World Journal of Emergency Surgery : WJES最新文献

{"title":"Kuala Lumpur train collision during the COVID-19 pandemic.","authors":"Alzamani M Idrose,&nbsp;Fikri M Abu-Zidan,&nbsp;Nurul Liana Roslan,&nbsp;Khairul Izwan M Hashim,&nbsp;Saiyidi Mohd Azizi Mohd Adibi,&nbsp;Mahathar Abd Wahab","doi":"10.1186/s13017-022-00405-3","DOIUrl":"https://doi.org/10.1186/s13017-022-00405-3","url":null,"abstract":"<p><strong>Background: </strong>Two city trains collided in an underground tunnel on 24 May 2021 at the height of COVID-19 pandemic near the Petronas Towers, Kuala Lumpur, Malaysia, immediately after the evening rush hours. We aim to evaluate the management of this mass casualty incident highlighting the lessons learned to be used in preparedness for similar incidents that may occur in other major cities worldwide.</p><p><strong>Methods: </strong>Information regarding incident site and hospital management response were analysed. Data on demography, triaging, injuries and hospital management of patients were collected according to a designed protocol. Challenges, difficulties and their solutions were reported.</p><p><strong>Results: </strong>The train's emergency response team (ERT) has shut down train movements towards the incident site. Red zone (in the tunnel), yellow zone (the station platform) and green zone (outside the station entrance) were established. The fire and rescue team arrived and assisted the ERT in the red zone. Incident command system was established at the site. Medical base station was established at the yellow zone. Two hundred and fourteen passengers were in the trains. Sixty-four of them were injured. They had a median (range) ISS of 2 (1-43), and all were sent to Hospital Kuala Lumpur (HKL). Six (9.4%) patients were clinically triaged as red (critical), 19 (29.7%) as yellow (semi-critical) and 39 (60.9%) as green (non-critical). HKL's disaster plan was activated. All patients underwent temperature and epidemiology link assessment. Seven (10.9%) patients were admitted to the hospital (3 to the ICU, 3 to the ward and 1 to a private hospital as requested by the patient), while the rest 56 (87.5%) were discharged home. Six (9.4%) needed surgery. The COVID-19 tests were conducted on seven patients (10.9%) and were negative. There were no deaths.</p><p><strong>Conclusions: </strong>The mass casualty incident was handled properly because of a clear standard operating procedure, smooth coordination between multi-agencies and the hospitals, presence of a 'binary' system for 'COVID-risk' and 'non-COVID-risk' areas, and the modifications of the existing disaster plan. Preparedness for MCIs is essential during pandemics.</p>","PeriodicalId":290899,"journal":{"name":"World Journal of Emergency Surgery : WJES","volume":" ","pages":"2"},"PeriodicalIF":8.0,"publicationDate":"2022-01-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8748182/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39897256","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}

{"title":"Differentiating necrotizing soft tissue infections from cellulitis by soft tissue infectious fluid analysis: a pilot study.","authors":"Kai-Hsiang Wu,&nbsp;Po-Han Wu,&nbsp;Chih-Yao Chang,&nbsp;Yen-Ting Kuo,&nbsp;Kuang-Yu Hsiao,&nbsp;Cheng-Ting Hsiao,&nbsp;Shang-Kai Hung,&nbsp;Chia-Peng Chang","doi":"10.1186/s13017-022-00404-4","DOIUrl":"https://doi.org/10.1186/s13017-022-00404-4","url":null,"abstract":"<p><strong>Background: </strong>We conducted this study to evaluate the characteristics of the infectious fluid in soft tissue infection and investigate the utility of the biochemical tests and Gram stain smear of the infectious fluid in distinguishing necrotizing soft tissue infection (NSTI) from cellulitis.