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A Comparative Study of the Registry System effect on Patients Satisfaction Rate in Two Emergency Department Settings. 注册制度对两种急诊科患者满意度影响的比较研究。
Bulletin of emergency and trauma Pub Date : 2021-07-01 DOI: 10.30476/BEAT.2021.84704.1076
Orhan Delice, Samad Shams Vahdati, Senol Arslan, Alireza Alireza, Hossein Hosseinifar, Faride Houshmand, Solomon Habtemariam, Aysa Rezabakhsh
{"title":"A Comparative Study of the Registry System effect on Patients Satisfaction Rate in Two Emergency Department Settings.","authors":"Orhan Delice,&nbsp;Samad Shams Vahdati,&nbsp;Senol Arslan,&nbsp;Alireza Alireza,&nbsp;Hossein Hosseinifar,&nbsp;Faride Houshmand,&nbsp;Solomon Habtemariam,&nbsp;Aysa Rezabakhsh","doi":"10.30476/BEAT.2021.84704.1076","DOIUrl":"https://doi.org/10.30476/BEAT.2021.84704.1076","url":null,"abstract":"<p><strong>Objective: </strong>To assess the patient's satisfaction rate during two distinct registry procedures in the emergency department.</p><p><strong>Methods: </strong>A cross-sectional study was conducted in educational hospitals with a high volume of patient's admission in Tabriz-Iran and Erzurum-Turkey. In this study, we used a Press Ganey questionnaire as a data collection tool that was filled out with patients or their companions before discharging or referred to other areas (wards). Finally, data were analyzed by using SPSS software version 16.</p><p><strong>Results: </strong>The included patients were from three-admission time courses includes morning, evening, and night shifts. The present study results indicated that the total satisfaction score was two scores higher than the classic one (<i>p</i><0.001) in the model registry system. Furthermore, the findings of the current study interestingly showed a correlation between satisfaction rate and education level as well as patient's location. Thus, patients with moderate education levels had a higher satisfaction rate in urban regions when compared with rural regions and higher/lower education levels (<i>p</i>=0.03).</p><p><strong>Conclusion: </strong>Patients' satisfaction rate with multiple variables can be improved by designing an appropriate registry procedure.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8286656/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39222713","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
COVID-19 Impact on the Doctor-Patient Relationship: Patient Perspectives on Emergency Physician Empathy and Communication. COVID-19对医患关系的影响:急诊医生移情和沟通的患者视角
Bulletin of emergency and trauma Pub Date : 2021-07-01 DOI: 10.30476/BEAT.2021.89058.1216
Sophia Aguirre, Kristen M Jogerst, Zachary Ginsberg, Sandeep Voleti, Puneet Bhullar, Joshua Spegman, Taylor Viggiano, Jessica Monas, Douglas Rappaport
{"title":"COVID-19 Impact on the Doctor-Patient Relationship: Patient Perspectives on Emergency Physician Empathy and Communication.","authors":"Sophia Aguirre,&nbsp;Kristen M Jogerst,&nbsp;Zachary Ginsberg,&nbsp;Sandeep Voleti,&nbsp;Puneet Bhullar,&nbsp;Joshua Spegman,&nbsp;Taylor Viggiano,&nbsp;Jessica Monas,&nbsp;Douglas Rappaport","doi":"10.30476/BEAT.2021.89058.1216","DOIUrl":"https://doi.org/10.30476/BEAT.2021.89058.1216","url":null,"abstract":"<p><strong>Objective: </strong>To investigate in how the current COVID-19 pandemic affects patient's perceptions of emergency physician empathy and communication.</p><p><strong>Methods: </strong>Patients cared for by Emergency Department physicians with the lowest satisfaction scores were surveyed within one week of discharge via phone. Using questions from the Consultation and Relational Empathy (CARE) survey, patients rated their satisfaction with their Emergency provider's empathy and communication on a scale of 1 to 5 and provided feedback on how the patient-provider interaction could be improved. Demographic data and patient responses to CARE survey questions were compared between pre-COVID-19 and during COVID-19 time. Patient's open-ended responses were analyzed for themes related to the impact of COVID-19 on the patient-provider relationship.</p><p><strong>Results: </strong>Patient median quantitative scores were 5 (4-5) across all five questions of pre-COVID-19 and 5 (4-5) during COVID-19 for all questions except two (showing care and compassion), median 5(5-5). Female patients rated provider empathy and communication lower than mens. There was no differences across age strata. A shift in provider focuses to COVID-19 only care (N=3), and an understanding of the stress on healthcare processes (N=13) from open-ended responses themes emerged of patients who want to minimize interactions within the emergency department (N=3).</p><p><strong>Conclusions: </strong>The external factor of the current pandemic did not negatively impact patient's satisfaction scores. Many patients express leniency and gratitude for emergency providers during this challenging time. Their responses seem to mirror current societal views of frontline healthcare workers.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8286650/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39222292","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: 11
