European journal of trauma and emergency surgery : official publication of the European Trauma Society
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Eur J Trauma Emerg Surg · Dec 2023
Characteristics of injury mechanisms in children and differences between urban and rural areas in central China.
Some studies lack detailed analyses of the differences and characteristics of pediatric injury mechanisms between urban and rural areas. ⋯ Our findings revealed that in different age groups, the injury mechanisms are different in urban and rural areas. Burns are the second leading cause of trauma in children. A decrease in pediatric trauma over the past 10 years indicates targeted measures and preventive intervention may effectively prevent pediatric trauma.
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Eur J Trauma Emerg Surg · Dec 2023
Preventing extremity amputations after earthquakes: a quantitative analysis of fasciotomy and extrication time.
The purpose of this study is to evaluate the impact of prolonged extrication time and the time to fasciotomy applications on amputation requirement by giving quantitative and cutoff values. ⋯ Authors believe that knowledge of the relationship between earthquake survivors' prognosis and time of extrication, as well as the impact of fasciotomy timing on extremity loss, is essential for a more successful treatment management in future disasters.
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Eur J Trauma Emerg Surg · Dec 2023
Observational StudyRisk factors affecting severe thoracic injuries in motor vehicle collisions based on age group and collision directions.
This study aimed to investigate the effect of age and collision direction on the severity of thoracic injuries based on a real-world crash database. ⋯ The risk of severe thoracic injury is high in near-side collisions among elderly occupants. However, the risk of injury for elderly occupants increases in a super-aging society. To reduce thoracic injury, safety features made for elderly occupants in near-side collisions are required.
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Eur J Trauma Emerg Surg · Dec 2023
Ultrasound assessment is useful for evaluating balloon volume of resuscitative endovascular balloon occlusion of the aorta.
Endovascular balloon occlusion of the aorta (EBOA) increases proximal arterial pressure but may also induce life-threatening ischemic complications. Although partial REBOA (P-REBOA) mitigates distal ischemia, it requires invasive monitoring of femoral artery pressure for titration. In this study, we aimed to titrate P-REBOA to prevent high-degree P-REBOA using ultrasound assessment of femoral arterial flow. ⋯ The diastolic peak velocity in the femoral artery disappeared when %BV was > 80%. Evaluation of the femoral artery pressure by pulse wave Doppler may predict the degree of P-REBOA without invasive arterial monitoring.