Ten-year reduction in thoracic injury-related mortality among Israel Defense Forces soldiers
Conclusions
Among military casualties with thoracic injuries, the rate of life-saving interventions increased, evacuation time decreased and mortality dropped following the implementation of My Brother’s Keeper plan. (Source: Journal of the Royal Army Medical Corps)
Source: Journal of the Royal Army Medical Corps - November 22, 2023 Category: General Medicine Authors: Chen, J., Tsur, A. M., Nadler, R., Beit Ner, E., Sorkin, A., Radomislensky, I., Peleg, K., Ben Avi, R., Shushan, G., Glassberg, E., Benov, A. Tags: Original research Source Type: research
Nonoperative management of biliopleural fistula following living ‐donor liver transplantation: A case report
Image of the percutaneous transhepatic cholangiography demonstrating dilated intrahepatic bile ducts with stricture at the site of hepaticojejunostomy anastomosis and leakage from cut surface resulting in biliopleural fistula (white arrow). Bilio-enteric continuity was seen with free passage of injected dye to the jejunal limb during cholangiography (black arrow). Key Clinical MessageBiliopleural fistula is a rare but serious complication after liver transplantation that should be managed nonoperatively with antibiotics, pleural drainage, decompression of high-pressure biliary tract, or ultimately surgery in unresponsive c...
Source: Clinical Case Reports - November 17, 2023 Category: General Medicine Authors: Kourosh Kazemi,
Alireza Rasekhi,
Sahar Sohrabi Nazari,
Mohammad Mehdi Lashkarizadeh,
Alireza Shamsaeefar,
Mohammad Alikhani,
Ali Akbari,
Reza Shahriarirad Tags: CASE REPORT Source Type: research
Trauma THOMPSON: Clinical Decision Support for the Frontline Medic
CONCLUSIONS: Developing a platform to provide real-time, offline support will deliver the benefits of synchronous expert advice within communications-limited and remote environments. Trauma THOMPSON has the potential to fill an important gap for clinical decision support tools in these settings.PMID:37948255 | DOI:10.1093/milmed/usad087 (Source: Military Medicine)
Source: Military Medicine - November 10, 2023 Category: International Medicine & Public Health Authors: Eleanor Birch Kyle Couperus Chad Gorbatkin Andrew W Kirkpatrick Juan Wachs Ross Candelore Nina Jiang Oanh Tran Jonah Beck Cody Couperus Jessica McKee Timothy Curlett DeAnna DeVane Christopher Colombo Source Type: research
Is there a common definition for massive pleurisy?
Updates Surg. 2023 Nov 9. doi: 10.1007/s13304-023-01695-1. Online ahead of print.ABSTRACTThe concept of massive pleurisy (MP) is frequently used to emphasize the significance of the amount of pleural effusion. However, there are significant disagreements about it due to the lack of a universal definition for MP. In our study, we sought to elucidate these distinctions. We employed a questionnaire comprised of visual and true/false sections. In the visual section, participants were shown real-time lung radiographs and schematic drawings and asked which ones were MP. On the other hand, suggestions regarding diagnosis, treatme...
Source: Hand Surgery - November 9, 2023 Category: Surgery Authors: Bar ış Gülmez Seda Kahraman Ayd ın Sercan Ayd ın S üleyman Gökalp Güneş Önder Kavurmacı Banu Yolda ş Source Type: research
Is there a common definition for massive pleurisy?
AbstractThe concept of massive pleurisy (MP) is frequently used to emphasize the significance of the amount of pleural effusion. However, there are significant disagreements about it due to the lack of a universal definition for MP. In our study, we sought to elucidate these distinctions. We employed a questionnaire comprised of visual and true/false sections. In the visual section, participants were shown real-time lung radiographs and schematic drawings and asked which ones were MP. On the other hand, suggestions regarding diagnosis, treatment, and consultations for MP were questionnaired. The study was comprised of 15...
Source: Updates in Surgery - November 9, 2023 Category: Surgery Source Type: research
Is chest drain insertion and fibrinolysis therapy equivalent to video-assisted thoracoscopic surgery to treat children with parapneumonic effusions?
Scenario A 12-year-old boy, previously fit and well, presents to his local paediatric emergency department after 5 days of fever and a cough, and 2 days of increasing difficulty breathing. His oxygen saturation is 90% in air, and he requires 2 L of oxygen via nasal cannula. He is started on broad-spectrum antibiotics and further investigations are arranged. A chest X-ray is performed and shows a large left-sided pleural effusion. An ultrasound demonstrates the effusion is complex and loculated, with underlying lung consolidation, in keeping with a stage II parapneumonic effusion. The medical team wonders whether insertion ...
Source: Archives of Disease in Childhood - October 30, 2023 Category: Pediatrics Authors: Bell, A. C. J., Baker, C., Duret, A. Tags: ADC Archimedes Source Type: research
Management of Blunt Chest Trauma
Common mechanisms of blunt thoracic injury include motor vehicle collisions and falls. Chest wall injuries include rib fractures and sternal fractures; treatment involves supportive care, multimodal analgesia, and pulmonary toilet. Pneumothorax, hemothorax, and pulmonary contusions are also common and may be managed expectantly or with tube thoracostomy as indicated. Surgical treatment may be considered in select cases. Less common injury patterns include blunt trauma to the tracheobronchial tree, esophagus, diaphragm, heart, or aorta. Operative intervention is more often required to address these injuries. (Source: Surgic...
Source: Surgical Clinics of North America - October 28, 2023 Category: Surgery Authors: Jared Griffard, Lisa M. Kodadek Source Type: research
Bronchial fistulas complicating pneumonectomy: predictors and treatment
Conclusion: The occurrence of bronchopleural fistulae following pneumonectomy is a life threatening event. Chronic smoking, the existence of COPD and right- side pulmonary resection were significant risk factors. It can be managed either by conservative endoscopic therapy or surgical approach. Once treated swiftly, the results are very satisfactory. (Source: European Respiratory Journal)
Source: European Respiratory Journal - October 27, 2023 Category: Respiratory Medicine Authors: madhi, s., Bouassida, I., Zairi, S., Abdennadher, M., Zribi, H., Ouerghi, S., Marghli, A., Zairi, S. Tags: Interventional pulmonology Source Type: research
The effect of covid-19 vaccines on pneumothorax in geriatric patients hosp İtalized in intensive care unit due to covid-19
Acta Clin Croat. 2022 Dec;61(4):655-660. doi: 10.20471/acc.2022.61.04.12.ABSTRACTIn our study, we examined the effect of COVID-19 vaccination on the incidence of pneumothorax in intensive care patients over age 65. COVID-19 intensive care patients that presented to our department between April 2020 and May 2021 during the COVID-19 pandemic were evaluated retrospectively. Patients were divided into two main groups, i.e., before and after the vaccination period. Patients were evaluated retrospectively for the following parameters: gender, age, side of pneumothorax, mortality, discharge, comorbidity, and additional pleural co...
Source: Acta Clinica Croatica - October 23, 2023 Category: General Medicine Authors: Anil Gokce Merve Hatipoglu Suleyman Anil Akboga Aysegul Inci Sezen Serife Gokbulut Bektas Yucel Akkas Bulent Kocer Source Type: research
