Bulletin of emergency and trauma最新文献

{"title":"Understanding the Non-use of Rear Seatbelts in Iran: A Qualitative Exploration of Factors and Reasons.","authors":"Ali Delpisheh, Rezvan Feyzi, Goljamal Jorjani, Raha Davatgar, Hadi Panahi, Mohammad Hossein Panahi","doi":"10.30476/beat.2025.103825.1537","DOIUrl":"https://doi.org/10.30476/beat.2025.103825.1537","url":null,"abstract":"<p><strong>Objective: </strong>This study explored the underlying reasons for non-compliance with seatbelt usage among rear-seat passengers in Iran.</p><p><strong>Methods: </strong>This qualitative study was conducted in 2023 with a diverse group of participants, including driving instructors, drivers, psychologists, rear-seat passengers, and experts in the field of traffic accidents and driving from Tehran, Khuzestan, and Golestan (n=39 persons). Data were collected through semi-structured interviews and focus group discussions and analyzed using conventional content analysis. The interviews, which lasted between 40 and 90 minutes, were recorded using two digital recorders, transcribed verbatim, and analyzed following the conventional qualitative content analysis method.</p><p><strong>Results: </strong>The findings revealed several factors contributing to the non-use of rear seatbelts, including lack of sufficient awareness of laws and regulations, incorrect behavioral and cultural attitudes, socio-economic influences factors, inadequate law enforcement and related organizations, and poor quality of seatbelts. Based on these findings, potential solutions were proposed, such as continuous education and awareness campaigns, improvements in seatbelt quality, and enhanced collaboration among relevant organizations to promote traffic safety culture. Education on the importance of seatbelt use should begin comprehensively in early childhood and continue into adulthood, with families playing a pivotal role in fostering this awareness.</p><p><strong>Conclusion: </strong>This study identified key factors influencing the non-use of rear seatbelts, including awareness of laws, cultural attitudes, socio-economic influences, and seatbelt quality issues. To address these challenges, the study recommended prioritizing ongoing education on seatbelt use, improving the quality of seatbelts, and fostering collaboration among traffic police, media, and educational institutions. These measures aimed to enhance traffic safety, increase compliance with seatbelt laws, and ultimately reduce fatalities and injuries resulting from road accidents.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"13 1","pages":"53-61"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12036510/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143979195","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":"Incidence and Risk Factors for Post-Appendectomy Emergency Surgical Site Infections.","authors":"Mehdi Sarafi, Behzad Azimi, Mohammad Karimian, Gholamreza Ebrahimisaraj","doi":"10.30476/beat.2025.106191.1582","DOIUrl":"10.30476/beat.2025.106191.1582","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to investigate the incidence and risk factors for surgical site infection (SSI) following appendectomy.</p><p><strong>Methods: </strong>This retrospective cohort study examined the records of 180 patients who underwent appendectomy in Emam Khomeini Hospital from January 2021 to December 2022. The research tool included a demographic profile form and a research checklist. After obtaining the ethical approval from the university, the researcher visited the hospital and extracted the required data from the patient's clinical file (in accordance with the research checklist). Then, the collected data were entered into SPSS software (version 21) for data analysis.</p><p><strong>Results: </strong>Of the 180 patient records included in the study, 28 (15.6%) developed SSI. The descriptive analysis revealed that among the patients with SSI, 19 patients were men (67.9%), 18 (64.3%) had a low BMI, 8 (28.6%) had blood type A^-, and 19 (67.9%) patients had a fever below 38 °C. Regarding clinical symptoms, 1 (3.6%) patient had gangrenous appendicitis, and 22 (78.6%) required urgent surgery. Notably, no significant risk factors for SSI were identified. There was no association between SSI status and demographic variables, clinical symptoms, or underlying conditions (<i>p</i>>0.05).</p><p><strong>Conclusion: </strong>The incidence of SSI following appendectomy was relatively higher than in previous studies, though no significant risk factors were identified. Given this, standardization and adherence to evidence-based infection control practices, such as an appropriate preoperative antiseptic preparation, timely administration of prophylactic antibiotics, and the use of laparoscopic techniques when feasible, might help reduce SSI risk.