Trauma monthly最新文献_第6页

Spontaneous Breathing Trial with Pressure Support-Ventilation versus “T-Tube” for Head Trauma Patient: A Randomized Controlled Clinical Trial 自主呼吸试验与压力支持-通气与“t管”头部创伤患者:一项随机对照临床试验

IF 0.5

Trauma monthly Pub Date : 2020-11-01 DOI: 10.30491/TM.2021.228558.1105

L. Yekefallah, P. Namdar, S. Yaghoubi, S. Mohammadi

{"title":"Spontaneous Breathing Trial with Pressure Support-Ventilation versus “T-Tube” for Head Trauma Patient: A Randomized Controlled Clinical Trial","authors":"L. Yekefallah, P. Namdar, S. Yaghoubi, S. Mohammadi","doi":"10.30491/TM.2021.228558.1105","DOIUrl":"https://doi.org/10.30491/TM.2021.228558.1105","url":null,"abstract":"Background: Assessing patients’ readiness for weaning through spontaneous breathing trial (SBT) is a reliable method for improving weaning and extubation outcomes. Until now, there are controversies over the best SBT method. Objective: This study aimed to compare the clinical outcomes of the T-piece and pressure support ventilation (PSV) SBT methods among patients with traumatic brain injury. Methods: In this randomized controlled trial, 72 patients under mechanical ventilation were purposively recruited from the intensive care unit of Shahid Rajaei hospital, Qazvin, Iran, and randomly allocated to an intervention and a control group. SBT was conducted in the intervention and control groups through the T-piece and PSV (with pressure support of less than 8 cm H2O), respectively. The groups were compared with each other respecting weaning outcomes, extubation success, length of mechanical ventilation, length of hospital stay, and mortality rate. Data were compared using the Chi-square and the independent-sample t-tests. Results: Weaning success rate in the T-piece group was significantly greater than the PSV group (P=0.024), while the post-weaning length of hospital stay in the T-piece group was significantly shorter than the PSV group (P=0.05). There were no significant differences in respecting extubation success rate and length of mechanical ventilation between the groups (P>0.05). Conclusion: The T-piece method for SBT could be better tolerated by patients with traumatic brain injury compared with PSV.","PeriodicalId":23249,"journal":{"name":"Trauma monthly","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78926283","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

Cluster Approach Model for Promoting Coordination in Humanitarian Aid; Following the Kermanshah Earthquake, Iran, 2017 促进人道主义援助协调的集群方法模型2017年，伊朗克尔曼沙地震后

IF 0.5

Trauma monthly Pub Date : 2020-11-01 DOI: 10.30491/TM.2020.255724.1196

Iman Farahi-Ashtiani, Z. Ghomian, D. Pirani, Bayram Nejati-Zarnaqi

{"title":"Cluster Approach Model for Promoting Coordination in Humanitarian Aid; Following the Kermanshah Earthquake, Iran, 2017","authors":"Iman Farahi-Ashtiani, Z. Ghomian, D. Pirani, Bayram Nejati-Zarnaqi","doi":"10.30491/TM.2020.255724.1196","DOIUrl":"https://doi.org/10.30491/TM.2020.255724.1196","url":null,"abstract":"Background: The Cluster model is designed as a solution to promote humanitarian response management. This approach is used as an effective model for cooperation and participation of the relevant aid organizations. Objective: This study aimed to identify the type and method of humanitarian aid to support people affected by the Kermanshah earthquake and discuss the importance of the cluster approach in humanitarian response. Methods: In this descriptive cross-sectional study, the data were collected in two steps. First, NEWS and national reports were reviewed and then scientific articles were reviewed for the use of cluster approach for humanitarian aids in disaster. Finally, the findings were compared with the cluster approach of humanitarian aid and analyzed gap and duplication issues in the humanitarian aid related to the Kermanshah earthquake. Results: Findings showed 308 pieces of NEWS and reports on humanitarian aid transmission were found, 38 % (33) of which were from government agencies and 62% from non-governmental institutes. A review of the NEWS agencies revealed that 150 non-governmental organizations (NGOs) and 33 government agencies had helped Kermanshah by sending financial and non-financial aids. Therefore, the cluster approach is necessary for improving humanitarian responses in developing countries, especially countries located in disaster-prone zones. Therefore, the cluster model can be used in the social donation and can be managed by volunteer organizations during disasters for collecting and transferring the donations. Conclusion: The Cluster model is designed as a solution to promote humanitarian response management. This approach is used as an effective model for cooperation and participation of the relevant aid organizations. There are currently 11 clusters including agriculture, camp management, rapid recovery, education, shelter, telecommunications, health, support, water and sanitation, nutrition, protection and health.","PeriodicalId":23249,"journal":{"name":"Trauma monthly","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89271074","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: 1