</p><p><strong>Methods: </strong>This retrospective cohort study was conducted in a tertiary care hospital in Taiwan. From April 2019 to October 2020, patients who were clinically suspected of NSTI with infectious fluid accumulation along the deep fascia and received successful ultrasound-guided aspiration were enrolled. Based on the final discharge diagnosis, the patients were divided into NSTI group, which was supported by the surgical pathology report, or cellulitis group. The t test method and Fisher's exact test were used to compare the difference between two groups. The receiver-operator characteristic (ROC) curves and area under the ROC curve (AUC) were used to evaluate the discriminating ability.</p><p><strong>Results: </strong>Total twenty-five patients were enrolled, with 13 patients in NSTI group and 12 patients in cellulitis group. The statistical analysis showed lactate in fluid (AUC = 0.937) and LDH in fluid (AUC = 0.929) had outstanding discrimination. The optimal cut-off value of fluid in lactate was 69.6 mg/dL with corresponding sensitivity of 100% and specificity of 76.9%. The optimal cut-off value of fluid in LDH was 566 U/L with corresponding sensitivity of 83.3% and a specificity of 92.3%. In addition, albumin in fluid (AUC = 0.821), TP in fluid (AUC = 0.878) and pH in fluid (AUC = 0.858) also had excellent diagnostic accuracy for NSTI. The Gram stain smear revealed 50% bacteria present in NSTI group and all the following infectious fluid culture showed bacteria growth.</p><p><strong>Conclusions: </strong>The analysis of infectious fluid along the deep fascia might provide high diagnostic accuracy to differentiate NSTI from cellulitis.</p>","PeriodicalId":290899,"journal":{"name":"World Journal of Emergency Surgery : WJES","volume":" ","pages":"1"},"PeriodicalIF":8.0,"publicationDate":"2022-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8742947/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39796090","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}

{"title":"Minimally invasive surgery in emergency surgery: a WSES survey","authors":"M. Ceresoli, M. Pisano, F. Abu-Zidan, N. Allievi, K. Gurusamy, W. Biffl, G. Tebala, F. Catena, L. Ansaloni, M. Sartelli, Y. Kluger, G. Baiocchi, Andreas Andreas Andrey Antonello Ari Belinda Boris Casey R Fette Hecker Litvin Forgione Leppaniemi De Simone , A. Fette, A. Hecker, A. Litvin, A. Forgione, A. Leppãniemi, B. De Simone, B. Sakakushev, Casey R. Palmatier, C. Bendinelli, Dimitris Damascos, E. Picetti, Edward Tan, E. Poiasina, E. Pikoulis, Enrico Cicuttin, Ernest E. Moore, G. Velmahos, G. Fraga, H. van Goor, I. Civil, Imtiz Wani, I. Di Carlo, Joseph M. Galante, K. Søreide, L. Degrate, L. Zorcolo, Marc M. De Moya, M. Braga, M. Cereda, M. Sugrue, M. Chirica, N. de’ Angelis, P. Stahel, R. Ivatury, R. ten Broek, S. di Saverio, S. Beka, S. Magnone, Yunfeng Cui, Z. Balogh, M. D. Kelly, K. Inaba, F. Coccolini","doi":"10.1186/s13017-022-00419-x","DOIUrl":"https://doi.org/10.1186/s13017-022-00419-x","url":null,"abstract":"","PeriodicalId":290899,"journal":{"name":"World Journal of Emergency Surgery : WJES","volume":"110 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132760014","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":"Correction to: The Operative management in Bariatric Acute abdomen (OBA) Survey: long-term complications of bariatric surgery and the emergency surgeon’s point of view","authors":"B. De Simone, L. Ansaloni, M. Sartelli, Y. Kluger, F. Abu-Zidan, W. Biffl, Arianna Heyer, F. Coccolini, G. Baiocchi, F. C. D. A. A. A. A. K. Campanile Mario Raziel Zaccaroni Tarasconi Dazzi L, F. Campanile, D. Mario, A. Raziel, A. Zaccaroni, A. Tarasconi, A. Dazzi, K. Lasithiotakisi, S. Maccatrozzo, O. Ioannidis, F. Pata, M. Walędziak, A. Dogjani, A. C. Ariffin, V. Khokha, L. Kho, B. Kessel, Ionut Negoi, E. Lostoridis, L. Conti, L. Ponchietti, F. Papadia, G. Ghilardi, V. Calu, T. Bilecik, B. Alemu, M. Reichert, M. Huťan, C. Seretis, M. Radu, C. Gomes, F. Karateke, V. C. da