A multi-staged neuropeptide response to traumatic brain injury
ConclusionA multi-staged neuropeptide response to TBI is obvious and represents a potential therapeutic strategy for the treatment of intraparenchymal lesions and cerebral edema following TBI. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - August 1, 2020 Category: Emergency Medicine Source Type: research

Does increased acetabular depth affect safe infra-acetabular screw placement in acetabular fracture fixation?
AbstractBackgroundInfra-acetabular screws enhance the fixation strength in acetabular fractures with separation of both columns. Placement without iatrogenic femoral head violation is challenging.PurposeTo assess the impact of the acetabular configuration, the patients ’ age and gender on safe infra-acetabulum screw insertion.MethodsIn 112 patients (69 females; mean age: 34  years, range 17–88;n = 200 hips), the lateral center–edge angle (LCE) was measured on radiographs. Using corresponding axial CT scans the residual distance from (the lateral border) of the screw to (the medial borde...
Source: European Journal of Trauma and Emergency Surgery - July 29, 2020 Category: Emergency Medicine Source Type: research

Specificities of terrorist attacks: organisation of the in-hospital patient-flow and treatment strategies
ConclusionMass-casualty terrorist incidents are different from other mass-casualty events in many respects that require special attention. The provision of appropriate public services requires in particular that the preparation and training of personnel as well as the organisation of the in-hospital response be tailored to the incident. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - July 29, 2020 Category: Emergency Medicine Source Type: research

Terror and disaster surgical care: training experienced trauma surgeons in decision making for a MASCAL situation with a tabletop simulation game
DiscussionHospital decision makers must respond to mass-casualty terrorist situations in a defined tactical and strategic approach. Rapid decisions must be made that take into account the special situation and available capacities and resources to maximise the number of survivors even though individual patients may have a poorer functional outcome. As part of the TDSC® course, the tabletop simulation game teaches high-level decision-making algorithms and prepares key hospital personnel for such situations. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - July 28, 2020 Category: Emergency Medicine Source Type: research

Mortality of trauma patients treated at trauma centers compared to non-trauma centers in Sweden: a retrospective study
ConclusionsThere exists a potentially substantial survival benefit for trauma patients treated at trauma centers in Sweden, especially for the most severely injured. This study motivates a critical review and possible reorganization of the national trauma system, and further research to identify the characteristics of patients in most need of specialized care. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - July 27, 2020 Category: Emergency Medicine Source Type: research

Selecting the right limb, at the right time, for the right reason: response to “A meta-analysis on anticoagulation after vascular trauma”
(Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - July 27, 2020 Category: Emergency Medicine Source Type: research

Correlation of brain flow variables and metabolic crisis: a prospective study in patients with severe traumatic brain injury
AbstractIntroductionCurrent treatment guidelines for patients with severe TBI (sTBI) are aimed at preventing secondary brain injury targeting specific endpoints of intracranial physiology to avoid the development of metabolic crisis. We sought to identify factors contributing to development of metabolic crisis in the setting of a Multi-modality Monitoring and Goal-Directed Therapy (MM&GDTP) approach to patients with severe TBI.MethodsProspective monitoring of sTBI patients was performed, with retrospective data analysis. MM&GDTP was targeted to intracranial pressure (ICP)  ≤ 20 mmHg, cerebral ...
Source: European Journal of Trauma and Emergency Surgery - July 27, 2020 Category: Emergency Medicine Source Type: research

The automaton as a surgeon: the future of artificial intelligence in emergency and general surgery
ConclusionAI has potential for integration across surgical services, from diagnosis to treatment, and aiding the surgeon in key decision-making for risks per patient. Fully automated surgery may be the future, but at present, AI needs human supervision. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - July 26, 2020 Category: Emergency Medicine Source Type: research

The AdHOC (age, head injury, oxygenation, circulation) score: a simple assessment tool for early assessment of severely injured patients with major fractures
ConclusionThe AdHOC score appears to be easy and accessible in every emergency room without the requirement of special diagnostic tools or knowledge of the exact injury pattern and can be useful for the planning of further surgical treatment. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - July 26, 2020 Category: Emergency Medicine Source Type: research