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"13 3","pages":"153-157"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12482864/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145205676","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":"Effects of Intravenous Lidocaine on Airway Complications and Hemodynamic Stability Following Emergency Laparoscopic Cholecystectomy: A Randomized Controlled Trial in Different Age Groups.","authors":"Mohammad Mohammadifard, Kowsar Ali Akbari, Pooyan Ahanrobai, Aminolah Vasigh","doi":"10.30476/beat.2025.106751.1604","DOIUrl":"10.30476/beat.2025.106751.1604","url":null,"abstract":"<p><strong>Objectives: </strong>This randomized controlled trial aimed to evaluate the effect of pre-extubation intravenous lidocaine (1 mg/Kg) on the incidence of airway complications and hemodynamic stability in patients undergoing emergency laparoscopic cholecystectomy, while accounting for age differences.</p><p><strong>Methods: </strong>The study was a prospective, single-center, randomized controlled trial conducted from 2021 to 2023 at Imam Khomeini Hospital, Ilam, Iran. Ninety patients undergoing emergency laparoscopic cholecystectomy were classified into two age groups (<50 and ≥50 years) and randomly assigned to receive either intravenous lidocaine (1 mg/Kg) or a standard extubation protocol. The primary outcomes included post-extubation airway complications, such as laryngospasm, cough, and sore throat, and the secondary outcomes included hemodynamic and respiratory parameters.</p><p><strong>Results: </strong>Lidocaine produced hemodynamic effects that differed by age group. In patients <50 years, systolic blood pressure (SBP) increased from 129.2±16.4 mmHg to 133.1±23.1 mmHg, while diastolic blood pressure (DBP) rose from 83.9±14.4 mmHg to 92.3±19.4 mmHg (both <i>p</i><0.001). Conversely, in patients ≥50 years old, SBP decreased from 160.5±26.7 mmHg to 145.2±19.7 mmHg, and DBP decreased from 107.9±19.5 mmHg to 99.0±16.1 mmHg (both <i>p</i><0.001). Airway complications exhibited non-significant tendencies, with a decreased incidence of cough in the older age group (15.6% vs. 31.8%) and an absence of laryngospasm in this age group. There were no serious adverse events (e.g., bronchospasm, arrhythmias).</p><p><strong>Conclusion: </strong>Intravenous lidocaine was safe and demonstrated a trend toward reducing airway complications at extubation in patients undergoing emergency laparoscopic cholecystectomy, particularly in elderly patients. However, this trend did not reach statistical significance, most likely due to insufficient statistical power.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"13 3","pages":"140-146"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12482865/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145205679","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":"Functional Outcomes and Quality of Life in Elderly Patients Following Intertrochanteric Femur Fracture: A One-Year Follow-Up Study.","authors":"Elaheh Mianehsaz, Fateme Aghaei, Seyed Mohammadreza Tabatabaee, Babak Haghpanah, Mohammad Javad Azadchehr, Khadijeh Kalanfarmanfarma","doi":"10.30476/beat.2025.104314.1546","DOIUrl":"https://doi.org/10.30476/beat.2025.104314.1546","url":null,"abstract":"<p><strong>Objectives: </strong>Intertrochanteric femur fractures are prevalent injuries among the elderly, significantly affecting their quality of life (QOL) and functional status. This study aimed to evaluate functional outcomes and QOL in elderly patients one year after sustaining an intertrochanteric femur fracture.</p><p><strong>Methods: </strong>This retrospective observational study was conducted at Shahid Beheshti Hospital in Kashan, Iran. The functional status and QOL of 79 elderly patients with intertrochanteric femur fractures, who were at least one year post-injury were assessed between February 2020 to February 2021.Data were collected from patient's records, which included sociodemographic and clinical information at the time of admission. Functional status was evaluated using the Barthel Index, and QOL was assessed using the shortened form of the SF-36 questionnaire.</p><p><strong>Results: </strong>The study population comprised 60.8% women, with a mean age of 79.81±7.07 years. The mean of the Barthel index score was 11.49±2.22, indicating that participants achieved approximately 60% of the maximum functional score. The mean overall QOL score was 50.59±9.54, suggesting that patients attained approximately 51% of the maximum QOL score. A final linear regression model indicated that increased age was significantly associated with declines in both functional abilities (R²=0.53, <i>p</i><0.001) and QOL (R²=0.39, <i>p</i><0.001). Additionally, patients who received physiotherapy demonstrated significantly better functional outcomes than those who did not.