Journal of emergencies, trauma, and shock
-
J Emerg Trauma Shock · Oct 2011
Malposition of central venous catheter in a small tributary of left brachiocephalic vein.
Erroneous positioning of central venous catheters in small tributaries of large central veins is a rare occurrence. We describe two such unusual incidents involving cannulation of the small tributaries of left brachiocephalic vein. Malposition was suspected when the central venous waveform could not be obtained despite all attempts. Unusual central venous waveforms may indicate central venous catheter malposition, and these waveforms have not previously been described.
-
Trauma and injury severity score (TRISS), introduced in 1981 is a combination index based on revised trauma score (RTS), injury severity score (ISS) and patient's age. In this study we have used TRISS method to predict the outcome in trauma cases. ⋯ The revised trauma score (RTS) ranged from 2.746 to 7.8408.There was a graded increase in mortality with decreasing RTS score.
-
Critically ill patients are common in emergency medicine, and require expert care to maximize patient outcomes. However, little data is available on the provision of critical care in the ED. The goal of this study is to describe the management of critically ill patients in the ED via a survey of Canadian emergency physicians. ⋯ Our survey demonstrates that critically ill patients are common in Canadian ED's, and that EMP's are often responsible to provide care for prolonged period of time. In addition, the use of invasive procedures other then direct laryngoscopy was variable. Further research is warranted to determine the impact of delayed transfer and ED physician management of critically ill patients in the ED.
-
J Emerg Trauma Shock · Oct 2011
Diagnostic accuracy of bedside emergency ultrasound screening for fractures in pediatric trauma patients.
Bedside ultrasound (BUS) can effectively identify fractures in the emergency department (ED). ⋯ BUS can be utilized by emergency physicians after brief training to accurately identify long bone fractures in the pediatric age-group.