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Our experience with management and outcome of isolated traumatic brain injury patients admitted in Intensive Care Unit
Conclusion: Isolated TBI still continues to have a good amount of morbidity and mortality which perhaps can be reduced by strict adherence to guidelines of management. (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - November 23, 2018 Category: Emergency Medicine Authors: Reyaz Ahmed Para Arif Hussain Sarmast Mohammad Akbar Shah Toufeeq Ahmad Mir Abdul Waheed Mir Suhail Sidiq Abdul Qayoom Lone Altaf Umer Ramzan Source Type: research

Epidemiological and clinical profile of fatality in vulnerable road users at a high volume trauma center
Conclusion: The majority of deaths were in the early phase of trauma hence mandating a strong call for prevention, along with strengthening of trauma care. (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - November 23, 2018 Category: Emergency Medicine Authors: Angeline Neetha Radjou S Mohan Kumar Source Type: research

Electrocardiogram-guided technique: An alternative method for confirming central venous catheter tip placement
Conclusion: ECG-guided technique was found to be more accurate for CVC tip placement than the anatomical landmark technique. Furthermore, the ECG-guided technique was more time-effective and had less complications than the anatomical landmark technique. Hence, ECG-guided CVC placement is relatively accurate, efficient, and safe and can be considered as an alternative method to conventional radiography for confirmation of CVC tip placement. (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - November 23, 2018 Category: Emergency Medicine Authors: Arun Kumar Krishnan Priya Menon KP Gireesh Kumar TP Sreekrishnan Manish Garg S Vijay Kumar Source Type: research

The eminence of neutrophil-lymphocyte count ratio in predicting bacteremia for community-acquired infections at an emergency medicine department in a tertiary care setting
Conclusion: In our setting, NLCR performs equally well with culture positivity, in detecting severe infection at the early phase of disease. The NLCR may, therefore, be used as a suitable screening marker at ED for suspected community-acquired infections. (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - November 23, 2018 Category: Emergency Medicine Authors: Vishnu Manohar Bharath Prasad S Shilpa Raj TP Sreekrishnan KP Gireesh Kumar Source Type: research

World Academic Council of Emergency Medicine experience document: Implementation of point-of-care thromboelastography at an academic emergency and trauma center
Conclusions: Our experience shows that implementation of POC-TEG program is feasible and it is a promising tool in the management of major trauma patients with a potential compromised coagulation. However, further prospective research projects and well-trained personnel still warranted. (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - November 23, 2018 Category: Emergency Medicine Authors: Bianca M Wahlen Ayman El-Menyar Ruben Peralta Hassan Al-Thani Source Type: research

International classification of diseases-based audit of the injury database to understand the injury distribution in patients who have sustained a head injury (International Classification of Diseases Codes: S00-S09)
Conclusions: GCS <8, i.e., severe at the time of admission, was an unfavorable predictor of in-hospital mortality. (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - November 23, 2018 Category: Emergency Medicine Authors: Mitasha Singh Ranabir Pal Pradeep Yarasani Prashant Bhandarkar Ashok Munivenkatappa Amit Agrawal Source Type: research

Road traffic injuries: A study on severity and outcome among inpatients of a tertiary care level hospital of West Bengal, India
Conclusion: Fatal outcome in terms of death and permanent disability was 34.24% and they had higher marginally significant (P = 0.06), SISS score (45.17 ± 12.59). Participants with absence of protective devices, presence of comorbidities, drunkenness, with accidents over national highways, in-between 6 am and 6 pm, mechanized two-wheelers, and nonreceipt of first aid were found to have significantly high scores compared to their counterpart. SISS, as a proxy measure of severity assessment, could throw a light on it and awareness generation and legislative stringency might be need of the ho...
Source: Journal of Emergencies, Trauma and Shock - November 23, 2018 Category: Emergency Medicine Authors: Satabdi Mitra Aditya Prasad Sarkar Asit Baran Saren Dibakar Haldar Indrajit Saha Gautam Narayan Sarkar Source Type: research

Going forward with Pokemon Go
Yvette Chong, Dean Krishen Sethi, Charmaine Hui Yun Loh, Fatimah LateefJournal of Emergencies, Trauma, and Shock 2018 11(4):243-246 Pokemon Go is an augmented reality (AR) game which combines the use of smart mobile technology with physical exploration in the real world. It was a global phenomenon that rocked the world since 2016. Across boundaries and nations, the young and seniors were actively downloading and playing, joining the intrend gaming community. Was it a fleeting fad or a more sustainable activity? This paper discusses the literature currently available on this interesting phenomenon: its effect on phy...
Source: Journal of Emergencies, Trauma and Shock - November 23, 2018 Category: Emergency Medicine Authors: Yvette Chong Dean Krishen Sethi Charmaine Hui Yun Loh Fatimah Lateef Source Type: research

