Bulletin of emergency and trauma最新文献

{"title":"Elements of Teamwork in Resuscitation: An Integrative Review.","authors":"Mohammad Hosseini,&nbsp;Abbas Heydari,&nbsp;Hamidreza Reihani,&nbsp;Hossein Kareshki","doi":"10.30476/BEAT.2021.91963.1291","DOIUrl":"https://doi.org/10.30476/BEAT.2021.91963.1291","url":null,"abstract":"<p><strong>Objective: </strong>To identify the elements of teamwork in resuscitation, an integrative review and synthesize current primary studies conducted.</p><p><strong>Methods: </strong>PubMed, Scopus, Web of Science, and Embase, as well as Google Scholar search engine were searched from November 2015 to March 2020 to review previously published peer-reviewed studies. Out of the 5495 articles, 16 were finally included in the study. Search strategy implemented with these keywords (in the title/abstract) were (team* AND CPR) or (team* AND resuscitation). Six descriptive criteria was performed by using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guideline to analyze the articles and a modified version of Cooper's five-stage method.</p><p><strong>Results: </strong>Sixteen studies were included in this research. Twenty elements related to teamwork in resuscitation were identified by using data synthesis, then classified into four categories includes team interaction elements, leadership skills, individual elements and environmental elements. Communication, leadership, situation awareness and scene organization had the highest frequency of reviewed articles 10, 5, 4, 4, respectively.</p><p><strong>Conclusion: </strong>The interactions between resuscitation team members and the skills of the leader and team members along with environmental elements had attracted the most attention of researchers by focusing on teamwork in resuscitation. Due to the limited number of articles related to this subject, more research is needed to reveal all the key elements of teamwork in resuscitation.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"10 3","pages":"95-102"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/60/7d/bet-10-95.PMC9373058.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40629222","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":"Anxiety and Stress Seem Temporary during the Pneumonia COVID-19 Pandemic: A Survey on the Mental Health Status of Healthcare Workers.","authors":"Hossein Abdolrahimzadeh Fard,&nbsp;Roham Borazjani,&nbsp;Amir Hossein Shams,&nbsp;Vala Rezaee,&nbsp;Shiva Aminnia,&nbsp;Maryam Salimi,&nbsp;Mahsa Ahadi,&nbsp;Shahram Paydar,&nbsp;Shahram Bolandparvaz,&nbsp;Nikta Rabiei,&nbsp;Sanaz Zare,&nbsp;Leila Shayan,&nbsp;Mina Sadeghi","doi":"10.30476/BEAT.2022.94720.1344","DOIUrl":"https://doi.org/10.30476/BEAT.2022.94720.1344","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the presence/severity of depression, anxiety, and stress among health care workers (HCWs) who work on the specially allocated COVID-19 ward (Group A) and HCWs on the other wards (Group B).</p><p><strong>Methods: </strong>This questionnaire-based study was conducted from January 25 to February 28, 2021. The mental status was assessed using the Persian version of the 42-item Depression, Anxiety, and Stress score (DASS-42). Gathered data was analyzed using SPSS version 25. The independent T-test and Chi-square tests were used to compare quantitative and qualitative variables.</p><p><strong>Results: </strong>Two-hundred and twenty two questionnaires were eligible for analysis. Group A consisted of 33 HCWs, and 189 (85.1%) individuals were working on the other wards. No statistically significant differences were seen regarding the Socio-demographic features except for the marital status (<i>p</i>=0.005). The depressions' mean score was comparable between group A and B (<i>p</i>=0.102). The mean scores of anxiety and stress were significantly lower in group A than group B (<i>p</i>=0.006), although the frequency of DASS-42 parameters did not differ between these two groups (<i>p</i>>0.05).</p><p><strong>Conclusion: </strong>Contrary to our assumptions, this study showed that the DASS-42 parameters were not higher in HCWs working on the COVID-19 wards. This might be justified by developing coping mechanisms, being on the honeymoon phase of the disaster, compassion satisfaction, promising vaccine news, and working on the less impacted hospital.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"10 3","pages":"128-134"},"PeriodicalIF":0.0,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a4/11/bet-10-128.PMC9373054.