Presentation
Conversely, this experience may present a risk of missing opportunities for healing and reintegrating victims into their societies, or, worse, (re)victimizing and (re)traumatizing them. [ncbi.nlm.nih.gov]
Proponents of the 1:1:1 ratio invoke the need to treat diligently the acute coagulopathy of trauma (ACT) which is present in approximately 25% of patients at the time they present in the emergency room. [nataonline.com]
Collection includes both citations and many full-text, downloadable documents from mid-1900s to present. AULIMP - Air University Library Index to Military Periodicals. [dtic.mil]
This makes democracy and human rights Sida’s largest thematic area, equivalent to approximately 30 % of Sida’s total disbursement ... 2017-12-21 Publication Evaluation of Sida’s ITP approach for Capacity Development This report presents the findings, [sida.se]
Table 2 presents the main characteristics of the patients according to their BMI classes. [journals.plos.org]
Musculoskeletal
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Fracture
After stabilization, a CT scan was performed a few hours later which showed a subdural hematoma on the right frontotemporal side, a Le Fort I facial fracture, C6 facet joint fracture, transverse process fractures of L2-L4, and several rib fractures on [ijcasereportsandimages.com]
An autopsy completed Friday shows Donald Harvey had several skull fractures and brain injuries. [local12.com]
One driver had a fractured leg, while the other sustained back and neck injuries. Singh and his son died on the scene from "massive blunt trauma". [news24.com]
Treatment
Four patents did not respond to rFVIIa treatment and exsanguinated within 24 hr. Two patients died after one week, one from sepsis and one from multi-organ failure. [ncbi.nlm.nih.gov]
Successful outcome requires treatment of surgical sources of bleeding, restoration of blood volume to maintain tissue perfusion and oxygenation, and correction of coagulopathy. [pennstate.pure.elsevier.com]
Once enrolled, patients were randomly chosen to receive either the control treatment, normal saline (salt water), which is the current standard of care (SOC), or the experimental treatment (AB-FP24 plasma) as the first treatment fluid. [denverhealth.org]
The urgent need for a predefined treatment of hemostasis, as well as a quick and safe anticoagulant treatment reversion in bleeding patients with or without trauma, and the availability of dynamic and quick diagnostic tests and algorithms to guide professionals [medintensiva.org]
Program Description Through the use of case studies, this session will review the progress and variability in treatment of trauma cases within the United States. [aabb.org]
Prognosis
Nevertheless, we still do not know if the ACT is simply a marker of the severity of trauma or a determinant of survival, i.e. no one has established that treating the ACT improves patient prognosis. [nataonline.com]
It may be concluded that the prognosis of the patients with the chest injuries depends on how fast they can be carried to the Emergency and Critical Care Medical Center. [dspace.lib.niigata-u.ac.jp]
The majority of preventable deaths from trauma result from unrecognised intra-abdominal bleeding. [70] Prognosis [ edit ] Trauma deaths occur in immediate, early, or late stages. [en.wikipedia.org]
Etiology
One must not confuse Mongolian spots with contusions and make a diagnosis of child abuse; if there is any question as to the etiology, the lesion should be incised. [emedicine.medscape.com]
Epidemiology
The project is planned and conducted in collaboration with the Department of Laboratory Medicine, Division of Clinical Immunology and Transfusion Medicine; the Department of Medical Epidemiology and Biostatistics; and the Coagulation Unit at the Department [ki.se]
Zwi, A. & Ugalde, A. ( 1989 ) Towards an epidemiology of political violence in the Third World. Social Science and Medicine, 14, 633 – 646 . [cambridge.org]
Epidemiologic findings in two generations of Cambodian refugees. Journal ofNervous Mental Disorders, 182, 387–395. CrossRef Google Scholar Weiner, Z., Reich W, Herjanic, B., Jung, K. G., and Amado, H. (1987). [link.springer.com]
Epidemiology of trauma deaths: a reassessment. J Trauma, 38 (1995), pp. 185-193 [4] D.S. Kauvar, R. Lefering, C.E. Wade. Impact of hemorrhage on trauma outcome: an overview of epidemiology, clinical presentations, and therapeutic considerations. [medintensiva.org]
Impact of hemorrhage on trauma outcome: An overview of epidemiology, clinical presentations, and therapeutic considerations. J Trauma 2006;60(6 suppl):S3-S11. Sauaia A, Moore FA, Moore EE, et al. Epidemiology of trauma deaths: A reassessment. [ahcmedia.com]
Pathophysiology
Note that the 1:1:1 concept is mainly supported by the fact that it makes sense pathophysiologically and by retrospective and observational studies. [lifeinthefastlane.com]
In fact, acidosis seems to be more important for coagulopathy than the hypothermia ( Hoffman et al, 2004 ) Coagulopathy due to acidosis is the result of multiple pathophysiological processes: The main problem is impaired thrombin generation. [derangedphysiology.com]
Pathophysiology of early trauma-induced coagulopathy: emerging evidence hemodilution and coagulation factor depletion. J Trauma, 70 (2011), pp. 1401-1407 [6] J.C. Duchesne, N.E. McSwain, B.A. Cotton, J.P. Hunt, J. Dellavolpe, K. Lafaro, et al. [medintensiva.org]
"Pathophysiology of polytrauma". Injury. 36 (6): 691–709. doi : 10.1016/j.injury.2004.12.037. PMID 15910820. Retrieved 2012-07-20. a b c d Committee on Trauma, American College of Surgeons (2008). [en.wikipedia.org]
Prevention
Early recognition of major blood loss and effective action is necessary to prevent shock and its consequences. Massive transfusion may challenge local resources. [pennstate.pure.elsevier.com]
A level-one trauma center is, according to the American Trauma Society, a facility that is capable of providing total care for every aspect of injury – from prevention through rehab. [abc57.com]
Despite improvement in care, uncontrolled bleeding contributes to 30 to 40% of trauma related deaths and is a leading cause of potentially preventable early in-hospital deaths[6 – 9]. [slideshare.net]
Journal of Preventive Psychiatry, 2, 275–301. Google Scholar Danieli, Y. (1985). The treatment and prevention of long-term effects and intergenerational transmission of victimization: A lesson from holocaust survivors and their children. In C. R. [link.springer.com]
This proposal will implement a randomized, controlled trial of early whole blood transfusions in high risk, major trauma patients to determine if whole blood can prevent or control severe coagulopathy compared to standard massive transfusion care (currently [dtic.mil]