Simplified Kirschner ‑wire-based dynamic external fixator for unstable proximal interphalangeal joint fractures
ConclusionsThe used fixator technique is simple, reliable, available, reproducible, time-saving and cost-effective for managing complex PIPJ fractures while allowing early joint mobilization, which proven effective in achieving high satisfactory functional results. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - July 25, 2020 Category: Emergency Medicine Source Type: research

Novel coronavirus and trauma surgery: successful infection control from a level I trauma centre
ConclusionReasonably adjusted patient care protocols in every medical field are key to contain the spread of infection and to avoid public health crisis. Sharing experience can be an important element of a successful fight against the recent pandemic. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - July 25, 2020 Category: Emergency Medicine Source Type: research

Intraarticular osteotomy of malunited tibial plateau fractures: an analysis of clinical results with a mean follow-up after 4  years
AbstractPurposeMalunions are a common complication after tibial plateau fractures (TPF), leading to stiffness, pseudo-instability and posttraumatic osteoarthritis. The purpose of this study was to analyse the clinical outcome after intraarticular osteotomy of malunited TPF and to perform a failure analysis.MethodsBetween 2013 and 2018, 23 patients (11 males, 12 females; 43.8  ± 12.8 years) with intraarticular osteotomy after malunited TPF were included in the retrospective study. Clinical examination and postoperative scores were collected with a minimum follow-up of 24 months. Malunion was m...
Source: European Journal of Trauma and Emergency Surgery - July 25, 2020 Category: Emergency Medicine Source Type: research

Endoscopically unmanageable peptic ulcer bleeding: transcatheter arterial embolization remains the first-line therapy in 2020
(Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - July 24, 2020 Category: Emergency Medicine Source Type: research

Simplified visual aid to detect early CT findings in COVID-19 pneumonia for non-radiologists
(Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - July 24, 2020 Category: Emergency Medicine Source Type: research

The effect of melatonin on reduction in the need for sedative agents and duration of mechanical ventilation in traumatic intracranial hemorrhage patients: a randomized controlled trial
This study aimed to determine the effect of exogenous melatonin on the number of sedative drugs and the duration of mechanical ventilation in traumatic intracranial hemorrhage patients in ICU.MethodsThis double-blind randomized clinical trial study was conducted in the ICU wards of Golestan Hospital, Ahvaz, Iran, from September 2017 to March 2018. In this study, 52 patients with intracerebral hemorrhage were selected by convenient sampling (26 patients in each group) and were randomly assigned to two groups of melatonin and control. Sedation and pain management package was applied to both groups. Outcomes: Amount of the se...
Source: European Journal of Trauma and Emergency Surgery - July 22, 2020 Category: Emergency Medicine Source Type: research

Retrospective analysis of 15  years of horse-related maxillofacial fracture data at a major German trauma center
ConclusionMore education is needed in the equestrian community regarding the use of protective equipment when unmounted. Safety helmets should be redesigned to include a faceguard and be worn at all times. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - July 22, 2020 Category: Emergency Medicine Source Type: research

The influence of the COVID-19 pandemic on traumatic brain injuries in Tyrol: experiences from a state under lockdown
AbstractPurposeIn February 2020, the federal state of Tyrol in Austria has become one of the epicenters of the COVID-19 pandemic. Tyrol is known for numerous skiing areas. Thus, winter sport resorts became a starting point for COVID-19 infections spreading towards the rest of the state, Austria and other countries, leading to a mandatory quarantine for almost a million people, who were placed under a curfew and restrictions in daily life. Additionally, all ski resorts and hotels were closed. We aimed to analyze the influence of the COVID-19 quarantine on traumatic brain injury (TBI) cases in Tyrol.MethodsWe retrospectively...
Source: European Journal of Trauma and Emergency Surgery - July 22, 2020 Category: Emergency Medicine Source Type: research

