Journal of trauma & treatment最新文献

{"title":"The Efficacy of Surgicel Compared with Simple Gauze Packing in Grade IV Liver Laceration; A New Hope for Trauma Patients: An Experimental Study","authors":"H. Khoshmohabat, A. Makarem, M. Karami, H. Rasouli, Z. Danial, Golnoosh Mahmoodizade, Rohallah Rezaei, Shahram Paydar, Seyede Niloofar Dastgheib, Seyed Ali Hossein Zahraei, Z. Shayan","doi":"10.4172/2167-1222.1000387","DOIUrl":"https://doi.org/10.4172/2167-1222.1000387","url":null,"abstract":"Background: The useful surgical hemostasis agent using in patients with grade 4 of the liver laceration is a challenging problem. This study assessed a topical hemostatic agent (Surgicel) using a partial hepatic laceration hemorrhage model. This experimental study compared the hemostatic effects of Surgicel and conventional gauze packing in hepatic parenchymal bleedings. \u0000Methods: Twenty male Wistar albino rats (weight 250 ± 50 g) were randomly divided into two groups. Within each treatment group, surgicel or gauze packing (GP) (n=10/group) was applied to the liver laceration site that was created in the large lobe of the liver. \u0000Results: There was statistically significant difference between two groups regarding the changes of before and after operation of HCO3 (P=0.019). Across two groups, rats receiving surgicel lost less blood and formed clots more frequently than GP (p<0.001). \u0000Conclusion: Surgicel may be useful to treat hemorrhage from Liver lacerations in trauma patients.","PeriodicalId":90636,"journal":{"name":"Journal of trauma & treatment","volume":" ","pages":"1-4"},"PeriodicalIF":0.0,"publicationDate":"2017-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42713913","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":"Tissue Performance Characteristics: Closing the Fidelity Gap in Medical Simulations","authors":"Jack Norfleet, E. Stern, Y. Bai","doi":"10.4172/2167-1222.1000386","DOIUrl":"https://doi.org/10.4172/2167-1222.1000386","url":null,"abstract":"Medical simulations often lack the fidelity necessary to train higher-level procedures such as surgery. To work around these gaps, organizations with a training mission like the Department of Defense (DoD) often resort to biologic tissues from cadavers and animals.","PeriodicalId":90636,"journal":{"name":"Journal of trauma & treatment","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47470453","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":"Brachial Artery Tear Occurring Concurrently with A Distal Biceps Injury Led to A Diagnosis of Ehlers-Danlos Syndrome Type IV","authors":"G. González, R. Dayal, Lee Andy, A. Golant","doi":"10.4172/2167-1222.1000385","DOIUrl":"https://doi.org/10.4172/2167-1222.1000385","url":null,"abstract":"Ehlers-Danlos Syndrome (EDS) type IV is a connective tissue disorder with autosomal dominant inheritance. It can be potentially life-threatening due to increased risk of arterial rupture. The diagnosis is based on clinical findings including thin, translucent skin; bleeding propensity, rupture of vessels, and viscera. Isolated peripheral vascular injury may be the first presenting complaint, leading to eventual diagnosis in patients who often experience minimal trauma. We present a case of a brachial artery rupture requiring surgical reconstruction, eventually leading to the diagnosis of EDS type IV after a non-contact, low-energy injury to the arm of an adolescent.","PeriodicalId":90636,"journal":{"name":"Journal of trauma & treatment","volume":"2017 1","pages":"1-3"},"PeriodicalIF":0.0,"publicationDate":"2017-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45311307","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":"Seizing over the Conundrums of SAH Seizure Prophylaxis","authors":"Mohammad Sistanizad, M. Mokhtari","doi":"10.4172/2167-1222.1000383","DOIUrl":"https://doi.org/10.4172/2167-1222.1000383","url":null,"abstract":"Aneurysmal subarachnoid hemorrhage (SAH), a potentially catastrophic stroke, which occurs at a relatively younger age (median 55 years), afflicts over 30,000 patients a year in the USA. It accounts for 3% to 5% of all strokes and 4.4% of deaths from stroke belong to this group of patients. It carries high rate of morbidity (25%) and case fatality (35%) in most series.","PeriodicalId":90636,"journal":{"name":"Journal of trauma & treatment","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2167-1222.1000383","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46763582","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":"Partial Zone II Resuscitative Endovascular Balloon Occlusion of the Aorta in Management of Multiple Trauma with Combined Abdominal and Pelvic Injury","authors":"E. Gamberini, N. Fabbri, A. Taioli, C. Martino, M. Barozzi, M. Bisulli, E. Russo, Vittorio Albarello, V. Agnoletti","doi":"10.4172/2167-1222.1000382","DOIUrl":"https://doi.org/10.4172/2167-1222.1000382","url":null,"abstract":"Introduction: Resuscitative endovascular balloon occlusion of the aorta has been used in various clinical settings to elevate blood pressure in the setting of shock, even if the evidence base is weak with no clear indications. \u0000Case presentation: We report a case of traumatic