</p><p><strong>Conclusion: </strong>This study highlighted the significant impact of intertrochanteric femur fractures on the functional status and QOL of older adults. The findings emphasized the critical role of rehabilitation services, such as physiotherapy, in improving patient outcomes. Further research is warranted to explore the influence of comorbidities and optimize interventions for this vulnerable population.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"13 1","pages":"25-31"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12036504/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143967680","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":"Self-Inflicted Cut-Throat Injuries in Psychiatric Patients During the COVID-19 Pandemic: A Report of Two Rare Cases.","authors":"Anurag Kumar, Khan Abdul, Anil Kumar, Majid Anwer, Sanjay Kumar, Deepak Kumar, Rekha Kumari","doi":"10.30476/beat.2025.105222.1563","DOIUrl":"10.30476/beat.2025.105222.1563","url":null,"abstract":"<p><p>Suicidal cut-throat injuries are rare in Indian society, as reported by the National Crime Records Bureau (NCRB). However, during the COVID-19 pandemic, a significant rise in unemployment among Indian youth led to increased psychological distress and depression, contributing to a surge in suicide cases, including those presenting with cutthroat injuries in emergency departments. This study reported two distinct cases of suicidal cutthroat injuries, both involving young individuals who were unemployed during the pandemic and suffered from underlying psychiatric disorders. Both patients presented with severe neck injuries, requiring immediate and complex intervention. Their conditions were further complicated by the psychological trauma associated with their mental health disorders. The management of these cases required a multidisciplinary approach, involving emergency medical care, surgical intervention, and psychiatric support. Both patients received prompt attention and stabilization, followed by psychological counseling and long-term psychiatric care. Their recovery was closely monitored, with a focus on addressing the root causes of their distress. These cases highlighted the increasing incidence of suicidal cutthroat injuries during the COVID-19 pandemic and emphasized the need for a comprehensive, multidisciplinary approach to managing both the physical and psychological aspects of such critical situations. This report underscored greater attention to mental health, particularly among the unemployed youth during crises.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"13 2","pages":"115-122"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12275173/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144673958","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":"Association Between Serum Albumin Levels and Clinical Outcomes in Burn Patients: A Single-center Retrospective Analysis.","authors":"Maryam Ramezanian, Parissa Bagheri Toolaroud, Cyrus Emiralavi, Mohaya Farzin, Mohammadreza Mobayen, Moein Moghaddam Ahmadi, Mohammad Tolouei, Siamak Rimaz, Mehdi Karimian, Hojat Eftekhari, Kiana Baghi, Ali Shabbak","doi":"10.30476/beat.2025.102250.1506","DOIUrl":"https://doi.org/10.30476/beat.2025.102250.1506","url":null,"abstract":"<p><strong>Objectives: </strong>Severe burns often result in significant intravascular albumin loss, leading to hypoalbuminemia. This study aimed to evaluate the association between serum albumin levels and clinical outcomes in burn patients.</p><p><strong>Methods: </strong>A retrospective, single-center study was conducted at Velayat Hospital (Rasht, Iran), including burn patients aged ≥16 years, who were admitted between April 2019 and March 2020. Serum albumin levels were recorded on day 1, day 7, and at discharge. The main variables analyzed included albumin levels, length of hospital stay, skin graft rate, need for mechanical ventilation, and mortality.