Journal of Trauma-Injury Infection and Critical Care最新文献

{"title":"Diagnostic diligence in trauma and injury care through forensic pathology","authors":"Joseph Lewis","doi":"10.35841/2591-7358.3.1.15-16","DOIUrl":"https://doi.org/10.35841/2591-7358.3.1.15-16","url":null,"abstract":"This article denotes the severity of necessity attached to diagnostic diligence concerning forensic pathology/death investigation, and thus it is directly pertinent to diagnostic procedural standards and practices in institutions of emergency care regarding more obscure or rare types of injury. A generic scenario is drawn upon from the author’s academic experiences in order to depict this in an accurate and validly weighted manner. The roads less travelled concerning other than average diagnostic procedure in emergency and/or first responder care in situations delineated such as herein, are claimed by the author to be what could be called a weak point in the nature of quality that can be statistically measured in emergency care by precedent of the rarity of certain types of injuries. This is explored in mild depth through scenario depiction and pathological evaluation. The scenario itself can be considered to be a Question of sorts, the answer can be considered to be a type of diagnosis, and the discussion/conclusion demonstrates the overarching point or claim of this article in its relevant concerns regarding scarcely encountered trauma and/or injury types.","PeriodicalId":48894,"journal":{"name":"Journal of Trauma-Injury Infection and Critical Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78022014","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 use of amniotic membrane in healing excisional debridement of sea urchin stings","authors":"C. Peele, S. Foyle, B. Saar","doi":"10.4066/2591-7358-C1-002","DOIUrl":"https://doi.org/10.4066/2591-7358-C1-002","url":null,"abstract":"","PeriodicalId":48894,"journal":{"name":"Journal of Trauma-Injury Infection and Critical Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77830767","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 incidence of chronic pain following tibial diaphyseal fracture.","authors":"F. Prinsloo, C. Flynn, M. Prime, A. Wickham, S. Hettiaratchy","doi":"10.35841/2591-7358.3.1.6-11","DOIUrl":"https://doi.org/10.35841/2591-7358.3.1.6-11","url":null,"abstract":"Introduction: Chronic pain affects up to 40% of patients at 7 years after tibial fracture impacting on their quality of life (QoL) and ability to participate in activities of daily living. Major nerves run in close proximity to the tibia and are prone to injury during tibial fracture. Nerve injury can cause acute neuropathic pain, which responds poorly to commonly prescribed analgesics and predisposes patients to developing chronic pain. This study aims to describe the incidence and impact of pain at 6-12 months after tibial fractures. Methods: Patients admitted to a major trauma centre between 01/01/2016 – 31/12/2016 with isolated tibial fractures were identified using prospectively recorded database eTrauma. Injuries were categorized using the AO classification. Pain and Quality of Life at 6-12 months post injury were assessed using the EuroQol (EQ-5D-5L) questionnaire and the Douleur Neuropathique 4 questionnaire for neuropathic pain. Results: Forty isolated tibial fractures were identified and 20 were followed up. Pain was reported by 18 (90%) of patients. Ten (50%) reported moderate to severe pain, with median pain scores of 2.6/5. Pain scores were significantly greater following high-energy injuries however no significant links were seen between pain and other patient, injury or management factors. Conclusion: Chronic pain is common following tibial fracture and is largely under-reported. Further prospective multi-center investigation is warranted to better identify those with neuropathic pain and other risk factors for chronic pain. This could guide effective management and improve patient outcomes","PeriodicalId":48894,"journal":{"name":"Journal of Trauma-Injury Infection and Critical Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80675317","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":"Future of ultrasound wound therapy: Technologies, devices, science and clinical outcomes","authors":"E. Babaev","doi":"10.4066/2591-7358-C1-001","DOIUrl":"https://doi.org/10.4066/2591-7358-C1-001","url":null,"abstract":"","PeriodicalId":48894,"journal":{"name":"Journal of Trauma-Injury Infection and Critical Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73160751","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":"Acute compartment syndrome in patients on long-term anticoagulation therapy","authors":"M. M. Mazur, Nour Jabaly, N. Ebraheim","doi":"10.35841/2591-7358.3.1.1-5","DOIUrl":"https://doi.org/10.35841/2591-7358.3.1.1-5","url":null,"abstract":"Development of acute compartment syndrome (ACS) poses problems for patients on long-term anticoagulation, who are at higher risk for hemorrhagic insult. The populations predisposed to ACS and long-term anticoagulation individually are quite different, making this a particularly unique population that has been rarely studied. Eight patients at our institution were included in this study based on development of ACS while being on long-term anticoagulation. Causes of ACS were almost evenly split between idiopathic, fracture, and blunt trauma without fracture. The most commonly involved compartment was the lower leg. ACS was appropriately diagnosed based on clinical assessment alone in all patients, based on heightened level of suspicion. All patients were treated with single- or double-incision fasciotomy, as is the standard of treatment in the general population. All patients experienced good outcomes post-fasciotomy with prompt bridging to anticoagulant regimen, with minimal complications and no cases of mortality. These patients were not revealed to have any identifiably unique risk factors for developing ACS, and they can be treated similarly to patients not on anticoagulation and adequately bridged to therapeutic anticoagulation levels.","PeriodicalId":48894,"journal":{"name":"Journal of Trauma-Injury Infection and Critical Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82644034","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":"Frontal placement of subdural drain for subdural hemorrhage: A single center experience","authors":"M. Yunus, Mohd Asrol Hafizi Ab Majid, Arman Muhammad Nor, Nujaimin Udin","doi":"10.35841/2591-7358.3.1.12-14","DOIUrl":"https://doi.org/10.35841/2591-7358.3.1.12-14","url":null,"abstract":"Placing a drain following evacuation of Chronic Subdural