Studies on the epidemiology of trauma: The first step in systems planning and system evaluation
Timothy Craig HardcastleJournal of Emergencies, Trauma, and Shock 2018 11(4):241-242 (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - November 23, 2018 Category: Emergency Medicine Authors: Timothy Craig Hardcastle Source Type: research

A rare case of spontaneous massive retroperitoneal hemorrhage due to idiopathic lumbar artery bleed
Kunal Nandy, Maitreyi Patel, Aparna DeshpandeJournal of Emergencies, Trauma, and Shock 2018 11(3):238-239 (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - October 1, 2018 Category: Emergency Medicine Authors: Kunal Nandy Maitreyi Patel Aparna Deshpande Source Type: research

Abstracts for the 36th annual emergencies in medicine conference
Frank Peacock, Lorenzo Paladino, Sarathi KalraJournal of Emergencies, Trauma, and Shock 2018 11(3):233-237 The 36th Annual Emergencies in Medicine Conference was held at the Hyatt Centric Hotel in Park City, Utah, from February 25 to March 1, 2018. The conference is designed by Emergency Medicine physicians to be short, engaging, and informative. Conference involved a series of fast-paced 30-min lectures from international leaders in Emergency Medicine about cutting-edge research. The following were the abstracts that were presented at the conference. There was a competition for the best abstract, determined by a vote of ...
Source: Journal of Emergencies, Trauma and Shock - October 1, 2018 Category: Emergency Medicine Authors: Frank Peacock Lorenzo Paladino Sarathi Kalra Source Type: research

Fatal acute myocardial infarction after multiple blunt injuries involving the chest
Kei Fujiwara, Hiromichi Ohsaka, Shunsuke Madokoro, Youichi YanagawaJournal of Emergencies, Trauma, and Shock 2018 11(3):230-232 The patient was a 60-year-old male fell whose head and left chest hit the ground after falling from a height of 2 m. He complained of the left shoulder and chest pain after regaining consciousness. On arrival, he showed left bloody otorrhea, left chest tenderness, and a limited range of motion due to the left shoulder pain. Emergency chest roentgenography revealed multiple left rib fractures, left clavicular fracture with decreased radiolucency in the left lung field, suggesting lung contusion. W...
Source: Journal of Emergencies, Trauma and Shock - October 1, 2018 Category: Emergency Medicine Authors: Kei Fujiwara Hiromichi Ohsaka Shunsuke Madokoro Youichi Yanagawa Source Type: research

Camphor poisoning: A rare cause of acute symptomatic seizures in children
Prannoy George Mathen, TP Sreekrishnan, KP Kumar, Naveen MohanJournal of Emergencies, Trauma, and Shock 2018 11(3):228-229 Camphor is a toxic compound easily available over the counter, which can cause fatal seizures in children when ingested. It is available in several forms and is commonly used in Indian households, especially for religious rituals and for its cough-suppressive and nasal-decongestant effect. The toxic effect remains unknown in most homes. Seizures are usually well controlled with intravenous benzodiazepines, and recurrences of seizures are rarely reported. (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - October 1, 2018 Category: Emergency Medicine Authors: Prannoy George Mathen TP Sreekrishnan KP Kumar Naveen Mohan Source Type: research

An unusual case of commotio cordis resulting in ventricular flutter
Brooke T Davey, Carolina Quintana, Shailendra UpadhyayJournal of Emergencies, Trauma, and Shock 2018 11(3):225-227 A 16-year-old male developed palpitations immediately following chest impact with a soccer ball. The patient was noted to have ventricular flutter in a delayed presentation that was successfully treated. While ventricular fibrillation is the predominant arrhythmia following commotio cordis, ventricular flutter may occur as well. Ventricular flutter may be better tolerated in a young athletic individual with structurally normal heart and may lead to a delayed presentation. (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - October 1, 2018 Category: Emergency Medicine Authors: Brooke T Davey Carolina Quintana Shailendra Upadhyay Source Type: research

Assessment and management of hypotension in the elderly patient
Conclusion: Developing a fast-track protocol for hypotensive elderly patients in the ED could improve initial rehydration management and ensure observations are reported in a timely manner. (Source: Journal of Emergencies, Trauma and Shock)
Source: Journal of Emergencies, Trauma and Shock - October 1, 2018 Category: Emergency Medicine Authors: Himanshu L Kataria Marc A Jacobson Source Type: research