</p><p><strong>Results: </strong>Among the 74 patients included in the study, 14 (18.9%) died, while 60 (81.1%) survived. The mean serum albumin levels on days 1, 7, and at discharge were significantly higher in survivors (3.09±0.22, 3.12±0.23, and 3.18±0.28 g/dL, respectively) than non-survivors (2.22±0.29, 2.74±0.29, and 2.07±0.69 g/dL, respectively) at all time points (<i>p</i><0.001). The serum albumin level measured on day 1 was significantly lower in patients who required mechanical ventilation than in those who did not (2.86±0.47 vs.3.09±0.13, <i>p</i>=0.03). Additionally, a significant inverse relationship was observed between serum albumin levels and both total body surface area burned (TBSA) and graft extent (day 1: r_s=-0.76, day 7: r_s=-0.74, discharge: r_s=-0.62; <i>p</i><0.001 for TBSA; and day 1: r_s=-0.59, day 7: r_s=-0.58, discharge: r_s=-0.50; <i>p</i><0.001 for graft extent).</p><p><strong>Conclusion: </strong>Hypoalbuminemia was associated with poor clinical outcomes in patients with severe burns. Serum albumin levels might serve as a specific marker of burn severity and a predictor of mortality.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"13 1","pages":"47-52"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12036508/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143979209","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":"Respiratory and Pulmonary Allergic Emergencies in Dental and Periodontal Surgery: A Systematic Review of Identification, Management, and Prevention Strategies.","authors":"Maryam Kazem Pour, Fariba Shokri, Babak Fozooni Moqadam, Mehdi Shokri","doi":"10.30476/beat.2025.106326.1592","DOIUrl":"10.30476/beat.2025.106326.1592","url":null,"abstract":"<p><strong>Objective: </strong>Allergic respiratory and pulmonary emergencies, though uncommon, represent a potentially lethal risk in dentistry, and anaphylaxis is the cause of a significant percentage of perioperative allergic reactions. If left uncorrected, it increases the mortality rate.</p><p><strong>Methods: </strong>Systematic review according to PRISMA guidelines with a literature search in PubMed, Scopus, Web of Science, Cochrane Library, and Embase (2000-2025). 47 studies were considered for analyzing allergens, treatment protocols, and preventive interventions. Data synthesis and extraction were conducted, and study quality was assessed using standardized tools.</p><p><strong>Results: </strong>Local anesthetics (such as lidocaine), latex, antiseptics (such as chlorhexidine), and dental materials (such as methacrylates) were identified by the review to be the most common allergens responsible for respiratory allergic emergencies. IgE-mediated reactions (such as anaphylaxis) were demarcated from non-IgE-mediated reactions, and epinephrine was revealed to be the drug of choice for first-line use in anaphylaxis. Preoperative allergy screening, premedications, and material substitution were proven to be preventive measures. Reasonable gaps in the training and preparedness of dental personnel to manage allergic emergencies were identified.</p><p><strong>Conclusion: </strong>Even though there are effective emergency protocols available, widespread implementation of universally standardized response procedures, mandatory simulation training, and enhanced preoperative risk assessment is overdue if patient safety is to evolve.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"13 3","pages":"127-139"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12482862/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145205703","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":"Factors Influencing Traffic Accidents Among the Elderly in Northern Iran: A Qualitative Content Analysis.","authors":"Nima Faghirpour, Enayatollah Homaie Rad, Leila Kouchakinejad, Zahra Mohtasham-Amiri","doi":"10.30476/beat.2025.104342.1547","DOIUrl":"10.30476/beat.2025.104342.1547","url":null,"abstract":"<p><strong>Objective: </strong>The study aimed to explore experts' perspectives on the factors contributing to accidents involving the elderly in Guilan, Iran.</p><p><strong>Methods: </strong>This qualitative study employed conventional content analysis with an inductive approach in 2024. Fourteen experts from Guilan (Iran) were purposefully selected. Data were collected through individual face-to-face interviews using a semi-structured interview guide containing open-ended questions, which was developed through an expert panel discussion. All stages of data analysis were performed manually following the Graneheim and Lundman's approach.</p><p><strong>Results: </strong>Three main categories, 10 subcategories, and 29 key codes were identified. The \"Individual Factors\" category had six subcategories: physical abilities, psychological factors, traffic literacy, cultural attitudes, and Individual needs. The \"Environmental Factors\" had two subcategories: road and traffic infrastructure, and weather conditions. The \"Policy-making\" category consisted of three sub-categories: transportation safety, healthcare system, and public education.