Journal of Emergencies, Trauma, and Shock最新文献_第9页

The Efficiency of Focused Assessment with Sonography for Trauma in Pediatric Patients with Blunt Torso Trauma 对钝性躯干创伤的儿科患者进行创伤超声重点评估的效率

IF 1.4

Journal of Emergencies, Trauma, and Shock Pub Date : 2023-12-04 DOI: 10.4103/jets.jets_137_22

Ozlem Inci, Y. Altuncı, Ozge Can, F. K. Akarca, Murat Ersel

{"title":"The Efficiency of Focused Assessment with Sonography for Trauma in Pediatric Patients with Blunt Torso Trauma","authors":"Ozlem Inci, Y. Altuncı, Ozge Can, F. K. Akarca, Murat Ersel","doi":"10.4103/jets.jets_137_22","DOIUrl":"https://doi.org/10.4103/jets.jets_137_22","url":null,"abstract":"\u0000 \u0000 \u0000 Focused Assessment with Sonography for Trauma (FAST) has attracted attention for its use in the detection of intra-abdominal pathology for pediatric patients. However, computed tomography (CT) remains the gold standard for the assessment of blunt torso trauma. The study examines the effectiveness of FAST both in the detection of intra-abdominal pathology in pediatric patients (<19 years) with blunt torso trauma and in the determination of the need for CT for further examination.\u0000 \u0000 \u0000 \u0000 The study was designed as a retrospective observational investigation of diagnostic value. The pediatric patients who were admitted to the Emergency Department with blunt torso trauma between January 2013 and October 2016 were included in the study. The sample of the study comprised 255 patients who met the inclusion criteria. The primary outcome was the effectiveness of FAST in the detection of intra-abdominal pathology and the determination of the need for CT. The secondary outcome was to identify the agreement between CT and FAST for intra-abdominal injuries. The Chi-square test and Fisher’s exact test were used for comparisons. A logistic regression model was developed to determine the variables that independently affect the agreement between FAST and CT.\u0000 \u0000 \u0000 \u0000 FAST was determined to have low sensitivity (20.3%) despite its high specificity (87%). However; FAST had a good negative likelihood ratio. There was a poor agreement between CT and FAST in terms of the presence of both intra-abdominal and intrathoracic injuries in pediatric patients with blunt trunk trauma. The error rate of FAST increased by five-fold, especially in the presence of concomitant thorax trauma. However, FAST had a good negative likelihood ratio.\u0000 \u0000 \u0000 \u0000 FAST should not be regarded as an equivalent tool to CT for pediatric patients with blunt torso trauma. It is, instead, a noteworthy complementary tool that is a negative predictor.\u0000","PeriodicalId":15692,"journal":{"name":"Journal of Emergencies, Trauma, and Shock","volume":"31 13","pages":""},"PeriodicalIF":1.4,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138602482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Enhancing Primary Health-care Worker Training through High-fidelity Simulation for Snake Bite Management 通过高仿真模拟蛇咬伤处理加强初级卫生保健人员培训

IF 1.4

Journal of Emergencies, Trauma, and Shock Pub Date : 2023-12-04 DOI: 10.4103/jets.jets_107_23

Hritika Sharma, Ajit Baviskar, Anant D. Patil

引用次数: 0

Status Epilepticus Complicated by Pneumatosis Intestinalis 肠道肺炎并发的癫痫状态

IF 1.4

Journal of Emergencies, Trauma, and Shock Pub Date : 2023-12-04 DOI: 10.4103/jets.jets_98_23

Y. Yanagawa, H. Nagasawa, Marika Nunotani, I. Takeuchi

引用次数: 0

Colonic Mucormycosis in Fistulizing Crohn’s Disease 瘘性克罗恩病中的结肠粘液瘤病

IF 1.4

Journal of Emergencies, Trauma, and Shock Pub Date : 2023-12-04 DOI: 10.4103/jets.jets_69_23

A. Mathur, Piyush Mishra, Ankur Yadav, Neha Nigam, U. Ghoshal

引用次数: 0

Influence of the Coronavirus Disease 2019 Pandemic and Bystander-victim Relationship on the Willingness of Laypeople and Health-care Providers to Perform Cardiopulmonary Resuscitation 2019年冠状病毒疾病大流行和旁观者与受害者的关系对普通人和医护人员实施心肺复苏意愿的影响

