Bulletin of emergency and trauma最新文献_第4页

A Commentary on Emergency Department Staff Performance versus Patient Preferences in Breaking Bad News. 突发坏消息中急诊科员工绩效与患者偏好的对比研究

Bulletin of emergency and trauma Pub Date : 2025-01-01 DOI: 10.30476/beat.2025.106325.1591

Mohammad Farhadi, Mohammadjavad Entezari

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

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