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40629220","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":"Comparison the Emergency Severity Index and Manchester Triage System in Trauma Patients.","authors":"Hossein Zakeri,&nbsp;Lahya Afshari Saleh,&nbsp;Shabnam Niroumand,&nbsp;Maryam Ziadi-Lotfabadi","doi":"10.30476/BEAT.2022.92297.1302","DOIUrl":"https://doi.org/10.30476/BEAT.2022.92297.1302","url":null,"abstract":"<p><strong>Objective: </strong>To compare the emergency severity index (ESI) and Manchester triage system (MTS) in trauma patients.</p><p><strong>Methods: </strong>This cross-sectional study was conducted by census method in Hasheminejad hospital during 2019. Patients referred to a trauma center triaged by five trained triage nurses based on ESI and MTS. Outcomes were considered as length of stay at the emergency department, admission to the other sectors and discharge or leave the hospital. Information from the triage form, nursing registry office and hospital registry system were extracted and analyzed by SPSS software.</p><p><strong>Results: </strong>Totally 447 and 468 patients triaged with the ESI and MTS were included, respectively. Seventy percent of patients triaged with ESI and 34% with MTS were placed in level 3 or the yellow group (equivalent group 3 triage). The hospitalization rate is approximately equal at each triage level in the both systems. The mortality rate in both groups was 0%. Mean length of stay was significantly lower in the MTS group compared to ESI in the emergency department (<i>p</i><0.05).</p><p><strong>Conclusion: </strong>Using of ESI triage in the trauma center causes to arrive more patients to the emergency department instead of the fast track and leads to waste the time and energy of staff'. However, further studies are needed to prove this result.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"10 2","pages":"65-70"},"PeriodicalIF":0.0,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9008340/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49674561","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":"The Prevalence of Crash and Associated Factors Among Commercial Motorcyclist in Owo, Western Nigeria.","authors":"Anthony Ayotounde Olasinde,&nbsp;Kehinde Sunday Oluwadiya","doi":"10.30476/BEAT.2022.95144.1350","DOIUrl":"https://doi.org/10.30476/BEAT.2022.95144.1350","url":null,"abstract":"<p><strong>Objective: </strong>To determine the prevalence of crash and associated factors among commercial motorcyclists in Owo, Ondo State, Nigeria.</p><p><strong>Methods: </strong>This study is a descriptive cross-sectional study. Data was collected by using pre-tested structured questionnaires administered to commercial motorcyclists. Collected information was socio-demographic characteristics of the respondents, riding experience, formal training, possession of valid drivers' licence, motorcycle ownership status, mobile phone usage, history of crash in the previous one year, riding hours per day, helmet use, carrying more than one passenger, riding against traffic and daily income.</p><p><strong>Results: </strong>The study were enrolled 502 individuals with a mean age of 31.5±8.7. The ratio of men to women was 250:1. All respondents who admitted to engage in the study had at least one risky behaviour in the past (95.4% admitted to transporting one passenger more than the legal) and 56.6% admit to a prior history of traffic offences. The crashes' predictive factors include respondent age, cell phone use while riding, prior traffic offences, carrying more than one pillion rider, use of stimulants such as kolanut and bitter kola, alcohol drink riding, and admission of fault in the prior of crashes.</p><p><strong>Conclusion: </strong>Commercial motorcyclists in Owo, Ondo State Nigeria engaged in risky behaviours that raised their likelihood of being involved in crashes. The objectives of public enlightenment and driver education at these behaviours could help to reduce the occurrence of crashes among them.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"10 4","pages":"189-195"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/82/7c/bet-10-189.PMC9758705.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10438098","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":"Is cardiac Troponin I Considered as A Predictor of In-hospital Mortality among COVID-19 Patients? A Retrospective Cohort Study.","authors":"Mohammad Haji Aghajani,&nbsp;Roxana Sadeghi,&nbsp;Reza Miri,&nbsp;Mohammad Parsa Mahjoob,&nbsp;Fatemeh Omidi,&nbsp;Fatemeh Nasiri-Afrapoli,&nbsp;Asma Pourhosseingoli,&nbsp;Niloufar Taherpour,&nbsp;Amirmohammad Toloui,&nbsp;Mohammad Sistanizad","doi":"10.30476/BEAT.2022.92719.1310","DOIUrl":"https://doi.org/10.30476/BEAT.2022.92719.1310","url":null,"abstract":"<p><strong>Objective: </strong>To describe the levels of troponin I in COVID-19 patients and its role in the prediction of their in-hospital mortality as a cardiac biomarker.