Early Rehabilitation Care for Patients with Traumatic Brain Injury (TBI): a Concept Analysis study 创伤性脑损伤(TBI)患者早期康复护理的概念分析研究

IF 0.5

Trauma monthly Pub Date : 2020-10-23 DOI: 10.30491/TM.2020.241407.1152

M. Eghbali, H. Khankeh, Seyed Ali Hosseini, V. Rahimi-Movaghar, A. Ebadi

{"title":"Early Rehabilitation Care for Patients with Traumatic Brain Injury (TBI): a Concept Analysis study","authors":"M. Eghbali, H. Khankeh, Seyed Ali Hosseini, V. Rahimi-Movaghar, A. Ebadi","doi":"10.30491/TM.2020.241407.1152","DOIUrl":"https://doi.org/10.30491/TM.2020.241407.1152","url":null,"abstract":"Background: Availability and efficiency of early rehabilitation care is crucial for the restoration and improvement of brain function. Moreover, it can help increase the possibility of the patient’s successful future integration in the community. However, there is no clear and general consensus over this concept (regarding patients with traumatic brain injury) and it is considered a poorly developed area of research. Hence, the purpose of this study is to analysis the concept of early rehabilitation care in patients with traumatic brain injury (TBI). Methods: Walker and Avant’s (2011) approach was employed to analyze this concept. Various databases and search engines were explored to find all the relevant data regarding the concept of early rehabilitation care from 1990 to 2020. Finally, the definition, usage, features, antecedents, attribute, consequences, and empirical referents on the subject of early rehabilitation care were extracted. Results: The results of the concept analysis demonstrated that the most important features of early rehabilitation care include early specialized comprehensive care, purposeful and patient-centered care, and teamwork. Hence, the objectives are to decrease the bad consequence caused by immobility, contracture, bladder and intestinal dysfunction, pressure ulcer, and sleeping disorders. Conclusions: It is believed that the concept of early rehabilitation care is not fully established in the literature in patients with traumatic brain injury, and there are only rudimentary ideas and steps toward applying this concept. Therefore, clarifications on this concept can pave the way for further application of early rehabilitation care.","PeriodicalId":23249,"journal":{"name":"Trauma monthly","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2020-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80313430","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

Impacts of Hip Hemiarthroplasty with Direct Lateral vs. Posterolateral Approach for Femoral Neck Fracture in Elderly 直接外侧入路与后外侧入路髋关节置换术对老年股骨颈骨折的影响

