Emergency Medicine, Trauma and Surgical Care最新文献

{"title":"Reanimate the Dead to Life by Practicing Cryo Techniques","authors":"Ashutosh Menon","doi":"10.24966/ets-8798/100062","DOIUrl":"https://doi.org/10.24966/ets-8798/100062","url":null,"abstract":"The pigs were immediately connected to a ventilator device for assisted respiration. After about a day or so these pigs returned to normalcy with regards to heart & breathing rhythms. By following the above procedure dead humans may also be brought back to life immediately after demise. This procedure will be more effective in dead youths who unfortunately got killed. Pigs were used for this experiment as they share a number of surprising comparable traits with humans which is a well-known fact.","PeriodicalId":160991,"journal":{"name":"Emergency Medicine, Trauma and Surgical Care","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125966044","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}

{"title":"Indicators of Non-accidental Trauma in Patients Under 24 Months of Age","authors":"C. Shanti","doi":"10.24966/ets-8798/100060","DOIUrl":"https://doi.org/10.24966/ets-8798/100060","url":null,"abstract":"Emergency department medical staff should be cautious of trauma patients who present with any of thesevariables found to be associated with NAT. Identification of NAT on the first presentation by medical staff may prevent victims of NAT from facing subsequent abuse, fatality, or lifelong complications","PeriodicalId":160991,"journal":{"name":"Emergency Medicine, Trauma and Surgical Care","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121131062","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}

{"title":"Effects of Position on Intracranial Pressure Management in Porcine Traumatic Brain Injury with Hemorrhagic Shock","authors":"Kyoung Jun Song","doi":"10.24966/ets-8798/100059","DOIUrl":"https://doi.org/10.24966/ets-8798/100059","url":null,"abstract":"The head elevation position increased mortality, decreased MAP, and showed no significant change in CePP.","PeriodicalId":160991,"journal":{"name":"Emergency Medicine, Trauma and Surgical Care","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129780218","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}

{"title":"Single-Shot Sub-Dissociative Dose Ketofol versus Ketamine Alone for Emergency Department Procedural Sedation and Analgesia in Adult","authors":"Shihab Al Sheikh","doi":"10.24966/ets-8798/100058","DOIUrl":"https://doi.org/10.24966/ets-8798/100058","url":null,"abstract":"When compared with Ketamine alone for PSA in ED settings, the Ketofol with rapid onset of action, faster recovery time, cardio respiratory stability, less adverse events, and high patient satisfaction level make it a better option.","PeriodicalId":160991,"journal":{"name":"Emergency Medicine, Trauma and Surgical Care","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121809000","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}

{"title":"Implementation of a Simplified Pediatric Peri-Appendectomy Antibiotic Regimen","authors":"C. Shanti","doi":"10.24966/ets-8798/100061","DOIUrl":"https://doi.org/10.24966/ets-8798/100061","url":null,"abstract":"A simplified peri-appendectomy antibiotic regimen was as effective with fewer nursing resources and treatment costs","PeriodicalId":160991,"journal":{"name":"Emergency Medicine, Trauma and Surgical Care","volume":"129 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132839748","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}

{"title":"Clinical Features of Children with Abusive Head Injury and Apparent Life-Threatening Events Upon Presentation to a Children’s Hospital","authors":"Donna Mendez","doi":"10.24966/ETS-8798/100055","DOIUrl":"https://doi.org/10.24966/ETS-8798/100055","url":null,"abstract":"Background: The symptoms of child abuse and ALTE are similar. Diagnosing child abuse in those who present with an ALTE may be difficult since the symptoms are similar, and bruising is not always seen in those abused. Approximately only 50% of infants who have bruising are found to be abused. There is limited literature showing bruises to the face or blood in the nose or mouth are distinguishing features of those abused infants who initially present to the Emergency Department (ED) for ALTE. Objective: To determine if bruises or contusions to the face or body in infants occur more often in those who present to the ED as an ALTE but found to have Abusive Head Injury (AHI) versus those who present as ALTE and not found to have AHI. A secondary aim was to determine if blood in the mouth and/or nose was present in those with ALTE but found to have AHI. Methods: Retrospective case-control study of infants Results: There were 49 patients in the study: 20 AHI and 29 non-AHI. All infants in both groups had apnea as a presenting symptom. There were no differences in race or gender between groups. No patients in the non-AHI group had retinal hemorrhages. There was not a significant difference in CPR performed prior to arriving to the ED between groups. Intubation was performed with higher frequency in the AHI patients than non-AHI patients (62% vs 0%, p=0.002 by Fisher’s Exact Test). All nine patients requiring intubation were in the AHI group and had intracranial bleeds. Bruises were present with higher frequency in the abused than non-abused group (31% vs 0%, P=0.017 by Fisher’s Exact Test). All bruises were found on patients’ bodies and none on their faces. There were 2 patients with blood from the nose but those were in the non-AHI group and had received CPR. Conclusions: Infants with ALTE who have AHI are more likely to present with bruising to the body, retinal hemorrhages, and intracranial bleeds than infants who have AHI. Blood in the nose does not identify those with AHI. The performance of CPR does not differentiate between groups but the need for intubation was associated with AHI.","PeriodicalId":160991,"journal":{"name":"Emergency Medicine, Trauma and Surgical Care","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123814306","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}

