Bulletin of emergency and trauma最新文献_第2页

Challenges in Managing Patients During Biological Emergencies in the Iranian Health System: A Qualitative Study. 伊朗卫生系统在生物紧急情况下管理患者的挑战：一项定性研究。

Bulletin of emergency and trauma Pub Date : 2025-01-01 DOI: 10.30476/beat.2025.105076.1559

Zoya Hadinejad, Mehrdad Farrokhi, Shokoufeh Ahmadi, Mohammad Saatchi, Hamidreza Khankeh

{"title":"Challenges in Managing Patients During Biological Emergencies in the Iranian Health System: A Qualitative Study.","authors":"Zoya Hadinejad, Mehrdad Farrokhi, Shokoufeh Ahmadi, Mohammad Saatchi, Hamidreza Khankeh","doi":"10.30476/beat.2025.105076.1559","DOIUrl":"10.30476/beat.2025.105076.1559","url":null,"abstract":"Objectives: This qualitative study aimed to identify the key challenges associated with managing patients affected by biological emergencies in Iran.Methods: This study was part of grounded theory research using the constant comparative analysis method proposed by Corbin (2014). Data were gathered through semi-structured interviews with 25 individuals with expertise or experience in managing biological emergencies. Purposive sampling, followed by theoretical sampling, was employed until theoretical saturation was reached. Data collection was conducted between April and November 2023, and MAXQDA software (2020) was used for data analysis.Results: After several rounds of data analysis and summarization, considering similarities and differences, four main categories and 14 subcategories were identified. The main categories included: 1) lack of a comprehensive risk communication strategy, 2) inefficiencies in patient flow mismanagement, 3) systemic political and governance challenges, and 4) deficiencies in resource allocation and utilization.Conclusion: This study highlighted the challenges faced by Iran's Healthcare system in managing affected individuals in biological emergencies. Key issues included mismanagement of patient flow and systemic inefficiencies. Addressing these challenges is essential for enhancing the effectiveness and sustainability of Iran's Healthcare system. Further research is recommended to provide practical strategies for managing biological emergencies in the future.","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"13 2","pages":"105-114"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12275174/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144673952","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}

引用次数: 0

Predictive Factors Influencing Helmet Usage Among Motorcyclists: A Study at the Largest Trauma Center in Southern Iran. 影响摩托车手头盔使用的预测因素：伊朗南部最大的创伤中心的一项研究

Bulletin of emergency and trauma Pub Date : 2025-01-01 DOI: 10.30476/beat.2025.106268.1585

Mahnaz Yadollahi, Farshid Farbodan, Maryam Zamani, Shahram Bolandparvaz

{"title":"Predictive Factors Influencing Helmet Usage Among Motorcyclists: A Study at the Largest Trauma Center in Southern Iran.","authors":"Mahnaz Yadollahi, Farshid Farbodan, Maryam Zamani, Shahram Bolandparvaz","doi":"10.30476/beat.2025.106268.1585","DOIUrl":"10.30476/beat.2025.106268.1585","url":null,"abstract":"Objectives: This study aimed to identify factors influencing helmet usage behavior among motorcyclists.Methods: A cross-sectional study of injured motorcyclists was conducted at Shahid Rajaee Hospital (Shiraz, Iran), using the convenience sampling method. Data were collected via a structured medical form, and logistic regression with the \"Backward\" technique was applied to identify risk factors associated with helmet use.Results: Among 147 patients, 139 (94.55%) were un-helmeted, and 8 (5.45%) were helmeted. The mean age of helmeted riders was 41.46±17.44 years, compared to 29.21±12.23 years for un-helmeted riders. After data balancing, key predictors of helmet use included riding before noon (OR=10.164, 95% CI [4.543, 22.738]), crashes in urban areas (OR=21.740, 95% CI [5.535, 85.383]), absence of head/neck injuries (OR=4.549, 95% CI [2.075, 9.970]), absence of facial injuries (OR=5.108, 95% CI [1.587, 8.694]).Conclusion: These findings could assist policymakers in understanding helmet usage behavior and increasing helmet usage rates. They also support evidence-based strategies to reduce traffic crashes. Addressing helmet-related discomfort and enhancing public awareness of helmet benefits could significantly reduce motorcycle-related trauma.","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"13 2","pages":"69-75"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12275169/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144673957","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}

引用次数: 0

Commentary on Boswellia and Ginger for Memory Dysfunction in Mild TBI. 乳香姜对轻度创伤性脑损伤患者记忆功能障碍的研究进展。

Bulletin of emergency and trauma Pub Date : 2025-01-01 DOI: 10.30476/beat.2025.106323.1590

