Eur J Trauma Emerg S
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Eur J Trauma Emerg S · Aug 2013
Pain and quality of life 1 year after admission to the emergency department: factors associated with pain.
This study describes the prevalence of pain in trauma patients 1 year after hospital admission and investigates separately health-related quality of life (QoL) for patients suffering severe pain and for those without pain. Moreover, psychosocial factors are examined for their impact on pain. ⋯ Pain is strongly associated with psychosocial complaints 1 year after trauma. For the treatment of pain following a traumatic event, social reintegration and emotional regulation by means of occupational rehabilitation and psychotherapy should receive more attention.
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A quarter of trauma-related deaths are attributable to traumatic chest injury (TCI). ⋯ TCI is an alarming problem in Qatar, with a bimodal mortality curve. The highest mortality peak occurred in children, followed by old age. However, young males are the most exposed population. Regulatory efforts and strict enforcement of traffic laws would likely reduce morbidity and mortality.
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Eur J Trauma Emerg S · Aug 2013
The influence of alcohol intoxication on the severity of injuries suffered by drivers in road traffic accidents.
To determine the severity of injuries in drunk and sober drivers in traffic accidents, by using the Injury Severity Score (ISS), as well as the most vulnerable body region of those involved. ⋯ The severity of injuries and, especially, the 3.80 times greater risk of suffering deadly injuries in traffic accidents for drunken drivers obliges us to pay attention to prevention strategies.
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Severe lower limb trauma with significant soft tissue injury can be managed with reconstruction or, if this is impossible, amputation. If amputation is considered, below-knee amputation preserving limb length is optimal for long-term functional outcome. ⋯ The procedure was technically challenging and required follow-up debulking operations. However, the technique provided the significant advantage of immediate sensation of robust glabrous distal stump cover and optimising leg length to enhance functional outcome.
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Eur J Trauma Emerg S · Aug 2013
Impact of fluid therapy on apoptosis and organ injury during haemorrhagic shock in an oxygen-debt-controlled pig model.
Apoptosis, or programmed cell death, seems to play a role in the physiology of shock. The influence of fluid resuscitation on the occurrence of apoptosis during haemorrhage is still unclear. Using an experimental randomised study, the goal of this investigation was to find a relation between different frequently used resuscitation fluids and evidence of apoptosis. ⋯ The different resuscitation fluids used in the treatment of haemorrhagic shock in this experimental model showed no evidence of a different apoptosis rate in the end organs.