Trauma monthly
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One of the most important goals of health care organizations is measuring and improving the quality of health care and reduction of adverse events. ⋯ In conclusion, our study demonstrated that surgery team members comply moderately to the WHO surgery safety checklist in Iran. Iranian health care providers need to show more adherence to some items of the checklist compared to their previous routine.
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The intra-osseous (IO) route serves as an appropriate venous access site if access is needed in an emergency. ⋯ Our study demonstrated that there was no significant difference between the time taken for MB to reach the central circulation via IO or IV routes.
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Pain in infancy is a developmental process. Due to the underdeveloped pain pathways in the spinal cord, the threshold of stimulation and sensation of pain is low at birth and has potential impacts on increasing the central effects of pain. Primary trauma during infancy can cause long term changes in structure and function of pain pathways that continue until adulthood. Lack of pain management in children can result in morbidity and mortality. ⋯ We concluded that addition of clonidine to bupivacaine prolongs the duration of post-operative analgesia without any respiratory or hemodynamic side-effects.
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Inguinal hernia is one of the most common male diseases all over the world with an incidence rate of 18-24% throughout life. Chronic inguinal pain is one of the complications that prolong return to work time. ⋯ Ilioinguinal nerve excision at the time of inguinal hernia repair decreased post-surgical inguinal pain, and it can be used as a routine method in herniorrhaphy.
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Procedural sedation in children continues to be a problem in the emergency department (ED). Midazolam is the first water-soluble benzodiazepine and it has been widely used for procedural sedation in pediatric patients. ⋯ Midazolam is an effective and relatively safe sedative for pediatric patients in the ED. The patient should be observed closely and monitored for psychological and hemodynamic side effects.