Eur J Trauma Emerg S
-
Eur J Trauma Emerg S · Apr 2011
Teaching in daily clinical practice: a necessary evil or an opportunity? Doctors as teachers.
Teaching is an important part of our medical role as physicians. Though all doctors are usually well prepared for their clinical roles, few are trained to teach. ⋯ However, clinical teaching faces many challenges and problems. The series "Teaching in daily clinical practice," which commences with this article, will describe basic educational principles that are applicable in all phases of the learning and teaching of students, junior doctors and speciality trainees.
-
Eur J Trauma Emerg S · Apr 2011
Isolated blunt chest injury leads to transient activation of circulating neutrophils.
The acute respiratory distress syndrome (ARDS) is a severe and frequently seen complication in multi-trauma patients. ARDS is caused by an excessive innate immune response with a clear role for neutrophils. As ARDS is more frequently seen in trauma patients with chest injury, we investigated the influence of chest injury on the systemic neutrophil response and the development of ARDS. ⋯ Blunt chest trauma caused a systemic inflammatory reaction with transient activation of neutrophils and mobilization of young neutrophils into the circulation. Isolated chest injury, however, was not abundant enough to cause ARDS, so a second hit appears crucial.
-
Eur J Trauma Emerg S · Apr 2011
Influence of routine computed tomography on predicted survival from blunt thoracoabdominal trauma.
Many scoring systems have been proposed to predict the survival of trauma patients. This study was performed to evaluate the influence of routine thoracoabdominal computed tomography (CT) on the predicted survival according to the trauma injury severity score (TRISS). ⋯ Routine thoracoabdominal CT in high-energy blunt trauma patients reveals more injuries than a selective CT algorithm, resulting in a higher ISS. According to the TRISS, this results in higher predicted mortalities. Observed mortality, however, was significantly lower than predicted. The predicted survival according to MTOS seems to underestimate the actual survival when routine CT is used.
-
Eur J Trauma Emerg S · Apr 2011
Muscle regeneration is undisturbed by repeated polytraumatic injury.
Clinical observations suggest that repeated injury within a week after a traumatic event impairs the regeneration of tissues. Our aim was to investigate the effect of repeated trauma on the proliferation of satellite cells in skeletal muscle tissue. ⋯ The second hit phenomenon is probably due to systemic factors rather than to a diminished regenerating potential of injured soft tissues.