{"title":"Pain, Painrelieving Mechanisms and Trauma","authors":"B. Sjolund","doi":"10.1017/S1049023X00028612","DOIUrl":"https://doi.org/10.1017/S1049023X00028612","url":null,"abstract":"Activity in nociceptive nerve fibers does not only trigger the sensation of pain but it also starts a variety of nocifensive reflexes to protect the organism from the noxious agent. Some of these reflexes may, if active long enough, be harmful themselves, causing ischemia in visceral organs or other inadvertent reactions. Recently, several endogenous mechanisms have been discovered that can inhibit the transmission of nerve impulses from nociceptive afferents to other nerve cells, thus not only preventing the pain sensation but also modulating the nocifensive reflex responses. Several such mechanisms may involve the release of endorphins. These are small peptides, with opiate-like activity that were first discovered in 1975 by Hughes and Kosterlitz in Great Britain and by Terenius in Sweden. The distribution of such endorphins in the central nervous system was first investigated by Hökfelt and his coworkers. They found terminals and cell bodies containing endorphins in several areas of interest from the point of view of nociception. Thus the dorsal horn of the spinal cord, the corresponding area of the fifth cranial nerve and the periaqueductal gray matter contained such material.","PeriodicalId":221390,"journal":{"name":"Journal of the World Association for Emergency and Disaster Medicine","volume":"152 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116897812","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":"Announcements and Letters","authors":"","doi":"10.1017/S1049023X00028922","DOIUrl":"https://doi.org/10.1017/S1049023X00028922","url":null,"abstract":"","PeriodicalId":221390,"journal":{"name":"Journal of the World Association for Emergency and Disaster Medicine","volume":"165 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116967625","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":"Air Force Rescue at the MGM Hotel Fire in Las Vegas","authors":"D. M. Wallace","doi":"10.1017/S1049023X00032726","DOIUrl":"https://doi.org/10.1017/S1049023X00032726","url":null,"abstract":"One of the worst hotel fires in the USA occurred at the MGM Grand Hotel in Las Vegas, Nevada, on November 21, 1980. This tragedy claimed 84 lives and injured 300 others. The toll might have been higher were it not for Air Force assistance. Nine U.S. Air Force helicopters responded swiftly to the scene in answer to the city of Las Vegas plea for help. The call came from the Metropolitan Police Department at 7:38 a.m. and got an immediate response from the Nellis Air Force Base (AFB) Consolidated Command Post. By 7:55 a.m., the first Huey helicopter was airborne. Less than 20 minutes later it was hovering over the MGM Grand Hotel. Evacuation of survivors began immediately, according to Major Larry B. Doege, commander of Detachment 1, 57th Fighter Weapons Wing.","PeriodicalId":221390,"journal":{"name":"Journal of the World Association for Emergency and Disaster Medicine","volume":"316 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115222530","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 Value of Critical Care in Trauma Centers","authors":"M. Al-Sawwaf, A. Ayuyao, M. Parsa, H. Freeman","doi":"10.1017/S1049023X00029496","DOIUrl":"https://doi.org/10.1017/S1049023X00029496","url":null,"abstract":"These I.C.U. trauma admissions fall into three categories: 1. Nonoperative management/intensive observation and treatment. 2. Pre-operative stabilization and preparation for patients who may need surgical intervention. 3. Post operative management of the severely injured. The hallmark of intensive care management of these patients center on the following: 1. Adequate ratio of medical and nursing staff per patient 24 hours a day, seven days a week. 2. Continuous invasive and noninvasive monitoring of patients' physiologic status, which enables the physician to make an early detection of pathological developments hence timely and appropriate correction of the abnormalities. We believe proper and early utilization of the limited and extremely costly critical care facilities in trauma centers can prove life saving and therefore cost effective. A TEACHING AND APPLICATIONS ALGORITHM FOR MEDICAL EMERGENCY MANAGEMENT IN DENTISTRY: THE HONG KONG MODEL","PeriodicalId":221390,"journal":{"name":"Journal of the World Association for Emergency and Disaster Medicine","volume":"59 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115635445","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":"Announcements and Letters","authors":"","doi":"10.1017/s1049023x00029800","DOIUrl":"https://doi.org/10.1017/s1049023x00029800","url":null,"abstract":"","PeriodicalId":221390,"journal":{"name":"Journal of the World Association for Emergency and Disaster Medicine","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127546440","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}
S. Rottman, T. Cannis, N. Kaser-Boyd, J. Alexander
{"title":"Mass Carbon Monoxide Poisoning Involving 129 Victims: The Use of Neuropsychological Screening Test and Hyperbaric Oxygen Therapy","authors":"S. Rottman, T. Cannis, N. Kaser-Boyd, J. Alexander","doi":"10.1017/S1049023X00029587","DOIUrl":"https://doi.org/10.1017/S1049023X00029587","url":null,"abstract":"","PeriodicalId":221390,"journal":{"name":"Journal of the World Association for Emergency and Disaster Medicine","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128344574","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":"Intravenous Regional Analgesia (Biers Block) — Safe or Not?","authors":"S. Cembrowicz, P. Baskett","doi":"10.1017/S1049023X00028624","DOIUrl":"https://doi.org/10.1017/S1049023X00028624","url":null,"abstract":"The concept of using Intravenous Regional Analgesia (IVRA) in the mass casualty situation is potentially an attractive alternative to the use of general anesthesia in the management of limb fractures. The purpose of this paper is to outline the history and development of the technique and emphasize important guidelines designed to increase the safety of the method.","PeriodicalId":221390,"journal":{"name":"Journal of the World Association for Emergency and Disaster Medicine","volume":"104 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121212528","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":"Training in Disaster Medicine","authors":"A. Korver","doi":"10.1017/S1049023X00029149","DOIUrl":"https://doi.org/10.1017/S1049023X00029149","url":null,"abstract":"","PeriodicalId":221390,"journal":{"name":"Journal of the World Association for Emergency and Disaster Medicine","volume":"107 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116375611","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":"Needed Innovations in Emergency Medical Services in Present and Future Disasters","authors":"E. Quarantelli","doi":"10.1017/S1049023X00029101","DOIUrl":"https://doi.org/10.1017/S1049023X00029101","url":null,"abstract":"","PeriodicalId":221390,"journal":{"name":"Journal of the World Association for Emergency and Disaster Medicine","volume":"413 1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116556521","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":"Paramedics Aren't (Always) Necessary","authors":"H. Oxer","doi":"10.1017/S1049023X00029605","DOIUrl":"https://doi.org/10.1017/S1049023X00029605","url":null,"abstract":"","PeriodicalId":221390,"journal":{"name":"Journal of the World Association for Emergency and Disaster Medicine","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125747900","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}