hemorrhagic shock in which this technique was used in an unusual manner, treating obvious arterial abdominal bleeding associated with suspected pelvic arterial bleeding, in a Trauma Center where hybrid angiographic-surgical suite is not available. A 35-year-old man was involved in a traffic accident within 2 trucks. He was transported to the Major Trauma Center of an Integrated Trauma System where emergent laparotomy confirmed massive hepatic rupture and a bleeding control was obtained by large abdominal packing. Trauma team decided to considerate Resuscitative Endovascular Balloon Occlusion of the Aorta, positioning a deflated balloon in zone III to eventually manage a pelvic arterial hemorrhage, while performing Bogota Bag. Suddenly a new abdominal arterial bleeding was noted through Bogota Bag. Because Pringle maneuver was considered too difficult in this case because of liver hilum injury, the balloon was moved cranially with the aim to reach zone I. Introducer sheath displacement occurred at this time, and the balloon was then only partially inflated in zone II, usually considered too dangerous, and immediately the target systolic blood pressure of 90 mmHg was obtained. Transfer the patient into interventional radiology suite was then feasible and embolization of active bleeding by right hepatic artery and superior mesenteric artery branch, missed during first laparotomy, were performed. Balloon was definitely deflated after 50 minutes. The patient was discharged by the hospital 113 days later, fully recovered with long lasting motor rehabilitation program. \u0000Discussion: Partial zone II Resuscitative Endovascular Balloon Occlusion of the Aorta in this particular case allowed overcoming procedural mistakes without major complications and with good clinical outcome. \u0000Conclusion: Judicious manage of REBOA inflation time and amount, together with multidisciplinary contemporary damage control strategy with clear and effective team leading, is the key to effectively resuscitate multiple trauma shocked patients.","PeriodicalId":90636,"journal":{"name":"Journal of trauma & treatment","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2167-1222.1000382","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43883300","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":"Epidemiology of Delayed Union of Long Bones","authors":"M. Mehmood, S. Deshp, Sohael M. Khan, P. Singh, B. Patil, Romil Rathi","doi":"10.4172/2167-1222.1000370","DOIUrl":"https://doi.org/10.4172/2167-1222.1000370","url":null,"abstract":"Aim: To study the epidemiology of delayed union of long bones. \u0000Introduction: In India, the availability of fracture healing therapies to the general public is limited. The infrastructure of the health system in India, involving both public and private sector does not provide adequate opportunity for rural and low-income inhabitants to access the needed care. Due to these reasons, majority of the global burden of injuries are borne by low and middle-income countries. \u0000Material and methods: Patients getting admitted in AVBRH hospital above the age of 18 years of either sex with radiological features of delayed union. Study was a prospective, case control observational type carried out in a rural health setup at AVBRH. It comprised of 153 patients out of which 43 patients had delayed union of a long bone, 53 patients had non-union. These patients were compared with 57 patients that had postoperative fracture union which were included as a control group who had the same risk factors for delayed union. \u0000Results: Aging, female gender, comminuted and segmental fractures, higher grades of soft tissue injury, smoking, and infection were found to be independent risk factors for delayed union in long bone fractures. Among the risk factors, smoking and infection can be controlled to decrease the prevalence of delayed union. \u0000Conclusion: It is necessary that we create awareness about the importance of primary treatment like immobilization and wound debridement, as patients should reach as early as possible. Patient’s relative’s moral support is necessary in order to get early hospitalization so as to reduce the risk of delayed union among patients and so that appropriate modality of treatment (surgical and conservative) with use of bone regeneration substitutes such as bone grafting and PRP can be done to promote faster healing keeping infection in control.","PeriodicalId":90636,"journal":{"name":"Journal of trauma & treatment","volume":" ","pages":"1-5"},"PeriodicalIF":0.0,"publicationDate":"2017-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2167-1222.1000370","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46259005","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 Effect of Trauma Severity on Borderline Personality: Self-Esteem as Mediator","authors":"Jae Woo Park","doi":"10.4172/2167-1222.1000381","DOIUrl":"https://doi.org/10.4172/2167-1222.1000381","url":null,"abstract":"The aim of this study was to examine the effect of trauma experience severity on borderline personality characteristics and to examine as well the mediation effect of self-esteem. To measure traumatic experience