Management of Acute Coronary Syndrome Following Blunt Chest Trauma: A Case Report. 钝性胸外伤后急性冠状动脉综合征的处理:1例报告。
Bulletin of emergency and trauma Pub Date : 2021-07-01 DOI: 10.30476/BEAT.2021.87689.1192
Ee Lyn Chan, Jawaad Saleem Malik, Carlos Gomez
{"title":"Management of Acute Coronary Syndrome Following Blunt Chest Trauma: A Case Report.","authors":"Ee Lyn Chan,&nbsp;Jawaad Saleem Malik,&nbsp;Carlos Gomez","doi":"10.30476/BEAT.2021.87689.1192","DOIUrl":"https://doi.org/10.30476/BEAT.2021.87689.1192","url":null,"abstract":"Blunt chest trauma is a rare cause of acute coronary syndrome and can be masked by other injuries in polytrauma patients. It can have devastating consequences due to damage to the myocardial tissue if left un-recognized. Myocardial injury can result in life-threatening arrhythmias and complications such as systolic and diastolic dysfunction. This can significantly affect patients’ quality of life. A 34-year-old man involved in a paragliding incident in Kazakhstan. His equipment failed at 30 meters height and result him to be propelled at high velocity to the ground. He sustained multiple injuries including spinal fractures, lung contusions and a mediastinal haematoma. He was transported to a local hospital and noted to have ST segment elevation on his admission electrocardiogram (ECG). He underwent an angiogram that showed sub-occlusion of his left anterior descending (LAD) artery. This resulted in a time-critical Percutaneous Coronary Intervention (PCI). He was stabilized and repatriated to the UK to manage of remaining injuries.","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8286649/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39222715","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: 1
Maternal and Fetal Outcomes of Pregnant Women Infected with Coronavirus Based on Tracking the Results of 90-Days Data in Hazrat -E- Rasoul Akram Hospital, Iran University of Medical Sciences. 基于伊朗医学大学Hazrat - e - Rasoul Akram医院90天数据追踪的冠状病毒感染孕妇母胎结局
Bulletin of emergency and trauma Pub Date : 2021-07-01 DOI: 10.30476/BEAT.2021.90434.1254
Shahla Chaichian, Abolfazl Mehdizadehkashi, Shahla Mirgaloybayat, Neda Hashemi, Farahnaz Farzaneh, Roya Derakhshan, Samaneh Rokhgireh
{"title":"Maternal and Fetal Outcomes of Pregnant Women Infected with Coronavirus Based on Tracking the Results of 90-Days Data in Hazrat -E- Rasoul Akram Hospital, Iran University of Medical Sciences.","authors":"Shahla Chaichian,&nbsp;Abolfazl Mehdizadehkashi,&nbsp;Shahla Mirgaloybayat,&nbsp;Neda Hashemi,&nbsp;Farahnaz Farzaneh,&nbsp;Roya Derakhshan,&nbsp;Samaneh Rokhgireh","doi":"10.30476/BEAT.2021.90434.1254","DOIUrl":"https://doi.org/10.30476/BEAT.2021.90434.1254","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the maternal and fetal outcomes of COVID-19 up to three months after the delivery in pregnant women.</p><p><strong>Methods: </strong>This case series study was conducted on all pregnant women with COVID-19 hospitalized in Hazrat -E- Rasoul Akram Hospital, Tehran, Iran from March 8, 2020 to December 28, 2020. Data were included maternal age and gestational age (GA) which presenting signs and symptoms were collected at hospital admission. To confirm COVID-19 diagnosis, high-resolution computed tomography (HRCT) or reverse transcription-polymerase chain reaction (RT-PCR) tests were conducted. Both the mothers and the newborns were followed up to three months after delivery.</p><p><strong>Results: </strong>Fourteen pregnant women with the median age of 31.5 were enrolled. HRCT was done in twelve mothers (85.7%), and eleven mothers (78.6%) were evaluated via RT-PCR; four of them (36.36%) were positive. Two mothers (14.28%) were admitted to ICU. The cesarean section (C/S) was done following fetal distress in only three mothers due to their concerns of vertical transmission. Two mothers were admitted to the intensive care unit (ICU), and one of them died of pneumomediastinum. Fortunately, no neonatal death was reported three months after the delivery.</p><p><strong>Conclusion: </strong>COVID-19 affects mothers more in the last trimester of the pregnancy. Although no fetal death was reported in the recent study, physicians should closely monitor pregnant women to reduce the adverse event .</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8286654/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39222714","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: 3