Mohammad Farhadi

引用次数: 0

Survival and Associated Risk Factors in Mechanically Ventilated Burn Patients: A Cross-Sectional Study. 机械通气烧伤患者的生存及相关危险因素：一项横断面研究。

Bulletin of emergency and trauma Pub Date : 2025-01-01 DOI: 10.30476/beat.2025.104399.1549

Siamak Rimaz, Vahideh Abdi, Cyrus Emir Alavi, Sanaz Masoumi, Mahsa Sadeghi, Mohammadreza Mobayen, Parissa Bagheri

{"title":"Survival and Associated Risk Factors in Mechanically Ventilated Burn Patients: A Cross-Sectional Study.","authors":"Siamak Rimaz, Vahideh Abdi, Cyrus Emir Alavi, Sanaz Masoumi, Mahsa Sadeghi, Mohammadreza Mobayen, Parissa Bagheri","doi":"10.30476/beat.2025.104399.1549","DOIUrl":"10.30476/beat.2025.104399.1549","url":null,"abstract":"Objectives: This study aimed to determine the survival rate and identify associated risk factors in mechanically ventilated (MV) burn patients.Methods: This cross-sectional analytical study was conducted at Velayat Hospital, a burn and plastic surgery referral center affiliated with Guilan University of Medical Sciences, between March 2011, and September 2020. Data were retrieved from electronic medical records and analyzed using SPSS software (version 24.0). Patients discharged alive or lost to follow-up were treated as censored observations in a time-to-event analysis.Results: The mean age of survivors was 19.03±30.21 years, compared to 42.54±19.30 years in the non-survivors. Men comprised 78.9% (n=30) of survivors and 64.9% (n=155) of non-survivors. The mean intensive care unit (ICU) survival time was 18.33±1.36 days (median=12±1.24 days). There were significant differences between survivor and non-survivor groups in terms of age, length of stay, presence of comorbidities, inhalation injury, sepsis, acute respiratory distress syndrome (ARDS), and acute kidney injury (AKI) (p<0.05). The Kaplan-Meier analysis demonstrated a significant difference in survival probability between MV and non-MV groups (p=0.028), with a higher survival probability observed in non-MV patients.Conclusion: Age, length of stay, renal failure, ARDS, and sepsis were associated with increased mortality risk in MV burn patients. While these findings highlighted critical prognostic factors, causal inferences require further investigation through longitudinal or interventional studies to guide targeted therapeutic strategies.","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"13 2","pages":"83-89"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12275167/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144673959","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}

引用次数: 0

Enhancing Home Care Quality for Trauma Patients: A Qualitative Content Analysis. 提高创伤患者家庭护理质量：定性内容分析。

Bulletin of emergency and trauma Pub Date : 2025-01-01 DOI: 10.30476/beat.2025.104692.1555

Shima Farokhi, Azim Azizi, Masoud Khodaveisi, Eesa Mohammadi, Khodayar Oshvandi

{"title":"Enhancing Home Care Quality for Trauma Patients: A Qualitative Content Analysis.","authors":"Shima Farokhi, Azim Azizi, Masoud Khodaveisi, Eesa Mohammadi, Khodayar Oshvandi","doi":"10.30476/beat.2025.104692.1555","DOIUrl":"https://doi.org/10.30476/beat.2025.104692.1555","url":null,"abstract":"Objectives: This study aimed to identify strategies for enhancing the quality of home care for trauma patients.Methods: Using a conventional qualitative content analysis approach, this study was conducted from September 2023 to September 2024 in Hamadan, located in northwest Iran. A total of 18 participants, including home care managers, nurses, trauma patients, and the family members of trauma patients, were selected through purposive sampling. Data were collected using semi-structured interviews and analyzed using Graneheim and Lundman's method with the assistance of MAXQDA software (version 20).Results: Analysis of the data yielded 430 initial codes, which were categorized into 36 subcategories and 6 main categories: patient-centered care, safe care provision, spiritual care, effective educational program development, service effectiveness enhancement, and dynamic service delivery.Conclusion: The study results showed that nurses employed various strategies to improve the quality of home care services for trauma patients. Key strategies included adhering to the principle of patient-centered care, providing safe care for trauma patients, providing spiritual care, developing effective educational programs, enhancing service effectiveness, and ensuring dynamism in service delivery. Implementing these strategies could guide policymakers and home care nurses to improve care quality for trauma patients and increase satisfaction. The findings of the present study can enhance the planning and implementation of home care services, facilitating the transition from hospital to home for trauma patients.","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"13 1","pages":"37-46"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12036507/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143953923","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}

引用次数: 0

Influencing Factors on Students' Pedestrian Safety Behavior: A Descriptive Analytical Study. 大学生行人安全行为影响因素的描述性分析研究。

