The journal of trauma and acute care surgery
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J Trauma Acute Care Surg · Jul 2012
Review Meta AnalysisPrehospital trauma systems reduce mortality in developing countries: a systematic review and meta-analysis.
The majority of trauma deaths in the developing world occur outside of the hospital. In the mid-1990s, preliminary studies of prehospital trauma systems showed improvements in mortality. However, no empirical data are available to assess the overall benefit of these systems. We undertook a systematic review and meta-analysis to assess the effectiveness of prehospital trauma systems in developing countries. ⋯ Meta-analysis, level III+.
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J Trauma Acute Care Surg · Jul 2012
Endothelial glycocalyx degradation induces endogenous heparinization in patients with severe injury and early traumatic coagulopathy.
There is emerging evidence that early trauma-induced coagulopathy (TIC) is mechanistically linked to disruption of the vascular endothelium and its glycocalyx, assessed by thrombomodulin and syndecan 1, respectively. This study evaluated if degradation of the endothelial glycocalyx and ensuing release of its heparin-like substances induce autoheparinization and thereby contributes to TIC. ⋯ Prognostic study, level III.
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J Trauma Acute Care Surg · Jul 2012
The twin terrorist attacks in Norway on July 22, 2011: the trauma center response.
The terrorist attacks in Norway on July 22, 2011, consisted of a bomb explosion in central Oslo, followed by a shooting spree in a youth camp. We describe the trauma center response, identifying possible success factors and suggesting improvements for institutional major incident plans. ⋯ Therapeutic/care management study, level V.
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J Trauma Acute Care Surg · Jul 2012
Analysis of the factors influencing bone graft infection after cranioplasty.
Delayed cranioplasty after decompressive craniectomy was performed using various reconstruction materials and methods. Bone graft infection is a major concern with cranioplasty. This study identified factors that are related to bone graft infection after cranioplasty. ⋯ Prognostic/therapeutic study, level IV.