Instructional Programs Influencing the Enhancement of the Knowledge Required by Volunteers in Disasters: A Systematic Review. 影响灾害志愿者知识提升的教学计划:系统回顾。
Bulletin of emergency and trauma Pub Date : 2021-07-01 DOI: 10.30476/BEAT.2021.89340.1230
Milad Ahmadi Marzaleh, Rita Rezaee, Mahmoudreza Peyravi
{"title":"Instructional Programs Influencing the Enhancement of the Knowledge Required by Volunteers in Disasters: A Systematic Review.","authors":"Milad Ahmadi Marzaleh,&nbsp;Rita Rezaee,&nbsp;Mahmoudreza Peyravi","doi":"10.30476/BEAT.2021.89340.1230","DOIUrl":"https://doi.org/10.30476/BEAT.2021.89340.1230","url":null,"abstract":"<p><strong>Objective: </strong>To determine the instructional programs required by volunteers based on the studies carried out worldwide.</p><p><strong>Methods: </strong>A systematic search was carried out by PubMed, Cochran Library, Scopus, EMBASE, Science Direct, Web of Science and ProQuest databases between January 1970 and the end of June 2019. The articles were selected based on the keywords chosen by the author. In the end, the volunteer's instructional titles were extracted from the articles in disasters.</p><p><strong>Results: </strong>Eleven articles were chosen for final analysis after studying the titles, abstracts, and complete articles texts which 45 instructional titles were extracted. The most frequent scales in terms of repetition were ethics, kinds of exercises, personal protection instruments, general hygiene, awareness of certain disasters, accident command system, disaster triage and emergency planning.</p><p><strong>Conclusion: </strong>Governments should offer programs that can best serve the improvement of their performance by considering the daily increasing growth in the number of volunteers and in natural and manmade disasters. Universities and schools play determinant roles in this regard. It is hoped that the present study findings can be effective in codify an efficient instructional program for elevating the performance of the volunteers by taking part in disasters response.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8286652/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39221367","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
How to Manage Disasters while Considering Responsibility to Protect Theory? 在考虑保护责任理论的同时如何管理灾害?
Bulletin of emergency and trauma Pub Date : 2021-07-01 DOI: 10.30476/BEAT.2021.88343.1202
Hasan Esfandiar, Mahmoudreza Peyravi, Milad Ahmadi Marzaleh, Hojatolah Najafi
{"title":"How to Manage Disasters while Considering Responsibility to Protect Theory?","authors":"Hasan Esfandiar,&nbsp;Mahmoudreza Peyravi,&nbsp;Milad Ahmadi Marzaleh,&nbsp;Hojatolah Najafi","doi":"10.30476/BEAT.2021.88343.1202","DOIUrl":"https://doi.org/10.30476/BEAT.2021.88343.1202","url":null,"abstract":"1Director General International Communications, Iranian Red Crescent Society, Tehran, Iran 2Department of Health in Disasters and Emergencies, Health Human Resources Research Center, School of Management and Medical Informatics, Shiraz University of Medical Sciences, Shiraz, Iran 3Helal-Iran Institute, Red Crescent Society of the Islamic Republic of Iran, Tehran; Research Center for Health Management in Mass Gathering, Red Crescent society of the Islamic Republic of Iran, Tehran; Student Research Committee, Department of Health in Disasters and Emergencies, Health Human Resources Research Center, School of Management and Medical Informatics, Shiraz University of Medical Sciences, Shiraz, Iran MPH of Health Policy, Health Policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Fars, Iran 4Student Research Committee, Department of Health in Disasters and Emergencies, Health Human Resources Research Center, School of Management and Medical Informatics, Shiraz University of Medical Sciences, Shiraz, Iran Letter to Editor","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8286655/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39222716","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
Direct Versus Video Laryngoscopy in Emergency Intubation: A Randomized Control Trial Study. 直接与视频喉镜在急诊插管中的对照:一项随机对照试验研究。
Bulletin of emergency and trauma Pub Date : 2021-07-01 DOI: 10.30476/BEAT.2021.89922.1240
Pitsucha Sanguanwit, Chaiyaporn Yuksen, Nishapa Laowattana
