Ulus Travma Acil Cer
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Ulus Travma Acil Cer · Mar 2010
The role of urine trypsinogen-2 test in the differential diagnosis of acute pancreatitis in the Emergency Department.
The aim of the study was to investigate the role and importance of the urine trypsinogen-2 dipstick test in the differential diagnosis of acute pancreatitis in the Emergency Department and to compare results with those of conventional tests. ⋯ Although it has lower sensitivity and specificity compared to amylase and lipase, we suggest that urine trypsinogen-2 test may be an important diagnostic tool in excluding the diagnosis of acute pancreatitis, since it provides results within 5 minutes in the Emergency Department, is cheaper, has a higher negative predictive value, and is easy to use.
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Ulus Travma Acil Cer · Mar 2010
The novel use of wooden spoons for control of massive intra-abdominal hemorrhage.
Massive intra-abdominal hemorrhage represents a challenging operative emergency. Temporary control of the aorta and inferior vena cava (IVC) using intra-luminal balloon occlusion, preemptive trans-thoracic clamping or infra-diaphragmatic clamping has been achieved with variable success. ⋯ They can be used to compress the aorta or IVC against the vertebrae, giving vascular control while leaving good surgical access. This equipment requires minimal financial investment and only basic woodworking skills.
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Ulus Travma Acil Cer · Mar 2010
[Venous thromboembolism prophylaxis methods in trauma and emergency surgery intensive care unit patients: low molecular weight heparin versus elastic stockings + intermittent pneumatic compression].
We aimed to evaluate the efficacy and safety of low molecular weight heparin (LMWH) compared to elastic stockings in combination with intermittent pneumatic compression (ES+IPC) in venous thromboembolism (VTE) prophylaxis in the intensive care unit (ICU) of trauma and emergency surgery. ⋯ We believe that the protocol applied for VTE prophylaxis in the Emergency Surgery Department of Istanbul Medical Faculty is effective and safe in this group with such high mortality and morbidity.
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Ulus Travma Acil Cer · Mar 2010
Value of early unilateral decompressive craniectomy in patients with severe traumatic brain injury.
The aim of our study was to evaluate the results and effectiveness of early decompressive craniectomy in the treatment of severe traumatic brain injury. ⋯ The high overall morbidity and mortality rates demonstrated in our group despite the performance of early decompressive procedures reflect the severity of the underlying injuries.
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Ulus Travma Acil Cer · Mar 2010
Risk factors for complex regional pain syndrome in patients with traumatic extremity injury.
It is not clear why complex regional pain syndrome (CRPS) develops in some patients but not in others, despite similar initiating events. The aim of this study was to investigate risk factors for CRPS in cases who had suffered traumatic upper extremity injury. ⋯ This study indicates that motor nerve injury and female gender are risk factors for CRPS. The prevention measures should be focused mainly on females and patients with motor nerve injury in order to reduce the risk of CRPS.