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A comprehensive analysis of traumatic rib fractures in an acute general hospital in Singapore
Conclusion: Flail chest is associated with higher morbidity and mortality. Proactive management from a multidisciplinary team such as identification of high-risk patients in particular patients with flail chest, early admission to critical care, and protocols including multimodal pain management, respiratory support, and rehabilitation should be instituted. (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - May 29, 2019 Category: Emergency Medicine Authors: A K Ishara Maduka George J Lin Woan Wui Lim Daniel Jin Keat Lee Min Li Kang Kumaresh Venkatesan Ming Hui Wong Jerry Goo Tiong Thye Source Type: research

The influence of cervical collar immobilization on optic nerve sheath diameter
Conclusions: We confirmed that ONSD does vary by a measurable amount with placement of a rigid cervical collar on healthy volunteers when assessed by ultrasound. (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - May 29, 2019 Category: Emergency Medicine Authors: Joseph Yard Peter B Richman Ben Leeson Kimberly Leeson Guy Youngblood Jose Guardiola Michael Miller Source Type: research

An analysis using modified rapid ultrasound for shock and hypotension for patients with endogenous cardiac arrest
Conclusions: The present study revealed that, among patients with out-of-hospital endogenous CA, modified RUSH is useful for diagnosing ascending aortic dissection for the detection of hemothorax and/or cardiac tamponade, especially with PEA. (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - May 29, 2019 Category: Emergency Medicine Authors: Youichi Yanagawa Hiromichi Ohsaka Hiroki Nagasawa Ikuto Takeuchi Kei Jitsuiki Kazuhiko Omori Source Type: research

Do the care process and survival chances differ in patients arriving to a level 1 Indian trauma center, during-hours and after-hours ?
Conclusions: Processes of care do not differ significantly for the patients admitted at a level 1 trauma center irrespective of time of the day. Although survival probability for the initial 7 days of follow-up is comparable between two groups; however, for 30 and 90 days of follow-up they are significantly different between during-hours and after-hours, likely due to injury severity. (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - May 29, 2019 Category: Emergency Medicine Authors: Kapil Dev Soni Santosh Mahindrakar Gaurav Kaushik Subodh Kumar Sushma Sagar Amit Gupta Source Type: research

Understanding the knowledge and attitude of prehospital sepsis care among emergency medical service personnel
Conclusion: This study showed an insufficient level of knowledge and awareness regarding sepsis care in the EMS field in Saudi Arabia. Paramedics had more knowledge and awareness about sepsis care compared to EMT personnel. Future work should focus on exploring the reasons behind this, as well as implementing plans to improve education about sepsis for EMS personnel. (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - May 29, 2019 Category: Emergency Medicine Authors: Hadeel Sameeh Ghazal Atheer Abdulaziz Alkhunein Ahmed Abdullah Alkhazi Salman Abdulmajeed Aldeheshi Faisal Ahmed M. Alhusain Nawfal Al Jerian Source Type: research

Gunshot injuries in Lebanon: Does intent affect characteristics, injury patterns, and outcomes in victims ?
Conclusion: GSIs have different features, resource utilization, and clinical outcomes depending on the intentionality of injuries. All GSI victims suffer from substantial morbidity and mortality, but intentionally harmed victims sustain more severe injuries with worse outcomes. (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - May 29, 2019 Category: Emergency Medicine Authors: Hady Zgheib Sami Shayya Cynthia Wakil Rana Bachir Mazen J El Sayed Source Type: research

Factors affecting mortality following necrotizing soft-tissue infections: Randomized prospective study
Conclusions: We found that APACHE II is a significant predictor of mortality. Early diagnosis and prompt aggressive treatment is the only way to improve outcome. Further studies with larger sample size are warranted. (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - May 29, 2019 Category: Emergency Medicine Authors: Sukha Ram Barupal Murari Lal Soni Rekha Barupal Source Type: research

Evaluation of traumatic spine by magnetic resonance imaging and its correlation with cliniconeurological outcome
Conclusion: MRI findings in acute SCI correlated well with the initial neurological deficits on admission and at the time of discharge. MRI should be recommended in all patients with suspected spinal trauma both as a diagnostic and prognostic indicator. (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - May 29, 2019 Category: Emergency Medicine Authors: Bukke Ravindra Naik Anil Kumar Sakalecha Shivaprasad Gangadhar Savagave Source Type: research

Recreational drugs and outcomes in trauma patients
Conclusions: A positive screen for marijuana, amphetamine, or cocaine is not associated with increased mortality for victims of trauma. Amphetamines are associated with higher rates of major trauma and longer LOS. Marijuana is associated with higher rates of major trauma. Cocaine is not associated with the likelihood of suffering major trauma or length of stay. (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - May 29, 2019 Category: Emergency Medicine Authors: Quinn Fujii Andrew McCague Source Type: research

Alcohol and drug testing in the national trauma data bank: Does it matter ?
Adel Elkbuli, Brianna Dowd, Rudy Flores, Dessy Boneva, Shaikh Hai, Mark MckenneyJournal of Emergencies, Trauma, and Shock 2019 12(2):97-97 (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - May 29, 2019 Category: Emergency Medicine Authors: Adel Elkbuli Brianna Dowd Rudy Flores Dessy Boneva Shaikh Hai Mark Mckenney Source Type: research

What & #39;s new in emergencies trauma and shock ? Point of care imaging in out-of-hospital cardiac arrest
Vivek ChauhanJournal of Emergencies, Trauma, and Shock 2019 12(2):95-96 (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - May 29, 2019 Category: Emergency Medicine Authors: Vivek Chauhan Source Type: research

WACEM 2018 Abstracts
Journal of Emergencies, Trauma, and Shock 2019 12(1):74-94 The 4th Annual World Academic Congress of Emergency Medicine was held in October 2018 in Doha, Qatar. The conference was organized by Trauma Surgeons, Emergency Physicians and Research Team from Qatar. WACEM 2018 was very engaging and informative congress which involved debates, discussion, lectures. competitions and many symposiums. Over 100 International Academic Leaders spoke on cutting-edge research at this congress. The following were the abstracts that were presented at WACEM 2018. There were awards for best papers. A dedicated scientific team worked on sele...
Source: Journal of Emergencies, Trauma and Shock - April 21, 2019 Category: Emergency Medicine Source Type: research

A lethal cardiac injury inflicted by a nonlethal weapon
Mahir Gachabayov, Rifat LatifiJournal of Emergencies, Trauma, and Shock 2019 12(1):72-73 (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - April 21, 2019 Category: Emergency Medicine Authors: Mahir Gachabayov Rifat Latifi Source Type: research

Influence of skull base or frontal bone fracture on the result of treatment for Le Fort type maxillofacial fractures: Outcomes of Le Fort IV fractures
Masaki FujiokaJournal of Emergencies, Trauma, and Shock 2019 12(1):71-72 (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - April 21, 2019 Category: Emergency Medicine Authors: Masaki Fujioka Source Type: research

Horsing around: A retrospective review of horse-related trauma
Farris Serio, Quinn Fujii, Keval Shah, Andrew McCagueJournal of Emergencies, Trauma, and Shock 2019 12(1):69-70 (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - April 21, 2019 Category: Emergency Medicine Authors: Farris Serio Quinn Fujii Keval Shah Andrew McCague Source Type: research