{"title":"Direct Versus Video Laryngoscopy in Emergency Intubation: A Randomized Control Trial Study.","authors":"Pitsucha Sanguanwit,&nbsp;Chaiyaporn Yuksen,&nbsp;Nishapa Laowattana","doi":"10.30476/BEAT.2021.89922.1240","DOIUrl":"https://doi.org/10.30476/BEAT.2021.89922.1240","url":null,"abstract":"<p><strong>Objective: </strong>To compare the intubation success rate of the first attempt between Video Laryngoscopy (VDL) and Direct Laryngoscopy (DL) in the emergency department (ED).</p><p><strong>Methods: </strong>This is a study of a randomized control trial includes the patients with acute respiratory failure and the emergency physician who intended to perform intubation in the ED from July 2015 to June 2016. We were selected the patients randomly by the sequentially numbered opaque sealed envelopes technique and were assigned to undergo the first attempt of either VDL (n=78) or DL (n=80). We collected the data information regarding the demographic characteristics, predictors of difficult intubation, rapid sequence intubation, attempt, Cormack-Lehane view, and immediate complications.</p><p><strong>Results: </strong>The success of VDL in the first attempt was 73.1%, which were tended to be better than DL (58.8%) (<i>p</i>=0.060). Glottis view (Cormack-Lehane view 1-2) of VDL was significantly better (88.5%) than of DL (72.5%) (<i>p</i>=0.010). The immediate complications were not different.</p><p><strong>Conclusions: </strong>VDL showed a trend of better success than DL. VDL can increase the first-attempt intubation success and provide a better glottis view in emergency intubation.</p><p><strong>Trial registration: </strong>The trial was registered in the Thai Clinical Trial Registry, identifier TCTR 20200503003. Registered 16 June 2020, 'Retrospectively registered', http://www.clinicaltrials.in.th/index.php?tp=regtrials&menu=trialsearch&smenu=fulltext&task=search&task2=view1&id=6186.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8286653/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39222290","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: 11
Gender Differences in COVID-19 Deceased Cases in Jahrom City, South of Iran. 伊朗南部贾罗姆市COVID-19死亡病例的性别差异
Bulletin of emergency and trauma Pub Date : 2021-04-01 DOI: 10.30476/BEAT.2021.89206
Fatemeh Rahmanian, Naser Hatami, Marzieh Haghbeen, Rahim Raoufi, Ali Reza Abbasi, Heshmatollah Shakeri, Poyan Keshavarz, Elham Rafie, Mehdi Chegin, Esmaeal Raeyat Doost, Samaneh Abiri, Navid Kalani, Mahdi Foroughian, Mohsen Ebrahimi
{"title":"Gender Differences in COVID-19 Deceased Cases in Jahrom City, South of Iran.","authors":"Fatemeh Rahmanian,&nbsp;Naser Hatami,&nbsp;Marzieh Haghbeen,&nbsp;Rahim Raoufi,&nbsp;Ali Reza Abbasi,&nbsp;Heshmatollah Shakeri,&nbsp;Poyan Keshavarz,&nbsp;Elham Rafie,&nbsp;Mehdi Chegin,&nbsp;Esmaeal Raeyat Doost,&nbsp;Samaneh Abiri,&nbsp;Navid Kalani,&nbsp;Mahdi Foroughian,&nbsp;Mohsen Ebrahimi","doi":"10.30476/BEAT.2021.89206","DOIUrl":"https://doi.org/10.30476/BEAT.2021.89206","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the clinical and epidemiological features of deceased patients and comparing the discrepancies between male and female patients based on high prevalence of coronavirus disease 2019 (COVID-19), its irreversible effects and the rising ‎mortality rate in Jahrom city.</p><p><strong>Methods: </strong>This is a descriptive-analytical retrospective study that was conducted from the beginning of March 2020 to the end of November 2020. The study population were included all patients with COVID-19 who admitted to Peymaniyeh Hospital in Jahrom and died of COVID-19. Clinical and demographic data were collected from medical records and analyzed by SPSS software.</p><p><strong>Results: </strong>In this study, 61 patients (57.54%) were men and 45 patients (42.36%) were women. The mean age was 68.7±18.33 in men and 68.82±14.24 in women. The mean hospitalization length was 9.69±7.75 days in men and 9.69±7.75 days in women patients. There was no statistically significant difference between men and women patients (<i>p</i>>0.05). The results showed that 17 (27.87%) men and 28 (45.9%) of women patients had hypertension and the prevalence of this disease was significantly higher in women than men (<i>p</i>=0.01). In this study, 7 (11.48%) men and 13 (21.31%) women had hyperlipidemia. The frequency of hyperlipidemia in women cases was significantly higher than in men patients (<i>p</i>=0.024). Men cases' diastolic blood pressure (mean=77.53) was significantly higher than women's diastolic blood pressure at the same time with a mean of 71.42 (<i>p</i><0.05).</p><p><strong>Conclusion: </strong>The findings of the study represented the mortality rate in men which is higher than women patients. The prevalence of underlying diseases such as hypertension and hyperlipidemia were higher in women than men. Despite higher mortality among women, symptoms such as fever and dyspnea were less common in women than men.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8195831/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39250768","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: 2