IF 1.4

Journal of Emergencies, Trauma, and Shock Pub Date : 2023-12-04 DOI: 10.4103/jets.jets_3_23

S. Boonmak, T. Mitsungnern, Pimmada Boonmak, P. Boonmak

{"title":"Influence of the Coronavirus Disease 2019 Pandemic and Bystander-victim Relationship on the Willingness of Laypeople and Health-care Providers to Perform Cardiopulmonary Resuscitation","authors":"S. Boonmak, T. Mitsungnern, Pimmada Boonmak, P. Boonmak","doi":"10.4103/jets.jets_3_23","DOIUrl":"https://doi.org/10.4103/jets.jets_3_23","url":null,"abstract":"\u0000 \u0000 \u0000 Bystander cardiopulmonary resuscitation (CPR) reduces mortality from out-of-hospital cardiac arrest. The willingness to perform CPR (W-CPR) is also critical. Uncertain effects of the coronavirus disease 2019 (COVID-19) pandemic on W-CPR were reported. Our objectives aim to examine W-CPR during the COVID-19 pandemic, including the influence of the bystander-victim relationship, bystander characteristics, and CPR background on the W-CPR of laypeople and healthcare providers (HCPs).\u0000 \u0000 \u0000 \u0000 A cross-sectional online survey was conducted between August 2020 and November 2020 among Thai laypeople and HCPs. A structured questionnaire was given to volunteers as an online survey. We recorded W-conventional CPR (W-C-CPR), W-compression-only CPR (W-CO-CPR), chest compression, automated external defibrillator (AED), mouth-to-mouth, face shield, and pocket mask ventilation on family members (FMs), acquaintances, and strangers during the study (pandemic) and in nonpandemic situation and analyzed.\u0000 \u0000 \u0000 \u0000 We included 419 laypeople and 716 HCPs. During the pandemic, laypeople expressed less willingness in all interventions (P < 0.05) except W-CO-CPR in FMs and AED in FMs and acquaintances. HCPs were less willing to any interventions (P < 0.05). Laypeople showed comparable W-C-CPR and W-CO-CPR between FMs and acquaintances but less among strangers (P < 0.05). HCPs’ W-CPR differed significantly depending on their relationship (P < 0.05), except W-CO-CPR between FMs and acquaintances. CPR self-efficacy, single marital status, CPR experience, and HCPs reported higher W-CO-CPR in FMs.\u0000 \u0000 \u0000 \u0000 Participants were less W-CPR during the COVID-19 pandemic on all recipients (laypeople: 2.8%–21.0%, HCPs: 7.6%–31.2%), except for laypeople with FMs. The recipient’s relationship was more critical in W-C-CPR than in W-CO-CPR, especially in HCPs.\u0000","PeriodicalId":15692,"journal":{"name":"Journal of Emergencies, Trauma, and Shock","volume":"39 6","pages":""},"PeriodicalIF":1.4,"publicationDate":"2023-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138602400","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Health Drink Poisoning – An Unusual Case of Bottle Gourd Toxicity 保健饮料中毒--一例不同寻常的瓶瓠中毒事件

IF 1.4

Journal of Emergencies, Trauma, and Shock Pub Date : 2023-11-21 DOI: 10.4103/jets.jets_41_23

H. S. Varun, Kushal Pandya, M. Muniraju

引用次数: 0

A Case of Traumatic Minor Hepatic Injury with Delayed Hemorrhaging 一例外伤性轻微肝损伤并延迟出血的病例

IF 1.4

Journal of Emergencies, Trauma, and Shock Pub Date : 2023-11-20 DOI: 10.4103/jets.jets_110_23

Chihiro Maekawa, H. Nagasawa, I. Takeuchi, K. Ishikawa, Y. Yanagawa

引用次数: 0

The Pattern of Midface Fractures in Jordan: A Retrospective Review of Medical Records 约旦中面部骨折的模式：医疗记录回顾

IF 1.4

Journal of Emergencies, Trauma, and Shock Pub Date : 2023-11-17 DOI: 10.4103/jets.jets_42_23