Major trauma due to suicide attempt: increased workload but not mortality
ConclusionIncidence of suicide attempts among major trauma patients is high. Mean injury severity is higher than in unintended trauma and associated with a prolonged stay on intensive care unit even after adjustment for injury severity and age. Risk-adjusted mortality is not increased. Proportion of patients discharged home or to out-patient rehabilitation is very low. Specialized institutions who offer both, musculoskeletal rehabilitation and psychiatric care are required for rehabilitative treatment after the acute surgical care. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - July 22, 2020 Category: Emergency Medicine Source Type: research

Is there a correlation between fragility fractures of the pelvis (FFP) and the morphology of the true pelvis in geriatric patients?
ConclusionWith digital reconstruction and 3D measurement of normal adult pelvic CT scans, this study obtained a series of DT/DS values describing the shape of true pelvises. Circle-type true pelvis was found to be more common in patients with fragility fracture of the pelvis type II. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - July 19, 2020 Category: Emergency Medicine Source Type: research

Terrorist incidents: strategic treatment objectives, tactical diagnostic procedures and the estimated need of blood and clotting products
ConclusionThe recommendations and approaches described here should be considered as proposals for hospitals to develop standards or modify well-established standards that enable them to prepare themselves successfully for situations (e.g. mass-casualty terrorist or shooter incidents) in which their resources are temporarily overwhelmed. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - July 16, 2020 Category: Emergency Medicine Source Type: research

Patterns of prevalence and contemporary clinical management strategies in complicated acute biliary calculous disease: an ESTES ‘snapshot audit’ of practice
ConclusionThis first ESTES snapshot audit, a purely descriptive collaborative study, gives rich ‘real world’ insights into local variability in surgical practice as compared to international guidelines, and how this may impact upon outcomes. These granular data will serve to improve overall patient care as well as being hypothesis generating and inform areas needing future prospective stud y. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - July 7, 2020 Category: Emergency Medicine Source Type: research

Blunt thoracic aortic injury and TEVAR: long-term outcomes and health-related quality of life
AbstractPurpose Treatment of blunt thoracic aortic injuries (BTAIs) has shifted from the open surgical approach to the use of thoracic endovascular aortic repair (TEVAR), of which early outcomes appear promising but controversy regarding long-term outcomes remains. The goal of this study was to determine the long-term TEVAR outcomes for BTAI, particularly radiographic outcomes, complications and health-related quality of life (HRQoL).MethodsRetrospectively, all patients with BTAIs presented at a single level 1 trauma center between January 2008 and December 2018 were included. Radiographic and clinical outcomes were dete...
Source: European Journal of Trauma and Emergency Surgery - July 6, 2020 Category: Emergency Medicine Source Type: research

Mortality in relation to presence and type of oral antithrombotic agent among adult trauma patients: a single-center retrospective cohort study
AbstractPurposeOral anticoagulants (AC) and antiplatelet (AP) agents are increasingly prescribed to prevent and treat acute and chronic thrombotic conditions. The direct oral anticoagulants (DOAC), a newer class of AC, raise concerns in the trauma setting. Our study aims to compare the mortality rates and other outcomes among adult trauma patients based on pre-admission AC/AP status.MethodsWe conducted a retrospective cohort study of a prospectively collected database of trauma patients previously on DOAC, warfarin, aspirin or clopidogrel. A matched control group of trauma patients not receiving AC/AP was used for comparis...
Source: European Journal of Trauma and Emergency Surgery - July 5, 2020 Category: Emergency Medicine Source Type: research

Variation in management of pediatric post-traumatic urine leaks
ConclusionTraumatic urine leaks are unusual, and half require no intervention. Management is variable and the development of care guidelines could decrease variation. Given their infrequency a multi-institutional study is required to generate sufficient patient volume. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - July 4, 2020 Category: Emergency Medicine Source Type: research

Comparison of three different approaches for anterior knee pain after tibia intramedullary nailing
(Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - July 4, 2020 Category: Emergency Medicine Source Type: research

Reliability of the assessment of non-technical skills by using video-recorded trauma resuscitations
ConclusionsAssessment of non-technical skills using the T-NOTECHS is reliable using video analysis and has an excellent reliability for the overall T-NOTECHS score. Assessment by three raters further improve the reliability, resulting in an excellent reliability for all individual domains. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - July 2, 2020 Category: Emergency Medicine Source Type: research

