European Journal of Trauma and Emergency Surgery This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Haemodynamic response to pre-hospital emergency anaesthesia in trauma patients within an urban helicopter emergency medical service
ConclusionNew haemodynamic instability within the first 30  min following pre-hospital emergency anaesthesia in trauma patients is common despite reduction of sedative drug doses to minimise their haemodynamic impact. It is important to identify non-drug factors that may improve cardiovascular stability in this group to optimise the care received by these patients. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - February 1, 2024 Category: Emergency Medicine Source Type: research

Clinical parameters for the early detection of complications in patients with blunt hepatic and/or splenic injury undergoing non-operative management
ConclusionRoutine CT to detect complications may not be necessary in patients with asymptomatic low-grade blunt hepatic injuries. By contrast, in those with isolated blunt hepatic injuries that are managed non-operatively, high-grade injuries, the presence of a contrast blush on initial imaging, and the patient ’s age may warrant consideration for routine follow-up CT scans. Clinical symptoms and laboratory observations during NOM, such as tachycardia, abdominal pain, decreased hematocrit levels, and fever, are significantly associated with complications. These symptoms necessitate further management, re gardless of the ...
Source: European Journal of Trauma and Emergency Surgery - January 31, 2024 Category: Emergency Medicine Source Type: research

Influence of COVID-19 pandemic on hospitalisations at a paediatric traumatology department during 2020: a single-centre observational study and comprehensive literature review
ConclusionLimited resources did not alter the indications for surgical therapy. Further studies should examine whether the more common injuries sustained at home were caused by excessive work/childcare demands on parents. Reduced inpatient conservative treatment implies that hospital resources possibly were overused previously. The literature offers answers to many detailed questions regarding childhood injuries during a pandemic and more efficient safe treatment.Registration Ethical committee of RWTH Aachen University EK 22-320; Center for Translational& Clinical Research RWTH Aachen University (CTC-A) 21-430. (Source...
Source: European Journal of Trauma and Emergency Surgery - January 30, 2024 Category: Emergency Medicine Source Type: research

EuroTrauma, delays in access to bleeding control. A comparison between a conventional and a hybrid trauma center, both European  military trauma centers
ConclusionThe organizational innovation at the military hospital in Koblenz saves time in the injury assessment. However, it has no impact on the access time to the scanner and on the mortality at 24 and 28  days. This fight against hemorrhage is a management bundle including delays, transfusion, and team training.Clinical trial registration2,002,878 v 0. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - January 30, 2024 Category: Emergency Medicine Source Type: research

Mental health is strongly associated with capability after lower extremity injury treated with free flap limb salvage or amputation
This study adds to the growing body of knowledge that physical health is best regarded through the lens of the bio-psycho-social model in which mental health is a strong determinant. This study supports making mental health an important aspect of rehabilitation after major lower extremity injury, regardless of amputation or limb salvage. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - January 30, 2024 Category: Emergency Medicine Source Type: research

Delta Shock Index and higher incidence of emergency surgery in older adults with blunt trauma
ConclusionHigh dSI  >  0.1 was significantly associated with a higher incidence of urgent hemostatic surgery in older patients. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - January 29, 2024 Category: Emergency Medicine Source Type: research

Unconventional mobility, conventional trauma: a comparative analysis of e-scooter-related fractures
ConclusionE-scooter-related fractures and dislocations are typically more severe, often requiring surgery, compared to other fractures during the same period. The study emphasises the link between injury type and increased risk of lower extremity fractures or dislocations. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - January 27, 2024 Category: Emergency Medicine Source Type: research

Epidemiology of horse trauma: a literature review
ConclusionThe popularity of occupational and recreational horse activities does not seem to wane and horse trauma continues to represent a significant concern for the health system. Health care workers need to be cognizant of the scope of trauma presentations as the mechanisms of injury can be complicated putting the equestrian at a high risk of associated injuries that may be life-threatening. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - January 24, 2024 Category: Emergency Medicine Source Type: research

Efficacy of lysostaphin-coated titanium plates on implant-associated MRSA osteitis in minipigs
ConclusionThis study confirms the minipig model for examining IAI. Furthermore, coating of plates using lysostaphin could be a promising tool in the therapeutic strategies of IAI. Future studies should focus on coating technology of implants and on translation into a clinical model. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - January 24, 2024 Category: Emergency Medicine Source Type: research

Machine learning in the prediction of massive transfusion in trauma: a retrospective analysis as a proof-of-concept
ConclusionsWe demonstrate the use of machine learning in developing an accurate prediction model for massive transfusion in trauma patients using early clinical data. This research demonstrates the potential utility of artificial intelligence as a clinical decision support tool. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - January 24, 2024 Category: Emergency Medicine Source Type: research

3D-assisted corrective osteotomies of the distal radius: a comparison of pre-contoured conventional implants versus patient-specific implants
Conclusion3D-assisted corrective osteotomy of the distal radius with either pre-contoured conventional implants or patient-specific implants results in accurate corrections. The choice of implant type should not solely depend on accuracy of the correction,  but also be based on other considerations like the availability of resources and the preoperative assessment of implant fitting. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - January 23, 2024 Category: Emergency Medicine Source Type: research

Diagnostic performance of sonography in penetrating torso trauma: a systematic review and meta-analysis
ConclusionsSonography demonstrated promising diagnostic value in the initial assessment of torso penetrating trauma, particularly in the thoracic and pericardial regions. However, the sensitivity of sonography is limited in abdominal penetrating trauma and a combination with other imaging modalities should be considered in these cases. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - January 23, 2024 Category: Emergency Medicine Source Type: research

Clinical validation of the “Straight-Leg-Evaluation-Trauma-Test” (SILENT) as a rapid assessment tool for injuries of the lower extremity in trauma bay patients
ConclusionThe SILENT test is a clinical applicable and feasible rule-out test for relevant injuries of the lower extremity. A negative SILENT test of the femur or the tibia might reduce the requirement of additional radiological imaging. Further large-scale prospective studies might be required to corroborate the beneficial effects of the SILENT test. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - January 23, 2024 Category: Emergency Medicine Source Type: research

No role for standard imaging workup of patients with clinically evident necrotizing soft tissue infections: a national retrospective multicenter cohort study
ConclusionIn patients with clinically evident NSTIs, there is no role for standard imaging workup unless it is used to examine underlying diseases (e.g., diverticulitis, pancreatitis). In atypical presenting NSTIs, CT or MRI scans provided the most useful information. To prevent unnecessary imaging and radiation and not delay treatment, the decision to perform imaging studies in patients with a clinical suspicion of a NSTI must be made extremely careful. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - January 23, 2024 Category: Emergency Medicine Source Type: research

Tibial plateau fracture morphology based on injury force mechanism is predictive for patient-reported outcome and conversion to total knee arthroplasty
ConclusionTibial plateau fracture patterns based on injury force mechanisms are associated with clinical outcome. Varus-flexion injuries have a worse prognosis in terms of patient-reported outcome and conversion rate to TKA at follow-up. Valgus-extension injuries have least risk on conversion to TKA. (Source: European Journal of Trauma and Emergency Surgery)
Source: European Journal of Trauma and Emergency Surgery - January 20, 2024 Category: Emergency Medicine Source Type: research