A. Bataineh, Yousef Khader

{"title":"The Pattern of Midface Fractures in Jordan: A Retrospective Review of Medical Records","authors":"A. Bataineh, Yousef Khader","doi":"10.4103/jets.jets_42_23","DOIUrl":"https://doi.org/10.4103/jets.jets_42_23","url":null,"abstract":"Midface fracture incidence and trauma patterns vary across countries, due to socioeconomic, environmental, and cultural factors. The aim of this retrospective study was to assess the etiology, pattern, and treatment of midface fractures in North of Jordan during 2018–2021. This single-center retrospective study was based on the review of the medical records of patients who had suffered midface fractures and were treated at the Department of Oral and Maxillofacial Surgery at the King Abdullah University Hospital. The dataset for this investigation spanned the 4-year period from January 2018 to December 2021. During the 4-year period, 267 patients presented with 376 different maxillofacial fractures. Of those, 140 patients had 250 midface fractures, with a mean of 1.79 per patient. Their age ranged from 2 to 68 years (mean [standard deviation] = 25.8 [12.0] years). The most frequent injury cause was road traffic accidents (RTA) (n = 72, 51.3%), followed by falls (n = 27, 19.3%). Among midface fractures, the most frequent were orbit fractures (42.4%), followed by zygomatic fractures (31.6%) and maxillary fractures (26%). The majority of fractures (77.9%) were treated through open reduction and internal fixation (ORIF), while the remaining (15.7%) required closed reduction and conservative treatment was sufficient in 6.43% of fractures. Midface fractures were more common among males, and primarily occurred in the orbital floor due to the high incidence of RTAs. Maxillary fractures were mostly of the LeFort I Type and ORIF was the most common treatment modality.","PeriodicalId":15692,"journal":{"name":"Journal of Emergencies, Trauma, and Shock","volume":"4 3","pages":""},"PeriodicalIF":1.4,"publicationDate":"2023-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139262836","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Using a Disposable Flexible Fiberoptic Scope as a Bougie for Difficult Intubation 使用一次性柔性光纤探头作为困难插管的导尿管

IF 1.4

Journal of Emergencies, Trauma, and Shock Pub Date : 2023-11-17 DOI: 10.4103/jets.jets_63_23

Daher K Rabadi, Sami A Almasarweh, A. Abubaker, Nedal Shawaqfeh, S. R. Alsalman, Zaid Madain

引用次数: 0

Association of Scene Time with Mortality in Major Traumatic Injuries Arrived by Emergency Medical Service 紧急医疗服务到达的重大创伤现场时间与死亡率的关系

Journal of Emergencies, Trauma, and Shock Pub Date : 2023-10-24 DOI: 10.4103/jets.jets_35_23

Yaowapha Siripakarn, Laongdao Triniti, Winchana Srivilaithon

{"title":"Association of Scene Time with Mortality in Major Traumatic Injuries Arrived by Emergency Medical Service","authors":"Yaowapha Siripakarn, Laongdao Triniti, Winchana Srivilaithon","doi":"10.4103/jets.jets_35_23","DOIUrl":"https://doi.org/10.4103/jets.jets_35_23","url":null,"abstract":"Abstract Introduction: Trauma is a major cause of death worldwide, and prehospital care is critical to improve patient outcomes. However, there is controversy surrounding the effectiveness of limiting scene time to 10 min or less in the care of major trauma patients. This study aimed to investigate the association between scene time and mortality in major trauma patients. Methods: A retrospective cohort study was conducted on major trauma patients treated by the Thammasat University Hospital Emergency Medical Services (EMS) team from 2020 to 2022. We included traumatic adult patients who had an injury severity score (ISS) of 16 or higher. The primary outcome was 24-h mortality. Multivariable risk regression analysis was used to evaluate the independent effect of scene time on 24-h mortality. Results: A total of 104 patients were included, of whom 11.5% died within 24 h. After adjusting for age, systolic blood pressure, Glasgow Coma Scale, and ISS, patients who had a scene time over 10 min showed a significant association with mortality (33.3% vs. 8.7%, P = 0.031). Intravenous fluid administration at the scene showed a trend toward a significant association with mortality. Conclusions: This study provides evidence to support the importance of minimizing scene time for major trauma patients. The findings suggest that a balance between timely interventions and adequate resources should be considered to optimize patient outcomes. Further studies to investigate the impact of prehospital interventions on trauma patient outcomes are needed.","PeriodicalId":15692,"journal":{"name":"Journal of Emergencies, Trauma, and Shock","volume":"62 5","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135322473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0