Closed reduction techniques for acute anterior shoulder dislocation: a systematic review and meta-analysis
ConclusionTraction –countertraction methods are less painful but slower than leverage methods with no difference in complication rates. However, there was no difference in overall reduction success rate between any of the groups.Level of evidenceI. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - June 30, 2020 Category: Emergency Medicine Source Type: research

The concept of direct approach to lateral tibial plateau fractures and stepwise extension as needed
AbstractMalreduction after tibial plateau fractures mainly occurs due to insufficient visualization of the articular surface. In 85% of all C-type fractures an involvement of the posterolateral-central segment is observed, which is the main region of malreduction. The choice of the approach is determined (1) by the articular area which needs to be visualized and (2) the positioning of the fixation material. For simple lateral plateau fractures without involvement of the posterolateral-central segment an anterolateral standard approach in supine position with a lateral plating is the treatment of choice in most cases. For c...
Source: European Journal of Trauma and Emergency Surgery - June 30, 2020 Category: Emergency Medicine Source Type: research

Changes in transfusion and fluid therapy practices in severely injured children: an analysis of 5118 children from the TraumaRegister DGU ®
ConclusionBlood transfusion rates and amount of fluid resuscitation decreased in severe injured children over a 16-year period in Germany. Restrictive blood transfusion and fluid management has become common practice in severe injured children. A prehospital restrictive fluid management strategy in severely injured children is not associated with a worsened hemodynamic state, abnormal coagulation or base excess but leads to higher hemoglobin levels. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - June 29, 2020 Category: Emergency Medicine Source Type: research

Effects of diaphragm thickness on rehabilitation outcomes in post-ICU patients with spinal cord and brain injury
AbstractBackgroundIntensive care unit (ICU) complications affect outcomes but it remains unknown if the diaphragm thickness affects rehabilitation outcomes after ICU. We conducted a pilot study to evaluate the effect of diaphragm thickness on rehabilitation outcomes of post-ICU patients with spinal cord injury (SCI) and traumatic brain injury (TBI) and to evaluate factors that may be associated with diaphragm atrophy.Materials and methodsFifty-one patients (26 SCI, 25 TBI) who admitted to the rehabilitation clinic from the ICU included in this study. All demographic data were recorded. All participants underwent diaphragma...
Source: European Journal of Trauma and Emergency Surgery - June 29, 2020 Category: Emergency Medicine Source Type: research

The tenets of intrathoracic packing during damage control thoracic surgery for trauma patients: a systematic review
ConclusionPacking is a feasible, reliable and potentially effective complementary method for hemorrhage control. Therefore, we recommend that packing can be used liberally as a complement to rapid lung-sparing techniques. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - June 28, 2020 Category: Emergency Medicine Source Type: research

Mortality and functional outcome after surgical evacuation of traumatic acute subdural hematomas in octa- and nonagenarians
ConclusionOutcome after surgical treatment of aSDH in octa- and nonagenarians is not detrimental per se. Predictors for a favorable outcome are a non-comatose state on admission (GCS  >  8), ≤ 1 preexisting comorbidity and a lower aSDH volume in patients aged ≥ 80 years. In individual patients, surgical evacuation of aSDH might remain a treatment option even in high ages. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - June 27, 2020 Category: Emergency Medicine Source Type: research

The impact of delayed time to first CT head in traumatic brain injury
AbstractPurposeTrauma team activation (TTA) criteria trigger early mobilization of resources for the sickest trauma patients. Patients with moderately depressed GCS who do not trigger the highest level activation are at risk for adverse outcomes, potentially from delayed time to intervention. The study objective was to define the impact of time to first CT Head (CTH) on outcomes among blunt trauma patients with moderately depressed GCS.MethodsPatients from the Trauma Quality Improvement Program (TQIP) databank (2013 –2016) with first ED GCS 9–12 were included. Transfers, penetrating mechanisms, death 
Source: European Journal of Trauma and Emergency Surgery - June 25, 2020 Category: Emergency Medicine Source Type: research

