Ulus Travma Acil Cer
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Ulus Travma Acil Cer · Apr 2006
Review[Prehospital life support in trauma patients: basic or advanced trauma life support].
The controversy between Advanced Trauma Life Support (ATLS) and Basic Life Support (BLS) in the prehospital care of trauma patients has not been resolved yet. The purpose of this study was to examine the literature with respect to the type of prehospital care applied to the trauma patients. ⋯ As a conclusion, the data in the literature do not support the routine use of on-field ATLS in trauma patients. Prospective randomized trials comparing ATLS and BLS in prehospital management of trauma patients are needed to clarify this issue.
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Ulus Travma Acil Cer · Jan 2006
Review[Aeromedical evacuation of critically ill and injured patients].
The mission of aeromedical evacuation of patients, whether in peacetime, wartime or under unexpected conditions (earthquake, flood etc) will remain the same. Aeromedical evacuation systems have become an integral part of the practice of critical care medicine. These systems provide interhospital transport of critically ill or severely injured patients. Understanding the medical aspects of flights and the capabilities of the aeromedical environment will help to evacuate patients in a safe and a proper manner.
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Ulus Travma Acil Cer · Oct 2005
Review Case Reports[Gallbladder torsion as a rare cause of acute abdomen; a case report and review of literature.].
Torsion of the gallbladder is a rare cause of acute surgical abdomen. Less than 300 patients have been reported so far. On the other hand incidence seems to be higher than expected especially in elderly patients. ⋯ Diagnosis is usually established during laparotomy. Torsion occurs at the base of the gallbladder around cystic duct and artery. Treatment is emergent cholecystectomy.
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Ulus Travma Acil Cer · Jul 2005
Review Case ReportsA rare case of splenic infarct presenting with acute abdominal pain due to polyarteritis nodosa: case report and review of the literature.
A 44 year-old man presented to the Emergency Department of American Hospital with severe pain persisting in the left upper quadrant for several hours. A computed tomographic scanning (CT scan) and celiac digital substraction angiography (DSA) of the abdomen demonstrated a splenic infarct. Histopathological examinations showed diffuse acute vasculitis, thrombosis, panvasculitis which led us to diagnose the case as "polyarteritis nodosa". The diagnosis is usually difficult to establish and it is usually delayed due to variable clinical manifestations dependent on the site and the extent of arterial involvement.
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Knowledge of trauma is as old as mankind and survived a long way to reach new technologic developments. Being a multisystemic disease, trauma is an important social and financial problem especially in developing countries. Anesthesists possess important roles in the multisystemic management of trauma patients. ⋯ The laryngeal mask airway, intubating laryngeal mask airway and oesophageal-tracheal combitube are also indicated in maintaining control of airway during emergency trauma patients in the field. A probable occurrence of cervical spine fracture must be assumed while maintaining airway patency. On-site airway aspiration, and monitoring of carbon dioxide must be realized in trauma victims.