IF 0.5

Trauma monthly Pub Date : 2020-10-23 DOI: 10.30491/TM.2020.233380.1127

Hossein Akbari-Aghdam, Abozar Maleki, Erfan Sheikhbahaei

{"title":"Impacts of Hip Hemiarthroplasty with Direct Lateral vs. Posterolateral Approach for Femoral Neck Fracture in Elderly","authors":"Hossein Akbari-Aghdam, Abozar Maleki, Erfan Sheikhbahaei","doi":"10.30491/TM.2020.233380.1127","DOIUrl":"https://doi.org/10.30491/TM.2020.233380.1127","url":null,"abstract":"Background: Hip hemiarthroplasty (HHA) is the selected procedure among patients with femoral neck fracture and ages more than 70 years old. Lots of different approaches have been proposed for this surgery. However, none of them is confirmed to be superior to others. Objective: The purpose of this study was to compare the posterolateral vs. direct lateral approach regarding their dislocation and mortality rates. Methods: For this retrospective study, 154 patients with femoral neck fracture were investigated from 2012 to 2018. Demographic data, surgical sheet reports, and plain radiography were evaluated. Postoperative dislocation, reoperation, infection, thromboembolic events, one-year mortality and total mortality rates were extracted through interviews and medical documents. Results: There was no significant difference between these two surgical approaches in terms of age, gender, time delayed to perform the surgery, Garden classification, and the etiology of fracture. The duration of the surgery was longer in the posterolateral approach without statistical significance. 36 months later, dislocation, infection, and one-year mortality rates were higher in the direct lateral approach. Recurrent dislocation and total mortality rates were higher in the posterolateral approach. No statistical significance was found between two groups regarding the above mentioned variables. Conclusion: The two HHA approaches were similar in terms of the duration of the surgery, dislocation, reoperation, and mortality rates. None of the approaches was superior to the other one.","PeriodicalId":23249,"journal":{"name":"Trauma monthly","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2020-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83446703","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

Overview of the Strengths and Challenges Associated with Healthcare Service Rendered in the First 10 Days after the Great Flood in Northern Iran, 2019 2019年伊朗北部大洪水后10天内医疗服务的优势和挑战概述

IF 0.5

Trauma monthly Pub Date : 2020-09-01 DOI: 10.30491/TM.2020.213594.1024

M. Peyravi, F. Rahnavard, M. Marzaleh

{"title":"Overview of the Strengths and Challenges Associated with Healthcare Service Rendered in the First 10 Days after the Great Flood in Northern Iran, 2019","authors":"M. Peyravi, F. Rahnavard, M. Marzaleh","doi":"10.30491/TM.2020.213594.1024","DOIUrl":"https://doi.org/10.30491/TM.2020.213594.1024","url":null,"abstract":"Background: Iran is a disaster-prone country, and many flood events occur in its provinces annually. The unprecedented amount of rainfall in the northern region of Iran (from March 17 to 22, 2019) led to flash flooding of the Golestan Province. Objectives: This study assessed the challenges and strengths of health-related needs in the first 10 days after the great flood in Golestan; via interviews with experts. Methods: This cross-sectional and qualitative study was carried out in Gonbad-e-Kavoos, Anbar Alum, Aq-Qala, Simin Shahr, and Gomishan cities of the flood-hit province of Golestan from March 21 to April 13, 2019. The data were collected using the researcher’s field observations and interviews with 26 experts and policymakers. Results: The findings were categorized into 10 main groups namely mental health, environmental health, health education, maternal, infant, and child health, nutrition, epidemics, drugs, mobile hospitals, non-communicable diseases, and management. Environmental health issues were faced with a wide range of challenges. Conclusion: Due to the insufficient development of many health infrastructures in underdeveloped and developing countries, health policymakers and disaster management experts should collaborate before and after the disaster to detect and resolve the flaws. This will help reduce health problems and challenges when a natural disaster occurs, particularly by diminishing the number of morbidities and mortalities.","PeriodicalId":23249,"journal":{"name":"Trauma monthly","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88813544","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: 3

Decision-Making Challenges of Paramedics in Prehospital Emergency Care 院前急救护理人员的决策挑战

