Bulletin of emergency and trauma最新文献_第3页

Trauma-Induced Delayed Presentation of Diaphragmatic Hernia with Gastric Volvulus: A Rare Presentation. 创伤性膈疝伴胃扭转的延迟表现：一种罕见的表现。

Bulletin of emergency and trauma Pub Date : 2025-01-01 DOI: 10.30476/beat.2025.106458.1597

Bhavya Ganesh, Anil Kumar, Aadil Anees Abbas, Abdul Vakil Khan, Anurag Kumar, Majid Anwer, Sanjay Kumar, Rekha Kumari

{"title":"Trauma-Induced Delayed Presentation of Diaphragmatic Hernia with Gastric Volvulus: A Rare Presentation.","authors":"Bhavya Ganesh, Anil Kumar, Aadil Anees Abbas, Abdul Vakil Khan, Anurag Kumar, Majid Anwer, Sanjay Kumar, Rekha Kumari","doi":"10.30476/beat.2025.106458.1597","DOIUrl":"10.30476/beat.2025.106458.1597","url":null,"abstract":"A 19-year-old male presented with a three-day history of worsening epigastric pain, persistent vomiting, abdominal distension, and obstipation. His medical history included high-fall trauma in 2022, resulting in a parietal bone fracture, scalp swelling, and an epidural hematoma. Physical examination revealed epigastric tenderness, abdominal distension, and diminished bowel sounds. Imaging revealed a 7 cm left diaphragmatic defect with herniation of the stomach, colon, and mesentery into the thoracic cavity, confirming a diagnosis of gastric volvulus with a diaphragmatic hernia. An exploratory laparotomy confirmed herniation of the stomach, transverse colon, spleen, and pancreas. The procedure involved derotation of the gastric volvulus, reduction of the herniated organs, and repair of the diaphragmatic tear; a fundoplication was also performed to prevent recurrence. The patient's recovery was uneventful, and he was discharged on the fifth postoperative day. He remained asymptomatic at the six-month follow-up. This case underscored the importance of considering gastric volvulus and diaphragmatic hernia in trauma patients presenting with gastrointestinal symptoms, highlighting the necessity of early diagnosis and prompt surgical intervention.","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"13 3","pages":"177-181"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12482883/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145205690","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

Factors Influencing Pedestrian Traffic Collision in Iran: A Qualitative Content Analysis. 伊朗行人交通碰撞影响因素：定性内容分析

Bulletin of emergency and trauma Pub Date : 2025-01-01 DOI: 10.30476/beat.2025.105939.1577

Leila Kouchakinejad-Eramsadati, Ali Asgary, Enayatollah Homaie Rad, Jon Mark Hirshon, Abbas Ostadtaghizadeh

{"title":"Factors Influencing Pedestrian Traffic Collision in Iran: A Qualitative Content Analysis.","authors":"Leila Kouchakinejad-Eramsadati, Ali Asgary, Enayatollah Homaie Rad, Jon Mark Hirshon, Abbas Ostadtaghizadeh","doi":"10.30476/beat.2025.105939.1577","DOIUrl":"10.30476/beat.2025.105939.1577","url":null,"abstract":"Objectives: This study aimed to explore experts' perspectives on the factors influencing pedestrian traffic collisions in Iran.Methods: This qualitative study was conducted using conventional content analysis with an inductive approach from September 2023 to March 2024. Twenty-six experts were purposefully selected from across Iran. Data were collected through individual face-to-face interviews, guided by a semi-structured interview, developed by a panel of experts and contained open-ended questions. Data analysis was performed manually using the Graneheim and Lundman approach (2004). To ensure trustworthiness, four strategies proposed by Lincoln and Guba were employed.Results: The results revealed two main categories: direct factors and underlying factors, comprising nine subcategories. Direct factors included five subcategories: driver, pedestrian, roads and streets, vehicle, and geographic factors. Underlying factors included four subcategories: governance factors, social determinants, cultural conditions, and economic status.Conclusion: The study identified key risk factors associated with pedestrian collisions according to experts' experiences. We recommend further qualitative studies to explore high-risk behaviors among pedestrians and drivers in depth. Additionally, systematic reviews should examine strategies employed by developing and successful countries to prevent or reduce pedestrian collisions.","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"13 3","pages":"165-176"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12482887/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145205697","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

Enhancing Scholarly Methanol Poisoning Reports by Utilizing a Standard Diagnostic Tool. 利用标准诊断工具加强学术甲醇中毒报告。

Bulletin of emergency and trauma Pub Date : 2024-01-01 DOI: 10.30476/beat.2024.103935.1540

Seyed Mostafa Mirakbari

引用次数: 0

Comparative Clinical Assessment and Risk Stratification of COVID-19 and Influenza Infections in Adults and Children: A Comprehensive Systematic Review and Meta-Analysis. COVID-19 与成人和儿童流感感染的临床评估和风险分层比较：全面系统回顾与元分析》。

Bulletin of emergency and trauma Pub Date : 2024-01-01 DOI: 10.30476/BEAT.2024.102205.1504

Eman E Shaban, Yavuz Yigit, Mohamed Elgassim, Ahmed Shaban, Amira Shaban, Amin Ameen, Mohamed Abdurabu, Hany A Zaki

{"title":"Comparative Clinical Assessment and Risk Stratification of COVID-19 and Influenza Infections in Adults and Children: A Comprehensive Systematic Review and Meta-Analysis.","authors":"Eman E Shaban, Yavuz Yigit, Mohamed Elgassim, Ahmed Shaban, Amira Shaban, Amin Ameen, Mohamed Abdurabu, Hany A Zaki","doi":"10.30476/BEAT.2024.102205.1504","DOIUrl":"10.30476/BEAT.2024.102205.1504","url":null,"abstract":"Objective: This study aimed to compare the clinical risks and outcomes of COVID-19 and influenza.Methods: The search for relevant articles was conducted using both a database search method and a manual search, which involved searching through the reference lists of articles related to the topic for additional studies. The Quality assessment was carried out using the Newcastle Ottawa tool, and the data analysis was conducted using the Review Manager Software (RevMan 5.4.1).Results: The meta-analysis results indicated that COVID-19 patients had similar lengths of hospital stays (SMD: -0.25; 95% CI: -0.60-0.11; p=0.17). However, COVID-19 patients had significantly higher mortality rates (RR: 0.28; 95% CI: 0.21-0.37; p<0.0001), in-hospital complications (RR: 0.57; 95% CI: 0.50-0.65; p<0.00001), intensive care unit (ICU) admissions (OR: 0.48; 95% CI: 0.37-0.61; p<0.00001), length of ICU stay (SMD: -0.45; 95% CI: -0.83-0.06; p=0.02), and mechanical ventilation use (OR: 0.36; 95% CI: 0.28-0.46; p<0.00001).Conclusion: The findings suggested that COVID-19 was more severe than influenza. Therefore, \"flu-like\" symptoms should not be dismissed without a clear diagnosis, especially during the winter when influenza is more prevalent.","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"12 2","pages":"47-57"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11366268/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142119037","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