones, Lorenzo Paladino, Indrani Sardesai, Amila Ratnayake, Stanislaw P Stawicki, Thomas J Papadimos, Kelly O'Keefe, Sagar C Galwankar","doi":"10.4103/jets.jets_143_22","DOIUrl":"10.4103/jets.jets_143_22","url":null,"abstract":"","PeriodicalId":15692,"journal":{"name":"Journal of Emergencies, Trauma, and Shock","volume":null,"pages":null},"PeriodicalIF":1.2,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9838648/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10535598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Utility of the Modified Nutritional Risk in the Critically ill Score as an Outcome Predictor in All-Cause Acute Respiratory Distress Syndrome and Acute Febrile Illness-Induced Acute Respiratory Distress Syndrome. 危重症评分中改良营养风险作为全因急性呼吸窘迫综合征和急性发热性疾病引起的急性呼吸窘迫综合症的预后预测指标的效用。
IF 1.4
Journal of Emergencies, Trauma, and Shock Pub Date : 2022-10-01 Epub Date: 2022-12-07 DOI: 10.4103/jets.jets_98_22
Pratibha Todur, Anitha Nileshwar, Souvik Chaudhuri, Sagar S Maddani, Shwethapriya Rao, S Thejesh
{"title":"Utility of the Modified Nutritional Risk in the Critically ill Score as an Outcome Predictor in All-Cause Acute Respiratory Distress Syndrome and Acute Febrile Illness-Induced Acute Respiratory Distress Syndrome.","authors":"Pratibha Todur,&nbsp;Anitha Nileshwar,&nbsp;Souvik Chaudhuri,&nbsp;Sagar S Maddani,&nbsp;Shwethapriya Rao,&nbsp;S Thejesh","doi":"10.4103/jets.jets_98_22","DOIUrl":"10.4103/jets.jets_98_22","url":null,"abstract":"<p><strong>Introduction: </strong>Nutritional risk in the Critically Ill (NUTRIC) score is a predictor of adverse outcomes in the critically ill, and its utility in a specific population of critically ill has been recommended. We aimed to study the utility of modified NUTRIC (mNUTRIC) score as a mortality predictor in acute febrile illness (AFI)-induced acute respiratory distress syndrome (ARDS) and all-cause ARDS patients.</p><p><strong>Methods: </strong>We recorded data from two prospective observational ARDS studies conducted at a single-center tertiary care hospital to evaluate the utility of the mNUTRIC score as an independent mortality predictor in all-cause ARDS and AFI-ARDS. A total of 216 all-cause ARDS patients were included, of which 73 were AFI-ARDS and 143 were non-AFI ARDS.</p><p><strong>Results: </strong>Mortality of AFI-ARDS was 16/73 (21.9%) compared to 62/143 (43.35%) in non-AFI ARDS (<i>P</i> = 0.002). There were no significant differences in severity of ARDS in AFI-ARDS and non-AFI ARDS groups (<i>P</i> = 0.504). The mNUTRIC score was found to be an independent predictor of mortality in all-cause ARDS patients (<i>n</i> = 216) and AFI-ARDS patients (<i>n</i> = 73) after Cox regression multivariable analysis. In all-cause ARDS, the mNUTRIC score had an area under the curve (AUC) of 0.778, cutoff ≥4, 82.1% sensitivity, and 65.9% specificity as a predictor of mortality. In AFI-ARDS, the mNUTRIC score had an AUC of 0.769, cutoff ≥4, 81.3% sensitivity, 66.67% specificity, and <i>P</i> = 0.001 as a predictor of mortality.</p><p><strong>Conclusion: </strong>The mNUTRIC score is an independent mortality predictor for all-cause ARDS and AFI-ARDS patients. AFI-ARDS has significantly lesser mortality than non-AFI ARDS.</p>","PeriodicalId":15692,"journal":{"name":"Journal of Emergencies, Trauma, and Shock","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9838650/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10535599","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Penile Fracture with Urethral Rupture: The Feasibility of Repair through Penoscrotal Approach. 阴茎骨折伴尿道破裂:经阴茎阴囊入路修复的可行性。
IF 1.4
Journal of Emergencies, Trauma, and Shock Pub Date : 2022-07-01 Epub Date: 2022-09-28 DOI: 10.4103/jets.jets_154_21
Brij Mohan Joshi, Satish Kumar Ranjan, Mayank Jain, Anant Kumar
{"title":"Penile Fracture with Urethral Rupture: The Feasibility of Repair through Penoscrotal Approach.","authors":"Brij Mohan Joshi,&nbsp;Satish Kumar Ranjan,&nbsp;Mayank Jain,&nbsp;Anant Kumar","doi":"10.4103/jets.jets_154_21","DOIUrl":"https://doi.org/10.4103/jets.jets_154_21","url":null,"abstract":"<p><p>Penile fracture with an associated urethral injury is a rare urological emergency resulting from trauma to the erect penis during vigorous sexual intercourse. The patient often presents with swelling of the penis, discoloration of the penile skin, localized pain, and hematuria with a typical history of sudden detumescence during intercourse. Subcoronal penile degloving incision has been conventionally described and is frequently used by many clinicians for the management of penile fracture-urethral injury. Here, we describe a case of complex penile fracture managed through the vertical penoscrotal incision. The penoscrotal approach confers excellent exposure to both the ruptured corpus cavernosum and urethra. This approach ensures successful outcomes in such an emergency procedure without having disadvantages of the degloving incision.</p>","PeriodicalId":15692,"journal":{"name":"Journal of Emergencies, Trauma, and Shock","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9639730/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40674956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Vaginal Injury by a Cow's Horn. 阴道被牛角咬伤。