Bulletin of emergency and trauma Pub Date : 2025-01-01 DOI: 10.30476/beat.2025.105958.1578

Marzeyeh Soleymani Nejad, Fatemeh Estebsari, Mahmoud Abbasi, Marzieh Latifi

{"title":"Influencing Factors on Students' Pedestrian Safety Behavior: A Descriptive Analytical Study.","authors":"Marzeyeh Soleymani Nejad, Fatemeh Estebsari, Mahmoud Abbasi, Marzieh Latifi","doi":"10.30476/beat.2025.105958.1578","DOIUrl":"10.30476/beat.2025.105958.1578","url":null,"abstract":"Objectives: This study aimed to identify the factors influencing pedestrians' preventive behaviors regarding road traffic safety among students at Shahid Beheshti University of Medical Sciences (SBMU), using the Health Belief Model (HBM) as a framework.Methods: In 2022, a total of 337 SBMU students were selected using a multi-stage sampling method. Data were collected using a 45-item questionnaire based on HBM constructs: perceived susceptibility, perceived severity, perceived benefits, perceived barriers, cues to action, and behavior. The questionnaire was distributed electronically via SBMU's social media channels. Data analysis was performed using SPSS software (version 18). P<0.05 was considered statistically significant.Results: The mean age of the participants was 26.68±2.8 years. The most significant influential factor was family (94.3%), followed by social media. Among HBM constructs, perceived susceptibility had the highest mean score. A one-point increase in perceived susceptibility, perceived benefits, and cues to action scores significantly increased the likelihood of adherence to safe pedestrian behavior (β=0.06, p=0.04; β=0.121, p<0.001; β=0.219, p=0.003, respectively). Conversely, an increase in perceived barriers significantly decreased adherence to safe pedestrian behavior (p<0.001).Conclusion: Family and social media play a crucial role in shaping students' perceptions of road traffic safety. Enhancing perceived susceptibility and benefits, as well as providing effective cues to action, can significantly promote preventive behaviors among students.","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"13 2","pages":"98-104"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12275171/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144673956","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}

引用次数: 0

Investigating Factors Affecting Mortality Due to Spinal Cord Trauma in Patients Admitted to the Intensive Care Unit. 调查影响重症监护病房脊髓创伤患者死亡率的因素。

Bulletin of emergency and trauma Pub Date : 2024-01-01 DOI: 10.30476/beat.2024.103079.1517

Hassan Reza Mohammadi, Ali Erfani, Sohrab Sadeghi, Khalil Komlakh, Masoumeh Otaghi, Aminollah Vasig

{"title":"Investigating Factors Affecting Mortality Due to Spinal Cord Trauma in Patients Admitted to the Intensive Care Unit.","authors":"Hassan Reza Mohammadi, Ali Erfani, Sohrab Sadeghi, Khalil Komlakh, Masoumeh Otaghi, Aminollah Vasig","doi":"10.30476/beat.2024.103079.1517","DOIUrl":"10.30476/beat.2024.103079.1517","url":null,"abstract":"Objectives: This study was conducted to investigate the factors affecting mortality due to spinal cord trauma in patients admitted to the intensive care unit (ICU).Methods: This study was conducted in a group of patients who were admitted to the ICU with a Traumatic Spinal Injuries (TSI) diagnosis. The researcher started sampling by assessing the documents of the patients hospitalized in the ICU, and the diagnosis of TSI was confirmed for them. Besides, utilizing a researcher-made checklist, factors affecting the mortality of patients were identified. The data were analyzed using the SPSS software version 16. P<0.05 was considered statistically significant.Results: About 412 (64.2%) patients were men, about 213 (33.2%) of the patients had GCS between 3-8 grade. There were injuries in the pelvis area. Moreover, there was a significant relationship between GCS score status and the number of injury follow-ups in addition to TSI. Therefore, the mortality rate was higher in patients who had lower GCS (Odds ratio=2.32, p<0.001). There was also a significant relationship between the number of injuries and the mortality rate, and patients who had multiple traumas had a higher mortality rate. Besides, a significant relationship was observed between the complications caused by trauma, including cerebrovascular accident, cardiac arrest, acute respiratory distress syndrome (ARDS), pneumonia, and the mortality of patients hospitalized in the SICU (p<0.05).Conclusion: The patients' mortality was influenced by factors such as their level of consciousness, the number of traumas caused in the spinal cord, and the occurrence of comorbidities such as cerebrovascular accident, cardiac arrest, ARDS, and pneumonia. Therefore, it is necessary to take the essential measures to reduce these complications.","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"12 3","pages":"136-141"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11462108/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142399474","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}