Fonseca, A. Işık, I. Nikolopoulos, A. Fomin, W. Ghnnam, R. Sydorchuk, C. Paolillo, A. Sagnotta, L. Solaini, R. Sawyer, D. Spain, M. McFarlane, C. Arvieux, A. Litvin, B. Pereira, T. G. Maurel, A. Barberis, M. Gachabayov, D. O'Connor, D. R. Cruz, E. Colak, C. Mesina, R. Manzano-Nuñez, T. Pintar, R. Koshy, G. Triantos, S. Gautam, A. Guner, Z. Demetrashvili, C. Ordoñez, D. Manatakis, M. Chiarugi, L. Buonomo, P. Major, H. Andreas, D. Roberts","doi":"10.1186/s13017-020-0292-8","DOIUrl":"https://doi.org/10.1186/s13017-020-0292-8","url":null,"abstract":"","PeriodicalId":290899,"journal":{"name":"World Journal of Emergency Surgery : WJES","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125629201","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":"A clinical series of packing the wound tract for arresting traumatic hemorrhage from injuries of the lung parenchyma as a feasible damage control technique","authors":"A. García, R. Manzano-Nuñez, J. G. Bayona, M. Millán, J. Puyana","doi":"10.1186/s13017-019-0273-y","DOIUrl":"https://doi.org/10.1186/s13017-019-0273-y","url":null,"abstract":"","PeriodicalId":290899,"journal":{"name":"World Journal of Emergency Surgery : WJES","volume":"120 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116364491","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":"Correction to: Ethical considerations in conducting surgical research in severe complicated intra-abdominal sepsis","authors":"C. Doig, S. Page, Jessica L. Mckee, E. Moore, F. Abu-Zidan, R. Carroll, J. Marshall, P. Faris, M. Tolonen, F. Catena, F. Coccolini, M. Sartelli, L. Ansaloni, Sam F. Minor, B. Peirera, J. Diaz, A. Kirkpatrick","doi":"10.1186/s13017-019-0268-8","DOIUrl":"https://doi.org/10.1186/s13017-019-0268-8","url":null,"abstract":"","PeriodicalId":290899,"journal":{"name":"World Journal of Emergency Surgery : WJES","volume":"157 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123897060","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":"Correction to: Emergency surgery due to diaphragmatic hernia: case series and review","authors":"M. Testini, A. Girardi, R. Isernia, A. De Palma, G. Catalano, A. Pezzolla, A. Gurrado","doi":"10.1186/s13017-019-0269-7","DOIUrl":"https://doi.org/10.1186/s13017-019-0269-7","url":null,"abstract":"","PeriodicalId":290899,"journal":{"name":"World Journal of Emergency Surgery : WJES","volume":"1982 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125444165","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":"Endoscopic hemostasis followed by preventive transarterial embolization in high-risk patients with bleeding peptic ulcer: 5-year experience","authors":"A. Kaminskis, P. Ivanova, A. Kratovska, S. Ponomarjova, M. Ptasnuka, Jevgenijs Demičevs, Renate Demičeva, V. Boka, G. Pupelis","doi":"10.1186/s13017-019-0264-z","DOIUrl":"https://doi.org/10.1186/s13017-019-0264-z","url":null,"abstract":"","PeriodicalId":290899,"journal":{"name":"World Journal of Emergency Surgery : WJES","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132316279","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":"Anatomical locations of air for rapid diagnosis of pneumothorax in blunt trauma patients","authors":"A. Hefny, Fathima T. Kunhivalappil, M. Paul, T. Almansoori, T. Zoubeidi, F. Abu-Zidan","doi":"10.1186/s13017-019-0263-0","DOIUrl":"https://doi.org/10.1186/s13017-019-0263-0","url":null,"abstract":"","PeriodicalId":290899,"journal":{"name":"World Journal of Emergency Surgery : WJES","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128935437","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":"Characteristics, treatments, and outcomes among patients with abdominal aortic injury in Japan: a nationwide cohort study","authors":"Yutaka Kondo, H. Matsui, H. Yasunaga","doi":"10.1186/s13017-019-0262-1","DOIUrl":"https://doi.org/10.1186/s13017-019-0262-1","url":null,"abstract":"","PeriodicalId":290899,"journal":{"name":"World Journal of Emergency Surgery : WJES","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123574291","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}