severity, the Trauma Experience Questionnaire-Revised (TEQ-R) was developed and validated. The TEQ-R, Rosenberg Self-Esteem Scale, and the personality assessment inventory-borderline features scale (PAI-BOR) were administered to 400 normal subjects. According to structural equation model analysis, trauma experience severity was positively associated with borderline characteristics, and the mediation effect of self-esteem was significant. Both trauma severity and borderline characteristics were negatively related to self-esteem. Thus, self-esteem seemed to have a buffering effect on the path between trauma and borderline personality.","PeriodicalId":90636,"journal":{"name":"Journal of trauma & treatment","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2167-1222.1000381","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45239386","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":"Relationship between Intracranial Pressure or Cerebral PerfusionPressure and Prognosis in Patients with Severe Traumatic Brain InjuryTreated with Mild Hypothermia","authors":"Koichi Hayakawa, O. Tasaki, Hiromu Iwamura, Daiki Wada, Fukuki Saitou, Jiro Iba, Kazuhisa Yoshiya, H. Ikegawa, T. Shiozaki, Y. Nakamori, S. Fujimi, T. Shimazu, Y. Kuwagata","doi":"10.4172/2167-1222.1000380","DOIUrl":"https://doi.org/10.4172/2167-1222.1000380","url":null,"abstract":"Aims: The purpose of this study was to predict the clinical course by intracranial pressure (ICP) or cerebral perfusion pressure (CPP) in the acute phase and prognosis in patients with severe head trauma who underwent therapeutic mild hypothermia (HT). \u0000Methods: A consecutive 143 patients treated with HT for intracranial hypertension (ICH) in two trauma centers were included in this study. The pressure measured after computed tomography scanning was defined as the initial ICP or CPP. Outcome was assessed at 6 months according to the Glasgow Outcome Scale. ROC analysis was performed to clarify the threshold value of ICP/CPP predictive of ICP uncontrollable by HT. \u0000Results: The cutoff value of ICP for uncontrollable ICP obtained from ROC analysis was 32.5 mmHg (sensitivity: 0.545, specificity: 0.875), and that for CPP was 56.5 mmHg (sensitivity: 0.813, specificity: 0.663). Fifty-three (96.4%) of 55 patients whose initial ICP was greater than 32.5 mmHg and 67 (95.7%) of 70 patients whose initial CPP was less than 56.5 mmHg had developed uncontrollable ICP. \u0000Conclusion: The cutoff values predictive of ICP uncontrollable by HT from ROC analysis were 32.5 mmHg for ICP and 56.5 mmHg for CPP. For those patients with initial ICP greater than the cutoff value or an initial CPP less than the cutoff value, it may be harmful to prolong HT. The knowledge obtained from this study may be useful for considering the treatment strategy for severe traumatic brain injury.","PeriodicalId":90636,"journal":{"name":"Journal of trauma & treatment","volume":"6 1","pages":"1-6"},"PeriodicalIF":0.0,"publicationDate":"2017-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2167-1222.1000380","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45395275","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":"Relevance of Functional Emotion Regulation Processes for SustainingMental Health After History of Early Psychological Trauma","authors":"J. Holl, S. Barnow","doi":"10.4172/2167-1222.1000369","DOIUrl":"https://doi.org/10.4172/2167-1222.1000369","url":null,"abstract":"It is well evidenced that exposure to early psychological trauma in childhood or adolescence represents a substantial risk factor for an adult psychopathological development. In particular, so called type II trauma events, i.e. repeated or chronic interpersonal traumatic experiences like emotional, physical, sexual abuse, and physical, emotional neglect are associated with the development of a wide range of mental disorders.","PeriodicalId":90636,"journal":{"name":"Journal of trauma & treatment","volume":"2017 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2167-1222.1000369","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42063854","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":"Admiral Horatio Lord Nelson's Death at the Battle of Trafalgar: ANeurosurgeon's Forensic Medical Analysis","authors":"D. Nijensohn","doi":"10.4172/2167-1222.1000379","DOIUrl":"https://doi.org/10.4172/2167-1222.1000379","url":null,"abstract":"Admiral Horatio Lord Nelson, the greatest British naval hero, was fatally wounded during the Battle of Trafalgar. Conventional theory holds that he died mainly of an injury to a major blood vessel in the chest. However, a review of the empirical evidence-with the benefit of modern medical science-, suggests that the primary cause of death was a spinal neurogenic shock from transection of the mid thoracic spinal cord. These conditions do not necessarily exclude each other.","PeriodicalId":90636,"journal":{"name":"Journal of trauma & treatment","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2017-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4172/2167-1222.1000379","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43596097","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}