</p><p><strong>Methods: </strong>The current retrospective cohort study was performed on the clinical records of 649 COVID-19-related hospitalized cases with at leat one positive polymerase chain reaction (PCR) test in Tehran, Iran from February 2020 to early June 2020. The on admission troponin I level divided into two groups of ≤0.03ng/mL (normal) and >0.03ng/mL (abnormal). The adjusted COX-regression model was used to determine the relationship between the studied variables and patient's in-hospital mortality.</p><p><strong>Results: </strong>In this study, the median age of subjects was 65 years (54.8% men) and 29.53% of them had abnormal troponin I levels. Besides, the in-hospital mortality rate among patients with abnormal troponin I levels was found to be 51.56%; whereas, patients with normal levels exhibited 18.82% mortality. Also, the multivariable analysis indicated that the risk of death among hospitalized COVID-19 patients displaying abnormal troponin I levels was 67% higher than those with normal troponin I levels (Hazard ratio=1.67, 95% confidence interval=1.08-2.56, <i>p</i>=0.019).</p><p><strong>Conclusion: </strong>It seems that troponin I is one of the important factors related to in-hospital mortality of COVID-19 patients. Next, due to the high prevalence of cardiac complications in these patients, it is highly suggested to monitor and control cardiac biomarkers along with other clinical factors upon the patient's arrival at the hospital.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"10 1","pages":"9-15"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8818101/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39612703","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":"Effect of a Boswellia and Ginger Mixture on the Memory Dysfunction of the Mild Traumatic Brain Injury Patients: A Randomized, Double-Blind Controlled Trial.","authors":"Omid Yousefi,&nbsp;Shahab Ghazi-Mirsaiid,&nbsp;Pouria Azami,&nbsp;Ghazal Karimi,&nbsp;Arash Mani,&nbsp;Amin Niakan,&nbsp;Hosseinali Khalili","doi":"10.30476/BEAT.2022.97106.1400","DOIUrl":"https://doi.org/10.30476/BEAT.2022.97106.1400","url":null,"abstract":"<p><strong>Objective: </strong>To study a Boswellia and ginger mixture on the memory dysfunction of the mild traumatic brain injury (mTBI) patients<b>.</b></p><p><strong>Methods: </strong>Patients with mTBI were asked about memory impairment following the injury. One hundred mTBI patients were visited and assessed using an auditory-visual learning test (AVLT) questionnaire. By using random permuted blocks, patients were given the Memoral (a mixture of 360 mg of Boswellia and 36 mg of ginger) or placebo and were asked to consume it for a month. Patients were assessed one and three months afterward using the second and third steps of AVLT, respectively.</p><p><strong>Results: </strong>One hundred patients were included in the study and divided into control and intervention groups. The mean age of the patients was 36.83±14.71, and there were no significant differences between the two groups (<i>p</i>=0.41). There were no statistically significant differences in the baseline scores of different AVLT parameters between the two groups. All patients had improvements in different parameters after three months. But some factors include the scores' change in total learning, retroactive interference score, forgetting rate, and net positive score were significantly higher in treatment groups at one-month and three-month follow-ups compared to the placebo group. In contrast, word span and hit parameters had the same pattern of improvement in both groups.</p><p><strong>Conclusion: </strong>The herbal medication can have a satisfactory effect on eliminating post-mTBI memory dysfunction while having no considerable adverse effects. The effect of these components can also be sustained after a two-month timeframe. These results may assist patients to have less mental involvement.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"10 4","pages":"157-164"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/59/a8/bet-10-157.PMC9758704.