Ulus Travma Acil Cer
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Ulus Travma Acil Cer · Sep 2013
Randomized Controlled TrialAcute pain management with intravenous 0.10 mg/kg vs. 0.15 mg/kg morphine sulfate in limb traumatized patients: a randomized double-blinded placebo-controlled trial.
We aimed to compare pain relief and safety of two doses of morphine in adult emergency department (ED) patients with acute limb trauma pain. ⋯ Using two doses of morphine instead of one is a safe and effective method for pain reduction in isolated limb trauma. We recommend performing a second injection of 0.05 mg/kg morphine 30 minutes after the initial standard dose of 0.10 mg/kg to decrease pain in these patients.
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The aim of this study was to evaluate the clinical and epidemiological features of 132 patients with orbital wall fracture who were treated at Şişli Etfal Teaching and Research Hospital, Istanbul, between 2005-2012. ⋯ This study makes clear that the frequency of orbital injuries may be decreased by preventing traffic accidents, by taking precautions in the event they occur, and by promulgating social and educational work against violence.
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Ulus Travma Acil Cer · Sep 2013
Three-year experience in the Emergency Department: the approach to patients with spinal trauma and their prognosis.
Spinal cord injuries result in critical pecuniary and/or non-pecuniary losses due to the developing neurological problems. The objective of this study was to evaluate spinal injuries in terms of clinical severity and prognosis. Spinal injuries lead to serious clinical results due to the high rates of morbidity and mortality; however, there is a lack of reliable information on spinal injuries in our country. ⋯ Spinal cord injuries generally result in unfavorable clinical results. Therefore, an appropriate approach (early diagnosis and true treatment) in emergency services has great significance.
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Ulus Travma Acil Cer · Sep 2013
Details of motorcycle accidents and their impact on healthcare costs.
Of overall traffic accidents in 2011 in Turkey, 7.58% (n=21,107) were motorcycle accidents. Motorcycle accidents and their impact on healthcare costs are investigated in our study. ⋯ According to the current study, the risk of an accident increases with young adults. Concordantly, healthcare costs increase. Thus, it is important that the legal rules with respect to the age and education necessary for receiving a license to operate a motorcycle should be redefined, and if necessary, regulated.
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Ulus Travma Acil Cer · Sep 2013
Case ReportsHepatic duct confluence injury in blunt abdominal trauma - a diagnostic dilemma.
Isolated hepatic duct confluence injury due to trauma is unusual. Two cases of isolated bile duct injury are presented, which were diagnosed and managed successfully at our institution.