IF 0.5

Trauma monthly Pub Date : 2020-09-01 DOI: 10.30491/TM.2020.247028.1170

M. Safi-Keykaleh, Ali Sahebi, Iman Farahi-Ashtiani, A. Mousavi, H. Safarpour

{"title":"Decision-Making Challenges of Paramedics in Prehospital Emergency Care","authors":"M. Safi-Keykaleh, Ali Sahebi, Iman Farahi-Ashtiani, A. Mousavi, H. Safarpour","doi":"10.30491/TM.2020.247028.1170","DOIUrl":"https://doi.org/10.30491/TM.2020.247028.1170","url":null,"abstract":"Cardiovascular emergencies have a high prevalence and are important among other pre-hospital emergencies. In such emergency situations, making decisions to provide the best care and transport to the hospital are brought with many challenges. The current study reports paramedics’ on-scene decision-making challenges in relation to a patient with the acute coronary syndrome. The case was an old woman who complained of sudden dizziness and weakness. The patient’s vital signs included a blood pressure of 100/70 mm Hg, heart rate of 58 beats per minute, respiratory rate of 17 breaths per minute, O2 sat of 96% and blood sugar of 145 mg/dL. The past medical history of the patient indicated that she had no previous disease or use of medications. In the hospital emergency unit, electrocardiography was recorded and ST-segment elevation myocardial infarction was observed. Paramedics face many challenges in on-scene decision making, which affect the time, process, and consequences of their decisions. In low and middle-income countries, due to resource limitations, all ambulances are not equipped with diagnostic equipment including portable sonograph and electrocardiograms. In such contexts, decision-making protocols need to be designed and used at the emergency scenes to guide the paramedic and ensure their optimal performance.","PeriodicalId":23249,"journal":{"name":"Trauma monthly","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87937921","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

COVID-19 Concerns- Patient Priority or Emergency Department Overcrowding? COVID-19关注-患者优先还是急诊室过度拥挤?

IF 0.5

Trauma monthly Pub Date : 2020-09-01 DOI: 10.30491/TM.2020.239177.1143

M. Behzadnia, F. Sabouri

引用次数: 1

Audit on in-hospital mortality of trauma patients: EMS Management and Mismanagement 创伤患者住院死亡率审计:EMS管理与管理不善

IF 0.5

Trauma monthly Pub Date : 2020-09-01 DOI: 10.30491/TM.2020.233780.1130

P. Kolivand, B. Mahshidfar, P. Saberian, N. Tavakoli, Parisa Hasani-Sharamin, A. Abdollahi

{"title":"Audit on in-hospital mortality of trauma patients: EMS Management and Mismanagement","authors":"P. Kolivand, B. Mahshidfar, P. Saberian, N. Tavakoli, Parisa Hasani-Sharamin, A. Abdollahi","doi":"10.30491/TM.2020.233780.1130","DOIUrl":"https://doi.org/10.30491/TM.2020.233780.1130","url":null,"abstract":"Background: The investigation of trauma-related mortality is one of the key components in trauma studies and it is used as a performance index and measure of health care quality. Objective: The present study aimed to evaluate the performance of pre-hospital interventions and identify possible mismanagements in dealing with trauma patients transferred by emergency medical services (EMS) to the hospital and died. Methods: This study was conducted in 2019, in Tehran, Iran. All trauma patients who were transferred to the emergency department (ED) of three main referral hospitals, by Tehran EMS and died at the hospital within 24 hours of admission, were studied retrospectively. The required information was collected from the EMS and the hospital records. A panel of experts was asked to identify possible errors based on standards for each patient. Results: During the one-year study period, almost 14000 trauma patients were transported by Tehran EMS to the studied hospitals. Of them, a total of 197 deaths were recorded. The most and least provided services were breathing management (87.3%) and intravenous (IV) fluid therapy (12.2%), respectively. Needle thoracostomy, IV fluids therapy, life supports (basic and advanced cardiac), and airway management had the highest percentage of mismanagement among provided services. Bleeding control and resuscitation were consistent with the recommended standard. Conclusion: In the current study, bleeding control and immobilization was performed appropriately. Needle tracheostomy was not performed at all. Airway management and life supports of the victims were not performed properly.","PeriodicalId":23249,"journal":{"name":"Trauma monthly","volume":null,"pages":null},"PeriodicalIF":0.5,"publicationDate":"2020-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89418026","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

Missile Fragment Embolism of the Coronary Artery in a Patient with Coronary Artery Disease 冠状动脉疾病患者冠状动脉飞弹碎片栓塞

IF 0.5

Trauma monthly Pub Date : 2020-09-01 DOI: 10.30491/TM.2020.240116.1145

K. Motamedi, M. Hassan

引用次数: 0

Iran's global scientific growth in the medical sciences: A 23-year Scientometric Evaluation 伊朗在医学科学领域的全球科学发展:23年科学计量学评估

IF 0.5

Trauma monthly Pub Date : 2020-09-01 DOI: 10.30491/TM.2020.213582.1023

Jamile Mohammadi, Ali Sadr, M. Farahani, H. Rasouli, A. vahedian-azimi, M. Salesi

引用次数: 0