Hemorrhage (CSDH) has beneficial outcome for patients. The placement of the drain’s tip however is debatable as it has different rationale among neurosurgeons. Objective: The objective is to see whether the outcome is satisfactory by putting the tip of the drain at the frontal region of the sub dural space. Methodology: We retrospectively studied all patients who had CSDH underwent surgery in our center between January 2013 to December 2016. A total of 34 patients with CSDH underwent drilling of one burr hole and irrigation of CSDH. Silicone catheter placed in the sub dural space and the tip of the drain in the frontal region. We measured the SDH volume reduction and volume of pneumocranium post operatively as our outcomes of the study. Results: The mean reduction of SDH volume after surgery is 8.11 cc (73%), while the mean volume of pneumocranium post SDH drainage is 1.58 cc with a range of 0 cc to 9 cc. The mean Global Outcome Score is 2.85 and the recurrence, which need re-operation are 2 cases (6%). Conclusion: The retrospective case series shows a good potential outcome based on the reduction of SDH volume after surgery. A proper randomized trial is needed to determine the efficacy of the frontal placement of the subdural catheter for a comparable outcome.","PeriodicalId":48894,"journal":{"name":"Journal of Trauma-Injury Infection and Critical Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90933860","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":"TRAUMATIC BRAIN INJURY","authors":"","doi":"10.4172/2329-9096.1000E120","DOIUrl":"https://doi.org/10.4172/2329-9096.1000E120","url":null,"abstract":"ion The Oxford English Dictionary notes that the term “abstraction” came into the English language in 1647� It is defined as the act of processing separately in thought, or considering a thing independently of its associations, or acknowledging a substance independent of its attributes, or separating an attribute or quality independent of the substance to which it belongs (Simpson and Weiner 1989)� In other words, the ability to abstract is the mental act of interpreting observations and associations beyond their apparent or literal meaning� The lack of ability of abstract thought is termed “concrete thinking�” Persons with executive function impairment, particularly frontal lobe disease, often lose the ability to think abstractly� The common test taught to all psychiatric residents is that of interpretation of proverbs or being able to draw a similarity between terms or words (similarities)� The classic forms of asking the patient to interpret “A rolling stone gathers no moss,” is known to all psychiatric residents� Obviously, the clinician can increase the complexity of proverb interpretation by ultimately asking the patient to interpret “He who chooses to eat with the tiger must remember that the tiger eats last�” The FAB asks the patient to determine in what way a banana and an orange are alike� If the patient fails the question, she is asked “What makes a table and a chair alike?” In the alternative, she is asked “What makes a tulip, a rose, and a daisy alike?” (Dubois et al� 2000)� Clearly, one must take into account the culture, language, educational level, and socioeconomic background of the person when interpreting their ability to abstract correctly� Table 4�14 lists common signs and symptoms of dysexecutive disorders� SENSORY DOMAIN-SPECIFIC RECOGNITION This domain of mental status testing is used to determine the presence of agnosia (a lack of knowing)� Agnosia may present as impairment in any of the five senses and may occur in myriad diseases� Therefore, for proper assessment, elementary sensory function has to be present in the patient, and the clinician must ensure that there is no presence of blindness, deafness, inability to smell, a dense hemisensory loss, or peripheral neuropathy� Agnosia is sensory domain-specific, and, therefore, the stimulus used must be specific to the sense in which agnosia is identified� If visual agnosia is considered in the patient, a simple test can be performed to have the individual sit across from the clinician, place her palms face up on her TABLE 4.14 Signs and Symptoms of Executive Dysfunction • Outrageous and disinhibited behavior • Impulsiveness or perseveration of oral or written information • Reduced ability to express words • Poor visual or auditory attention • Reduction in motivation or drive • Inability to switch sets or inhibit responses • Inability to plan for the future • Inability to organize 150 Traumatic Brain Injury: Methods for Clinical and Forensic Neuropsychiatric Assessment kne","PeriodicalId":48894,"journal":{"name":"Journal of Trauma-Injury Infection and Critical Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2016-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86332966","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":"Geriatric Trauma and Critical Care","authors":"S. Shackford","doi":"10.1097/ta.0000000000000664","DOIUrl":"https://doi.org/10.1097/ta.0000000000000664","url":null,"abstract":"","PeriodicalId":48894,"journal":{"name":"Journal of Trauma-Injury Infection and Critical Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2015-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75325934","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":"Management of Musculoskeletal Injuries in the Trauma Patient","authors":"A. Starr","doi":"10.1097/TA.0000000000000456","DOIUrl":"https://doi.org/10.1097/TA.0000000000000456","url":null,"abstract":"Now welcome, the most inspiring book today from a very professional writer in the world, management of musculoskeletal injuries in the trauma patient. This is the book that many people in the world waiting for to publish. After the announced of this book, the book lovers are really curious to see how this book is actually. Are you one of them? That's very proper. You may not be regret now to seek for this book to read.","PeriodicalId":48894,"journal":{"name":"Journal of Trauma-Injury Infection and Critical Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2014-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85369796","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":"Surgery of Complex Abdominal Wall Defects","authors":"C. Burlew","doi":"10.1097/TA.0000000000000258","DOIUrl":"https://doi.org/10.1097/TA.0000000000000258","url":null,"abstract":"","PeriodicalId":48894,"journal":{"name":"Journal of Trauma-Injury Infection and Critical Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2014-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79506389","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}