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10785788","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-Referred Walk-in (SRW) versus Emergency Medical Services Brought Covid-19 Patients.","authors":"Navid Kalani,&nbsp;Naser Hatami,&nbsp;Sajed Ali,&nbsp;Neema John Mehramiz,&nbsp;Fatemeh Rahmanian,&nbsp;Esmaeil Raeyat Doost,&nbsp;Marzieh Haghbeen,&nbsp;Samaneh Abiri,&nbsp;Mahdi Foroughian,&nbsp;Mohsen Ebrahimi","doi":"10.30476/BEAT.2021.92229.1299","DOIUrl":"https://doi.org/10.30476/BEAT.2021.92229.1299","url":null,"abstract":"<p><strong>Objective: </strong>To compare the characteristics of the emergency medical services (EMS) brought COVID-19 patients versus self-referred walk-in patients.</p><p><strong>Methods: </strong>This was a Cross-sectional study of COVID-19 infected cases in Jahrom, south of Iran. Age, sex, the symptoms of beginning days' passing, respiratory distress, PO2 at arrival, admission length and in-hospital death were retrieved for confirming COVID-19 cases in the whole 2020 year. Respiratory distress was considered as the sign that agitates the patient to call EMS care. Survival analysis was used to evaluate the possible difference of the hospitalization outcome in EMS brought or Self-referred walk-in (SRW) patients.</p><p><strong>Results: </strong>There was 704 (27.1%) registries patients transfer to the hospital by EMS and 1895 (72.9%) cases with SRW referred to the hospital. The survival distributions for the EMS group were statistically significant and lower than SRW group (<i>p</i><0.05). Despite the SRW patients, respiratory distress was associated with lower survival in EMS group (<i>p</i><0.05). Days passing the symptom's beginning was significantly different between EMS group (6.1±5.3 days) and SRW group (6.9±4.6 days). Cox regression showed higher mortality rate in patients higher than 75 years old in both groups (<i>p</i><0.05). Higher PO2 at arrival was associated with lower mortality rate of Hazard Ratio of 0.959 (<i>p</i><0.001) and 0.903 (<i>p</i><0.001) in EMS and SRW groups, respectively. The history of heart disease and hypertension were associated with 1.011 and 1.088 times more than mortality risk in EMS group; while cancer history was associated with 2.74 times more of mortality risk in SRW group.</p><p><strong>Conclusion: </strong>It seems that severe acute respiratory syndrome occurs soon in some patients that lead to the need for an ambulance to transfer the patient to the hospital. Therefore, EMS transfer patients should be considered for more risk of severe COVID-19; considering comorbidities of heart disease and hypertension as red flags.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"10 1","pages":"21-26"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8818102/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39915461","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":"Survival to Discharge Rate and Favorable Neurological Outcome Related to Gender, Duration of Resuscitation and First Document of Patients In-Hospital Cardiac Arrest: A Systematic Meta-Analysis.","authors":"Afshin Goodarzi,&nbsp;Mahnaz Khatiban,&nbsp;Alireza Abdi,&nbsp;Khodayar Oshvandi","doi":"10.30476/BEAT.2022.92465.1307","DOIUrl":"https://doi.org/10.30476/BEAT.2022.92465.1307","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the relationship between outcomes and demographic-clinical variables in in-hospital cardiac arrest (IHCA).</p><p><strong>Methods: </strong>The Medline database was searched along with Google Scholar, Scopus, Web of Science, and Persian language database without time limitation until January 6^th, 2020. The inclusion criteria included papers published in journals or presented in English and Persian congress that reported the IHCA outcomes based on the Utstein criterion. All the descriptive, cross-sectional, and cohort studies on CPR were covered based on inclusion and exclusion criteria. Primary checks covered titles and abstracts followed by a full-text check of the remaining papers from the first screening stage. Data analysis was done using comprehensive meta-analysis (CMA) software version 2.0. The finding's heterogeneity was checked using Q and Cochran tests with heterogeneity >50% and the random-effects model was used to estimate survival and favorable neurological outcome (FNO) in the analysis. To detect the publication bias of studies, the subgroup test, meta-regression test, sensitivity analysis test, funnel plot, and Eagger's regression test were used.</p><p><strong>Results: </strong>Survival to discharge was 19.1% (95% CI=16.8-21.7) and FNO in the survived to discharge cases was 68.1% (95% CI=55.8-78.3). Survival to discharge and FNO were notably higher in men, CPR duration <15min, and shockable dysrhythmias.