Scrub Sponge as A Wound Debridement Device. 擦洗海绵作为伤口清创装置。
Bulletin of emergency and trauma Pub Date : 2021-04-01 DOI: 10.30476/BEAT.2021.85912
Mehdi Ayaz
{"title":"Scrub Sponge as A Wound Debridement Device.","authors":"Mehdi Ayaz","doi":"10.30476/BEAT.2021.85912","DOIUrl":"https://doi.org/10.30476/BEAT.2021.85912","url":null,"abstract":"<p><strong>Introduction: </strong>Wound debridement is necessary before skin grafting or wound closure. Inappropriate wound bed preparation will led to graft rejection and sometimes catastrophic results, especially in large wounds,. Usage of popular debridement and excision devices such as dermatomes has some difficulties and disadvantages. In this study we will introduce metallic scrub sponge as a safe and effective debridement device.</p><p><strong>Methods: </strong>The surgeon usually uses a sterile metallic scrub sponge over the wound with transverse or rotational repeated movement. Wound preparing with metallic sponge should be stopped when pinpoint bleeding occurs. We used sterile metallic sponge for more than 2500 burn patients.</p><p><strong>Results: </strong>The results are excellent for deep second degree burn (and deeper burns at least 5-10 days after burn when some eschar loosening occurs). Work with scrub sponge was effective, fast and safe.</p><p><strong>Discussion: </strong>Metallic scrub sponge is a useful device for wound preparation due to its some special characteristics. Debridement of the burn wound with metallic sponge can preserve the spontaneous epithelialization potential of skin in second degree burns and reduce additional injury to the viable tissue that is inevitable by surgical debridement. Cost effectiveness, easy accessibility, safety, softness, inertness and some others are among the other advantages of metallic sponge usage for wound preparation.</p><p><strong>Conclusion: </strong>Due to metallic sponge's simplicity and capability to remove necrotic loose tissues and easy accessibility everywhere and minimal adverse effects, it is a good first line tool for wound preparation and debridement.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8195835/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39250697","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
Mortality Predictors in Covid-19 Positive Patients with Fractures: A Systematic Review. Covid-19阳性骨折患者的死亡率预测因素:系统综述
Bulletin of emergency and trauma Pub Date : 2021-04-01 DOI: 10.30476/BEAT.2021.87742
Arvind Kumar, Yawar Haider, Jigyasa Passey, Rizwan Khan, Sahil Gaba, Mukesh Kumar
{"title":"Mortality Predictors in Covid-19 Positive Patients with Fractures: A Systematic Review.","authors":"Arvind Kumar,&nbsp;Yawar Haider,&nbsp;Jigyasa Passey,&nbsp;Rizwan Khan,&nbsp;Sahil Gaba,&nbsp;Mukesh Kumar","doi":"10.30476/BEAT.2021.87742","DOIUrl":"https://doi.org/10.30476/BEAT.2021.87742","url":null,"abstract":"<p><strong>Objective: </strong>To analyze the factors associated with mortality in fracture patients with concomitant COVID-19 infection based on the available published data.</p><p><strong>Methods: </strong>Keywords such as \"fracture\" and \"COVID or COVID-19\" were searched through three major databases includes PubMed, EMBASE, and Google Scholar. Selection criteria were all published reports providing the mortality related information of COVID-19 positive fracture patients. Published papers containing mortality data of COVID-19 positive fracture patients were considered for qualitative review. For meta-analysis, the presenting individual's data were considered to study the different parameters association with mortality.</p><p><strong>Results: </strong>The rate of mean mortality in COVID-19 positive fracture patients was 34%, and 91.7% of patients had hip fractures. Older age and hip fractures had a significant association with higher mortality rates in COVID-19 positive fracture patients.</p><p><strong>Conclusion: </strong>The mortality rates are considerably higher in COVID-19 positive patients with fractures compared to COVID-19 positive patients without fractures and to the COVID-19 negative fracture patients. Early surgical intervention should be preferred in hip fractures among COVID-19 positive patients for general stabilization and improved respiratory function. Older age and hip fractures are the main predictors of mortality in these patients.</p>","PeriodicalId":9333,"journal":{"name":"Bulletin of emergency and trauma","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8195830/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39250764","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: 3
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