Trauma-team-activation in Germany: how do emergency service professionals use the activation due to trauma mechanism? Results from a nationwide survey
AbstractBackgroundTrauma team activation (TTA) requires significant human and financial resources. The implemented German guidelines reduced the mortality of severe injured patients significantly over the last decade. Up to now there is no two-tier trauma team activation protocol in Germany. A two-tier TTA [often activated due to trauma mechanism (TM)] is thought to be a reasonable way to maintain patient safety while increasing cost efficiency.MethodsWe created an online survey addressed at the Emergency Medical Service in Germany to conduct a cross-sectional study. Both physicians and rescue service professionals (RSPs) ...
Source: European Journal of Trauma and Emergency Surgery - June 24, 2020 Category: Emergency Medicine Source Type: research

Evaluation of the altitude impact on a point-of-care thromboelastography analyzer measurement: prerequisites for use in airborne medical evacuation courses
AbstractPurposeHemorrhagic shock is the first cause of preventable death in combat. Evacuations of wounded by aircraft are increasingly used and severely injured patients can spend consequent time in the air, mostly during strategic evacuation. In these situations, monitoring of blood coagulation may be pivotal in the management of blood product transfusion. Viscoelastic-guided transfusion is relevant in these situations. However, evaluation of these devices used in aircraft is lacking, especially the impact of decreased atmospheric pressure. The aim of this study is to evaluate the performance of an easy-to-carry viscoela...
Source: European Journal of Trauma and Emergency Surgery - June 24, 2020 Category: Emergency Medicine Source Type: research

CRASH 3: a monumental effort with minimal gain
(Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - June 24, 2020 Category: Emergency Medicine Source Type: research

Diagnostic options for blunt abdominal trauma
ConclusionsMSCT is the gold standard diagnostic modality for blunt abdominal trauma because of its high sensitivity and specificity in detecting relevant intra-abdominal injuries. In many cases, however, clinical, laboratory and imaging findings must be interpreted jointly for an adequate evaluation of a patient ’s injuries and for treatment planning since these data supplement and complement one another. Patients with blunt abdominal trauma should be admitted for clinical observation over a minimum period of 24 h since there is no investigation that can reliably rule out intra-abdominal injuries. (Source: Europ...
Source: European Journal of Trauma and Emergency Surgery - June 23, 2020 Category: Emergency Medicine Source Type: research

Maxillofacial trauma in the gulf countries: a systematic review
ConclusionMaxillofacial injuries are highly prevalent, distributed among the Gulf countries, and is mainly caused by RTAs especially among males who are highly prone to MFT in the gulf. The reasons are due to lack of road safety culture and weak enactment of traffic legislation, other possible factors include intrinsic car safety features, high speed driving and the amount/use of highways in these societies. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - June 22, 2020 Category: Emergency Medicine Source Type: research

Penetrating injuries to the vertebral artery: interventions and outcomes from US Trauma Centers
This study endeavored to define the epidemiology, management strategy, and outcomes after penetrating injuries to the vertebral artery presenting to trauma centers nationwide.MethodsPatients with veterbral artery injuries were identified from the National Trauma Data Bank (NTDB) (2016 –2017) using ICD-10-CM codes. Only those with penetrating mechanisms of injury were included in the study. Transferred patients were excluded. Study groups were defined by management strategy (Operative management, OM; angioembolization, AE; and nonoperative management, NOM). Patient demographics, injury characteristics, and outcomes we...
Source: European Journal of Trauma and Emergency Surgery - June 21, 2020 Category: Emergency Medicine Source Type: research

Lisfranc fleck sign: characteristics and clinical outcomes following fixation using a percutaneous position Lisfranc screw
ConclusionClosed reduction and percutaneous fixation of the Lisfranc injuries with fleck sign by a single position screw could be a good surgical option with reliable and predictable outcomes without needing to remove the hardware, routinely. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - June 19, 2020 Category: Emergency Medicine Source Type: research