</p><p><strong>Conclusion: </strong><b>IHCA</b> outcomes are poor in developing countries. The outcomes of IHCA in terms of gender were inconsistent with the result reported by other meta-analyses.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"10 4","pages":"141-156"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/09/24/bet-10-141.PMC9758708.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10803481","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":"Psychometric Properties of EQ-5D-3L Applied through Phone Follow-Ups: An Experience in PERSIAN Traffic Cohort.","authors":"Nasrin Shahedifar,&nbsp;Homayoun Sadeghi-Bazargani,&nbsp;Mohammad Asghari-Jafarabadi,&nbsp;Mostafa Farahbakhsh,&nbsp;Shahrzad Bazargan-Hejazi,&nbsp;Alireza Razzaghi,&nbsp;Mina Golestani,&nbsp;Faramarz Pourasghar","doi":"10.30476/BEAT.2022.95972.1375","DOIUrl":"https://doi.org/10.30476/BEAT.2022.95972.1375","url":null,"abstract":"<p><strong>Objective: </strong>To assess psychometric properties of the European Quality of Life 5-Dimension 3-Level Version (EQ-5D-3L) commonly used tool for measuring road traffic injury (RTI) patients' quality of life.</p><p><strong>Methods: </strong>The psychometric study assessed the reliability and applicability of EQ-5D-3L through phone surveys, based on a national cohort platform. Data of 150 RTI patients recruited from the cohort study were included as 50 patients per each follow-up phase (one, six, and twelve months after discharge). A 12- day-time span was between test and retest. We measured psychometric properties (internal consistency reliability and stability reliability) and agreement using Kappa coefficients and percentages of agreement and Bland-Altman method. Data were analysed using software STATA statistical package.</p><p><strong>Results: </strong>The majority of patients were men (80%) with mean age (SD) of 41(14.7%), employed (78%) and educated (86%). The Persian version represented high internal consistency reliability at total level (Cronbach's α=0.81) and moderate to good reliability at phase levels (0.62-0.87). The stability reliability was excellent at total (ICC=0.98, 95% CI: 0.97, 0.98) and phase levels (0.97-0.98. The kappa agreement coefficients were valued moderate to perfect (0.6-0.8, <i>p</i>>0.0001). The Bland-altman plot illustrated high agreement between test and retest scores. No floor and ceiling effects were found.</p><p><strong>Conclusion: </strong>The study revealed that EQ-5D-3L was highly reliable and responsive to be applied through phone interviews at three different times post injury and discharge, as no previous study considered its psychometric properties at various phone follow-ups after RTIs.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"10 4","pages":"181-188"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a6/07/bet-10-181.PMC9758709.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10803483","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":"Uncontrollable Bleeding Managed by Thoracic Gauze Packing in Blunt Traumatic Aortic Injury.","authors":"Hamed Ghoddusi Johari,&nbsp;Seyed Arman Moein","doi":"10.30476/BEAT.2021.91302.1272","DOIUrl":"https://doi.org/10.30476/BEAT.2021.91302.1272","url":null,"abstract":"<p><p>Blunt traumatic aortic injury is a deadly phenomenon in traumatic injuries. Damage control is essential in the management of traumatic patients. We reported a 20-years-old man brought to the trauma center from a car turnover crash scene. Blunt traumatic aortic injury grade III was revealed by contrast-enhanced computed tomography requiring urgent intervention. After an uneventful open repair of the aorta with Dacron graft, diffuse blood oozing occurred from the mediastinum and left pleural cavity. We packed the thoracic bleeding sites and removed the packings after four days. The patient developed no signs of cardiopulmonary compromise until the removal of the packings. Later, the patient was discharged with no complications. Through the follow-ups, he had no complaint regarding the surgery. The patient has a normal chest x-ray one year later. Thoracic gauze packing is limitedly practiced due to concerns for cardiopulmonary compromises. To the best of our knowledge, this is the first time that this technique has been performed in the open repair of blunt traumatic thoracic aortic injury as damage control.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":"10 4","pages":"201-204"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e4/9f/bet-10-201.PMC9758710.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10803479","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}