Eur J Trauma Emerg S
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Eur J Trauma Emerg S · Aug 2013
Epidemiology and management of trauma patients in a Greek multispecialty hospital in the absence of a dedicated trauma center.
In the absence of dedicated trauma centers, surgical emergency departments in hospitals assigned as trauma centers accept a huge load of trauma patients. In this audit, we aim to document and assess the epidemiologic data of trauma patients and their injuries in order to give a picture of the impact of trauma in the workload of a surgical department in the Greek healthcare system. ⋯ In the absence of level one trauma centers, in multispecialty urban hospitals, the coordination of trauma burdens the general surgery team. This has financial and administrative implications. The collection of important epidemiologic data from these hospitals is mandatory in order to develop national prevention measures against injuries.
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Eur J Trauma Emerg S · Aug 2013
Influence of vagal injury on acute traumatic reaction after blast injury.
A prospectively randomised, controlled animal study was conducted to analyse the influence of vagal injury on acute cardio-respiratory responses to blast injury. ⋯ A vagally mediated reflex, such as a cardio-respiratory system defensive reflex that caused shock, was observed immediately after blast pressure wave injury. These observations may have important implications for the emergency management of blast injury cases.
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Eur J Trauma Emerg S · Aug 2013
Indications for implant removal after fracture healing: a review of the literature.
The aim of this review was to collect and summarize published data on the indications for implant removal after fracture healing, since these are not well defined and guidelines hardly exist. ⋯ This review illustrates the great variety of view points in the literature, with large differences in opinions and practices about the indications for implant removal after fracture healing. Since some studies have described asymptomatic patients developing complaints after removal, the general advice nowadays is to remove implants after fracture healing only in symptomatic patients and after a proper informed consent. Well-designed prospective studies on this subject are urgently needed in order to form guidelines based on scientific evidence.
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Eur J Trauma Emerg S · Aug 2013
Technical complications during removal of locking screws from locking compression plates: a prospective multicenter study.
To assess the risk for technical complications in patients undergoing removal of locking compression plates (LCP) with head locking screws. ⋯ Titanium LCPs are prone to technical complications during implant removal, but the majority of the issues can be solved using special techniques.