Eur J Trauma Emerg S
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On October 8, 2005, a major earthquake measuring 7.6 on the Richter scale struck the Himalayan region of Kashmir. Around 90,000 people died in the mass disaster. The Bone and Joint Hospital in Kashmir found itself in a relatively unique situation of having to deal with the orthopedic morbidity generated by this quake. ⋯ Due to the unprecedented admission in terms of numbers the hospital utilized outreach methods to streamline admission by sending out specialists to the affected areas. Manpower was judiciously utilized to concentrate specialist advise where required. Besides documenting the pattern of trauma, this paper throws light on some unforeseen problems faced in dealing with a large number of patients far exceeding the normal capacity of the hospital.
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The objective of this study was to determine the demographic data as well as other relevant data pertaining to the management of patients with maxillofacial injury in a Malaysian government regional hospital. ⋯ Road traffic accident involving motorcyclists was the main cause of maxillofacial trauma in Malaysia. The most common facial fracture was the mandibular fracture. Non-surgical manipulation of fracture was the most common treatment carried out in this hospital.
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Eur J Trauma Emerg S · Feb 2007
Massive Rectal Hemorrhage from the Middle Hemorrhoidal Artery after Blunt Perineal Trauma Without Pelvic Fracture.
Severe pelvic hemorrhage after blunt trauma without bony fracture has been reported occasionally, and clinical presentation as a delayed massive rectal bleeding is very rare. ⋯ This report is unique not only for the unusual association of pelvic hemorrhage and rectal injury after blunt trauma without pelvic fracture but also because of the clinical presentation as a massive rectal bleeding. Undoubtedly, the delayed diagnosis and treatment, 12 h after the trauma, contributed to the fatal outcome.
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Eur J Trauma Emerg S · Feb 2007
Improved Data Quality by Pen Computer-Assisted Emergency Room Data Recording Following Major Trauma in the Military Setting.
The characteristics of combat injuries differ from those of injuries encountered in civilian practice. Capturing detailed combat casualty data is therefore of importance. Experts classify the data sources for combat injuries as "inadequate" and request a better and more accurate record keeping. Within the civilian setting it has been shown that "point of care - computer-assisted" recording techniques are superior to conventional "paper-based" data recording techniques regarding accuracy of data recording. Subject of this study is to proof the quality of a "point of care - computer-assisted" data recording technique within a "military setting". ⋯ Defining data quality as level of dataset completeness, a tablet-PC-based recording technique, which allows easy and fast - real-time - data acquisition during emergency room management, seems to be superior to the conventional paper-based technique - even under the conditions of a military mission.