</p><p><strong>Conclusion: </strong>To reduce damages from elderly-related accidents, preventive measures should focus on improving health services, enhancing traffic education, and addressing specific behavioral and cultural factors. Additionally, enhancing infrastructure, designing age-appropriate vehicles, and implementing targeted policies could significantly mitigate accident risks among this population.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"13 2","pages":"90-97"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12275168/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144673955","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":"Prevalence and Risk Factors of Dental Trauma in Pediatrics and Adolescents: A Retrospective Study in Ilam, Iran.","authors":"Fahimeh Feili, Mohamadali Roozegar, Aminollah Vasigh","doi":"10.30476/beat.2025.105911.1576","DOIUrl":"10.30476/beat.2025.105911.1576","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to determine the prevalence of dental trauma (DT) in pediatrics and adolescents in Ilam.</p><p><strong>Methods: </strong>This retrospective study was conducted in Ilam (Iran) on a group of pediatric and adolescent patients with DT between 2017 and 2021. The researchers reviewed patient records from hospital-based specialty clinics providing DT treatment. Using a predefined checklist, they extracted the relevant data from the patients' medical files.</p><p><strong>Results: </strong>In this study, 246 pediatrics and adolescents were examined, including 144 (58.5%) boys and 102 (41.5%) girls. Regarding age distribution, 104 (42.3%) patients were in the pediatric age group (mean age: 7.1±3.2 years) and 142 (57.7%) were adolescents (14.8±5.1 years). A significant relationship was found between place of occurrence with sex (OR=0.77; 95% CI=0.64-0.93; <i>p</i>=0.008) and age group (OR=0.73; 95% CI=0.6-0.89; <i>p</i>=0.002). Additionally, the type of trauma showed a significant association with sex (OR=1.24; 95% CI=1.08-1.43; <i>p</i>=0.002), while the treatment provided was significantly associated with school type (OR=0.79; 95% CI=0.65-0.96; <i>p</i>=0.02). In addition, there was no significant relationship between the demographic variables and dental injury-related factors (<i>p</i>>0.05).</p><p><strong>Conclusion: </strong>The present study found a higher prevalence of DT in boys than in girls. However, this trend reversed in the adolescent age group. In addition, public schools had a higher rate of DT, which influenced the types of treatments provided.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"13 3","pages":"158-164"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12482863/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145205644","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":"Application of Silver Diamine Fluoride in Dental Trauma: A Case Series Study.","authors":"Mridula Goswami, Vashi Narula, Babita Jangra","doi":"10.30476/beat.2025.103986.1541","DOIUrl":"https://doi.org/10.30476/beat.2025.103986.1541","url":null,"abstract":"<p><strong>Objective: </strong>Dental injury is a significant issue in children due to their immature physical, cognitive, and physiological development. These factors often result in heightened fear and behavioral challenges during their first visit following trauma, which can compromise the quality of treatment and lead to a poor prognosis for the affected tooth. Silver Diamine Fluoride (SDF), a colorless solution approved by the US FDA for treating dental hypersensitivity and caries, offers a simple, painless, and non-invasive treatment option. Its application involves a paint-on technique with a powerful fluoride formulation, making it an ideal choice for the initial management of enamel and dentin fractures in primary teeth, particularly in uncooperative young children.</p><p><strong>Case description: </strong>This case series described four cases in which SDF was successfully used as the primary treatment for Ellis Class IX anterior tooth trauma in very young children with negative behavior responses in the dental setting. The procedure required minimal armamentarium and was well-tolerated by all patients.</p><p><strong>Conclusion: </strong>In each case, the use of SDF yielded successful and satisfactory outcomes, with a favorable prognosis for the affected teeth. Additionally, the treatment contributed to a positive shift in the children's attitudes toward dental care.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"13 1","pages":"62-67"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12036509/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143977033","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}