IF 1.4
Journal of Emergencies, Trauma, and Shock Pub Date : 2022-07-01 Epub Date: 2022-09-28 DOI: 10.4103/jets.jets_79_22
Ikuto Takeuchi, Ken-Ichi Muramatsu, Soichiro Ota, Youichi Yanagawa
{"title":"Vaginal Injury by a Cow's Horn.","authors":"Ikuto Takeuchi,&nbsp;Ken-Ichi Muramatsu,&nbsp;Soichiro Ota,&nbsp;Youichi Yanagawa","doi":"10.4103/jets.jets_79_22","DOIUrl":"https://doi.org/10.4103/jets.jets_79_22","url":null,"abstract":"","PeriodicalId":15692,"journal":{"name":"Journal of Emergencies, Trauma, and Shock","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9639732/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40690225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Intra-Articular Lidocaine versus Procedural Sedation for Shoulder Dislocation Reduction: A Randomized Trial. 关节内利多卡因与手术镇静肩关节脱位复位:一项随机试验。
IF 1.4
Journal of Emergencies, Trauma, and Shock Pub Date : 2022-07-01 Epub Date: 2022-09-28 DOI: 10.4103/jets.jets_49_22
Tony Zitek, Nicholas Koneri, Nikkitta Georges, Matthew Slane
{"title":"Intra-Articular Lidocaine versus Procedural Sedation for Shoulder Dislocation Reduction: A Randomized Trial.","authors":"Tony Zitek,&nbsp;Nicholas Koneri,&nbsp;Nikkitta Georges,&nbsp;Matthew Slane","doi":"10.4103/jets.jets_49_22","DOIUrl":"https://doi.org/10.4103/jets.jets_49_22","url":null,"abstract":"<p><strong>Introduction: </strong>Two common ways of providing anesthesia for shoulder dislocation reductions in the emergency department (ED) are intra-articular lidocaine (IAL) injections and procedural sedation (PS). We sought to compare PS with propofol or etomidate to IAL for shoulder dislocation reductions in the ED.</p><p><strong>Methods: </strong>This was an open-label, randomized controlled trial of patients aged 18-70 years with anterior shoulder dislocations who presented to a single ED. We randomized patients to either PS or IAL for their shoulder dislocation reduction. The primary outcome measure was ED length of stay (LOS). Secondarily, we assessed patient satisfaction and the number of attempts required for successful reduction.</p><p><strong>Results: </strong>We identified 60 patients who met the criteria for enrollment, and were able to enroll 43. We randomized 23 patients to IAL and 20 to PS. In the IAL group, the mean ED LOS was 133 min as compared to 124 min for the PS group (difference 9 min [95% confidence interval (CI)-22-41], <i>P</i> = 0.54). Patients in the IAL group required an average of 1.9 reduction attempts as compared to 1.2 in the PS group (difference of 0.7 [95% CI 0.2-1.2]). The mean patient satisfaction scores were similar at 9.7 and 9.8 for the IAL and PS groups, respectively.</p><p><strong>Conclusions: </strong>This study lacked a sufficient sample size to detect small differences but found no statistically significant difference in mean ED LOS or patient satisfaction for patients who received IAL as compared to PS. Patients in the PS group required fewer attempts for successful reduction.</p>","PeriodicalId":15692,"journal":{"name":"Journal of Emergencies, Trauma, and Shock","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9639727/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40690228","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
What's New in Emergencies, Trauma, and Shock - Addressing Communication Gaps. 紧急情况、创伤和休克的新进展——解决沟通差距。
IF 1.4
Journal of Emergencies, Trauma, and Shock Pub Date : 2022-07-01 Epub Date: 2022-09-28 DOI: 10.4103/jets.jets_117_22
William Wilson, Murtuza Ghiya
{"title":"What's New in Emergencies, Trauma, and Shock - Addressing Communication Gaps.","authors":"William Wilson,&nbsp;Murtuza Ghiya","doi":"10.4103/jets.jets_117_22","DOIUrl":"https://doi.org/10.4103/jets.jets_117_22","url":null,"abstract":"","PeriodicalId":15692,"journal":{"name":"Journal of Emergencies, Trauma, and Shock","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9639726/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40674955","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prevention is Better than Cure: Intra-abdominal Migration of Drain Placed for Bile Duct Injury. 预防胜于治疗:胆管损伤的腹腔内引流术。
IF 1.4
Journal of Emergencies, Trauma, and Shock Pub Date : 2022-07-01 Epub Date: 2022-09-28 DOI: 10.4103/jets.jets_6_22
Arvind Kumar Bodda, Bhargavi Srividya, Pankaj Kumar
{"title":"Prevention is Better than Cure: Intra-abdominal Migration of Drain Placed for Bile Duct Injury.","authors":"Arvind Kumar Bodda,&nbsp;Bhargavi Srividya,&nbsp;Pankaj Kumar","doi":"10.4103/jets.jets_6_22","DOIUrl":"https://doi.org/10.4103/jets.jets_6_22","url":null,"abstract":"","PeriodicalId":15692,"journal":{"name":"Journal of Emergencies, Trauma, and Shock","volume":null,"pages":null},"PeriodicalIF":1.4,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9639731/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40674957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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