ISS alone, is not sufficient to correctly assign patients post hoc to trauma team requirement
AbstractPurposeAn injury severity score (ISS) ≥ 16 alone, is commonly used post hoc to define the correct activation of a trauma team. However, abnormal vital functions and the requirement of life-saving procedures may also have a role in defining trauma team requirement post hoc. The aim of this study was to describe their prevalence and m ortality in severely injured patients and to estimate their potential additional value in the definition of trauma team requirement as compared to the definition based on ISS alone.MethodsRetrospective analysis of a trauma registry including patients with trauma team activatio...
Source: European Journal of Trauma and Emergency Surgery - June 16, 2020 Category: Emergency Medicine Source Type: research

Current practice in the management of acromioclavicular joint dislocations; a national survey in the Netherlands
ConclusionThis survey showed a significant individual variation on diagnosis and treatment strategies among surgeons in the Netherlands. The majority of the Dutch surgeons concern a flexible implant the best available technique for patients who require operative treatment. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - June 13, 2020 Category: Emergency Medicine Source Type: research

Neutrophil-derived long noncoding RNA IL-7R predicts development of multiple organ dysfunction syndrome in patients with trauma
ConclusionsNeutrophil-derived lnc-IL7R is an independent predictor of post-traumatic MODS; therefore, it could be a useful predictive marker for MODS. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - June 10, 2020 Category: Emergency Medicine Source Type: research

Epidemiology and outcome of rib fractures: a nationwide study in the Netherlands
ConclusionsRib fractures are a relevant and frequently occurring problem among the trauma population. Subgroup analyses showed that there is a substantial heterogeneity among patients with rib fractures with considerable differences regarding the epidemiology, in-hospital outcomes, and 30-day mortality. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - June 6, 2020 Category: Emergency Medicine Source Type: research

Early cranioplasty associated with a lower rate of post-traumatic hydrocephalus after decompressive craniectomy for traumatic brain injury
AbstractBackgroundPost-traumatic hydrocephalus (PTH) is one of the primary complications during the course of traumatic brain injury (TBI). The aim of this study was to define factors associated with the development of PTH in patients who underwent unilateral decompressive craniectomy (DC) for TBI.MethodsA total of 126 patients, who met the inclusion criteria of the study, were divided into two groups: patients with PTH (n = 25) and patients without PTH (n = 101). Their demographic, clinical, radiological, operative, and postoperative factors, which may be associated with the development of PTH,...
Source: European Journal of Trauma and Emergency Surgery - June 3, 2020 Category: Emergency Medicine Source Type: research

The psycho-emotional impact of COVID-19 on surgical staff working in emergency departments
(Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - June 3, 2020 Category: Emergency Medicine Source Type: research

β1-Blocker improves survival and ventricular remodelling in rats with lethal crush injury
ConclusionsOur findings demonstrated the presence of myocardial injury in the early stage of compression in rats with a crush injury. Pretreatment with a β1-blocker (bisoprolol) with fluid resuscitation significantly reduced mortality, decreased myocardial tissue damage, and improved ventricular remodelling in rats with a lethal crush injury. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - June 2, 2020 Category: Emergency Medicine Source Type: research

Focus on “The German TraumaRegister DGU ® (TR-DGU)”
(Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - June 1, 2020 Category: Emergency Medicine Source Type: research

Enhancing safety of laparoscopic surgery in COVID-19 era: clinical experience with low-cost filtration devices
ConclusionThe proposed systems are cost-effective, easily assembled and reproducible, and provide complete viral filtration during intra- and postoperative release of CO2. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - June 1, 2020 Category: Emergency Medicine Source Type: research

A contemporary assessment of devices for Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA): resource-specific options per level of care
ConclusionIn resource-limited settings, a guidewire- and fluoroscopy-free, rather stiff device, such as ER-REBOA ™, Fogarty®, and LeMaitre®, is warranted. Of these devices, ER-REBOA ™ is the only catheter compatible with seven French sheaths and specifically designed for emergency hemorrhage control. Of the over-the-wire devices, Q50® has several features that facilitate use and reduce the risk of malplacement or vessel damage. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - May 29, 2020 Category: Emergency Medicine Source Type: research