European journal of trauma and emergency surgery : official publication of the European Trauma Society
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Eur J Trauma Emerg Surg · Aug 2024
Supervised and unsupervised techniques to analyze risk factors associated with motorcycle crash.
Motorcycles are one of the highly used modes of transport in Barcelona, Spain, in particular, and in many different regions, in general. This situation is compromising safety on the road and may be attributed to a potential increase in traffic crashes. Therefore, this study examines several risk factors and their consequential impacts on the level of injury that is resulted in case of a traffic crash. ⋯ This study highlights the considerable danger faced by motorcyclists due to various risk factors. It stresses the critical importance of maintaining roads in optimal condition not just for efficient travel but also to enhance motorcyclists' safety. Additionally, the research underscores the significant threat posed by speeding, particularly exceeding speed limits, to motorcyclists' safety, emphasizing the urgent need for more 30 km/h speed limit zones and stricter enforcement of speed regulations. As a result, the research has identified several risk factors that increase the likelihood of severe or fatal injuries among motorcyclists in Barcelona and has suggested certain recommendations to mitigate their impact.
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Eur J Trauma Emerg Surg · Aug 2024
Review Meta AnalysisHypocalcaemia upon arrival (HUA) in trauma patients who did and did not receive prehospital blood products: a systematic review and meta-analysis.
Hypocalcaemia upon arrival (HUA) to hospital is associated with morbidity and mortality in the trauma patient. It has been hypothesised that there is an increased incidence of HUA in patients receiving prehospital transfusion as a result of citrated blood products. This research aimed to determine if there was a difference in arrival ionised calcium (iCa) levels in trauma patients who did and did not receive prehospital transfusion. ⋯ HUA is common amongst trauma patients irrespective of transfusion. Transfused patients had a slightly lower initial iCa than those without transfusion, though the clinical impact of this remains to be clarified. These findings question the paradigm of citrate-induced hypocalcaemia alone in trauma. There is a need for consensus for the definition of hypocalcaemia to provide a basis for future research into the role of calcium supplementation in trauma.
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Eur J Trauma Emerg Surg · Aug 2024
ReviewManagement of metastatic bone disease of the pelvis: current concepts.
Metastatic disease of the pelvis is frequently associated with severe pain and impaired ambulatory function. Depending on the patient's characteristics, primary tumor, and metastatic pelvic disease, the treatment choice may be varied. This study aims to report on the current management options of metastatic pelvic disease. ⋯ Different treatment modalities exist to manage metastatic pelvic bone disease. Decision-making for the most appropriate treatment should be made with a multidisciplinary approach based on a case-by-case basis.
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Eur J Trauma Emerg Surg · Aug 2024
ReviewAdvancing pain management for extremity trauma: the evolution of ultrasound-guided nerve blocks for patients in the supine position in trauma centers.
Trauma, particularly extremity trauma, poses a considerable challenge in healthcare, especially among young adults. Given the severity of patient pain and the risks associated with excessive opioid use, managing acute pain in trauma centers is inherently complex. This study aims to investigate the application and benefits of ultrasound-guided nerve blocks for early pain management in patients with extremity trauma positioned supine. ⋯ Ultrasound-guided nerve blocks present a promising avenue for early pain management in extremity trauma patients positioned supinely. Their implementation can lead to improved patient outcomes by alleviating pain severity, reducing opioid consumption, and cutting down healthcare costs. Further research and clinical integration of these techniques is imperative to enhance pain management protocols in trauma centers.