引用次数: 0

Enhancing Cardiopulmonary Resuscitation Training Through Virtual Reality Technology: Assessing Efficiency and Impact. 通过虚拟现实技术加强心肺复苏培训：评估效率和影响。

Bulletin of emergency and trauma Pub Date : 2024-01-01 DOI: 10.30476/beat.2024.101899.1498

Payam Emami, Mahsa Boozari Pour

引用次数: 0

The Impact of COVID-19 on Trauma Emergency Patients in Southeastern Iran. COVID-19 对伊朗东南部创伤急诊患者的影响。

Bulletin of emergency and trauma Pub Date : 2024-01-01 DOI: 10.30476/BEAT.2024.101960.1500

Milad Ahmadi Gohari, Ali Akbar Haghdoost, Mehdi Ahmadinejad, Mohammadreza Balooch Hasankhani, Hossein Mirzaei, Yunes Jahani

{"title":"The Impact of COVID-19 on Trauma Emergency Patients in Southeastern Iran.","authors":"Milad Ahmadi Gohari, Ali Akbar Haghdoost, Mehdi Ahmadinejad, Mohammadreza Balooch Hasankhani, Hossein Mirzaei, Yunes Jahani","doi":"10.30476/BEAT.2024.101960.1500","DOIUrl":"10.30476/BEAT.2024.101960.1500","url":null,"abstract":"Objective: With the COVID-19 outbreak in countries around the world, the countries' healthcare systems underwent an unprecedented shock. This study aimed to examine the resilience of the medical service delivery system in providing emergency services during the Covid-19 pandemic.Methods: This study was conducted in a reference hospital in Kerman that provided emergency services to trauma patients. It compared service delivery before and after COVID-19, as well as during the COVID-19 peak and non-peak periods. The compared variables were the number of trauma patients admitted to the hospital and the ICU, the number of patients who died in the hospital due to trauma, and the length of stay in the hospital and the ICU.Results: The pre- and post-COVID-19 comparisons showed no significant difference in the number of daily hospital admissions, ICU admissions, and patient deaths. The median length of stay in the ICU was significantly reduced by almost 2 days during the COVID-19 outbreak. However, the length of stay at the hospital was almost the same. Furthermore, a comparison of the COVID-19 peaks and non-peak periods indicated no statistically significant difference in the number of admissions in the ICU, hospital and ICU length of stay, and trauma-induced mortality.Conclusion: Despite the substantial workload imposed by COVID-19 on hospitals, especially during the peak periods of the disease, the provision of medical services to emergency trauma patients did not drop significantly, and the quality of services provided to patients was within the acceptable range.","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"12 2","pages":"73-80"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11366271/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142119052","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}

引用次数: 0

A Novel Skin Incision for Posterior Fossa Midline and Paramedian Lesions: A Technical Note and Case Series. 后窝中线和侧线病变的新型皮肤切口：技术说明和病例系列。

Bulletin of emergency and trauma Pub Date : 2024-01-01 DOI: 10.30476/BEAT.2023.100324.1465

Mohammad Sadegh Masoudi, Sina Zoghi, Reza Taheri, Adrina Habibzadeh, Ali Ansari

{"title":"A Novel Skin Incision for Posterior Fossa Midline and Paramedian Lesions: A Technical Note and Case Series.","authors":"Mohammad Sadegh Masoudi, Sina Zoghi, Reza Taheri, Adrina Habibzadeh, Ali Ansari","doi":"10.30476/BEAT.2023.100324.1465","DOIUrl":"https://doi.org/10.30476/BEAT.2023.100324.1465","url":null,"abstract":"Approaching posterior fossa pathologies is fairly challenging. Poor exposure, cerebrospinal fluid (CSF) leak following surgery, post-operative suboccipital and neck pain, as well as wound healing are all common complications following traditional suboccipital midline incision. Herein, we present a novel incision for approaching posterior fossa pathologies. The incision is shaped like a question mark and makes a musculofascial flap supplied by the occipital artery on top as well as a wide area for craniotomy. In our technique, the dura is also incised in a question mark-shaped manner. The new incision was used to operate on three patients who had masses in the posterior fossa. Following surgeries, none of the patients experienced any adverse events such as CSF leak, wound complications, severe suboccipital pain, and neck instability. This new incision not only facilitates approaching pathologies in the posterior fossa by providing wider exposure but also enables us to perform watertight dural closure, which reduces CSF leak. Furthermore, as the muscular incision provides a sufficient area for craniotomy, muscular retraction can be minimized to reduce post-operative pain. Moreover, unlike the midline avascular incision, the flap is well supplied by the occipital artery, which facilitates the healing procedure.","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"12 1","pages":"42-45"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11057448/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140847941","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}

引用次数: 0