{"title":"Combining Negative Pressure Wound Therapy with Insulin Instillation Reduces Insulin Resistance and Accelerates Healing in Patients with Chronically Infected Wounds","authors":"Xin-long Chen","doi":"10.24966/ETS-8798/100057","DOIUrl":"https://doi.org/10.24966/ETS-8798/100057","url":null,"abstract":"Aim: This study aimed at evaluating the effects of negative pressure wound therapy (NPWT) combined with insulin instillation on wound healing and insulin resistance (IR) in patients with chronically infected wounds. Methods: Sixty-three patients were recruited and randomly divided into three groups (21 cases each) according to treatments: NPWT only; NPWT+insulin; and controls (conventional dressings). Both NPWT treatments lasted for three weeks. Thereafter, wounds’ healing conditions were assessed. At 1 day before and 7, 14, and 21 days posttreatment Interleukin- 6 (IL-6), Interleukin- 2 (IL-2), and Tumor Necrosis Factor-α (TNF-α) serum levels were assessed via specific double-antibody sandwich enzyme-linked immunosorbent assays; and plasma glucose and insulin were quantified via glucose-oxidase and radioimmunoassay, respectively. IR was appraised via homeostasis model assessment (HOMA-IR) and quantitative insulin sensitivity check index (QUICKI). Results: At 7, 14, and 21 days after treatments onset the two NPWT groups had significantly (P = 0.0001) lower IL-6, IL-2, and TNF-α serum levels and HOMA-IR values than controls while wound healing rates were higher (P < 0.001) than controls. Notably, the NPWT+insulin treatment results were better (P < 0.01) than those of NPWT alone. Conclusion: NPWT+insulin instillation improved wound healing, mitigated inflammation, and reduced IR in patients with chronically infected wounds.","PeriodicalId":160991,"journal":{"name":"Emergency Medicine, Trauma and Surgical Care","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127820352","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}

{"title":"The Impact of Socio-Economical Status on the Quality of Life of Children with Asthma","authors":"P. Cherecheș-Panța","doi":"10.24966/ets-8798/100054","DOIUrl":"https://doi.org/10.24966/ets-8798/100054","url":null,"abstract":"Low socioeconomic level may contribute to the severity of asthma, frequency of exacerbation, and hospitalization and affects the quality of life. The aim of the study was to evaluate the impact of socioeconomic status (SES) on general score of quality of life (GSQL). Methods: The study group included children aged between 8-16 years with persistent asthma, and we followed them up 12 months. We analyzed the location and the size of the household, educational level, and employment status of parents and family income. The GSQL was obtained based on the questionnaire of quality of life in children with asthma. According to the SES, we divided the study group into high income and low-income groups. Results: Half of the patients belonged to families with low income. There were no significant differences in GSQL regarding the living area, educational level, and parents' employment status. The general score of quality of life was higher in patients from the high-income group than those with lower income at the beginning of the study (5.04±1.09 versus 4.43±0.97; p=0.0101). Alter 12 months GSQL increased significantly in both groups (6.57±0.57 versus 6.49±0.56; p=0.3167). The quality of life was not affected by atopic status. Conclusions: The low income has a negative impact on children GSQL. The educational level and employment status of parents, rural area, and the association of other allergic diseases do not affect the quality of life.","PeriodicalId":160991,"journal":{"name":"Emergency Medicine, Trauma and Surgical Care","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130511138","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}

{"title":"Coagulation/Fibrinolysis and Thrombosis in Coronavirus Disease 2019: A Review Based on Up-To-Date Knowledge","authors":"","doi":"10.24966/ets-8798/s1006","DOIUrl":"https://doi.org/10.24966/ets-8798/s1006","url":null,"abstract":"Introduction: Coronavirus disease (COVID-19) is an infectious disease caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) that developed into an ongoing pandemic. The main pathology of COVID-19 is viral pneumonia, but thrombotic complications are frequently observed and are associated with its severity. Methods: We selected qualitatively and quantitatively reliable reports, which were related to thrombosis and were associated with COVID-19, using the Google Scholar and PubMed search engines. The features of abnormal coagulation/fibrinolysis and thrombosis were reviewed based on these reports. Results: Thrombosis accompanying COVID-19 can occur in veins, arteries, and capillaries. Macrothrombosis and microthrombosis can also occur. Furthermore, the patterns of disseminated intravascular coagulation that accompany COVID-19 can vary from the fibrinolysis-suppressing to the fibrinolysis-enhancing type. Discussion: Coagulation/fibrinolysis abnormalities in patients with COVID-19 should be investigated over time using many markers, including D-dimer levels. Based on the obtained results, prospective randomized clinical trials on antithrombotic drugs should be conducted to establish an effective treatment. Conclusion: Further elucidation of the characteristic pathology of coagulation/fibrinolysis and thrombosis in patients with COVID-19 is expected, which would lead to the development of appropriate treatments.","PeriodicalId":160991,"journal":{"name":"Emergency Medicine, Trauma and Surgical Care","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126729557","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}

{"title":"Covid-19: Double Tragedy for Women in High-Density Suburbs of Zimbabwe","authors":"","doi":"10.24966/ets-8798/s1004","DOIUrl":"https://doi.org/10.24966/ets-8798/s1004","url":null,"abstract":"","PeriodicalId":160991,"journal":{"name":"Emergency Medicine, Trauma and Surgical Care","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133341414","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}