Articles: trauma.
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Thoracic Surgery PostersSESSION TYPE: Poster PresentationsPRESENTED ON: Saturday, March 22, 2014 at 01:15 PM - 02:15 PMPURPOSE: Advances in video-assisted thoracic surgery (VATS) techniques and associated technology have allowed the rapid development of uniportal VATS (UniVATS) lung resection in recent years. UniVATS may be associated with less access trauma and pain, quicker recovery and improved cosmesis. We review our experience and early outcomes for patients following UniVATS wedge resections (W), lobectomies (L) and pneumonectomy (P). ⋯ The following authors have nothing to disclose: Rainbow Lau, Calvin Ng, Micky Kwok, Randolph Wong, Eugene Yeung, Innes Wan, Song Wan, Malcolm UnderwoodNo Product/Research Disclosure Information.
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Critical Care Posters ISESSION TYPE: Poster PresentationsPRESENTED ON: Saturday, March 22, 2014 at 01:15 PM - 02:15 PMINTRODUCTION: Cardiac arrest patients are often admitted to CCU/MICU depending on academic setting. We aimed to compare outcomes of cardiac arrest patients based on demographics of the patients admitted to CCU Vs MICU. We also tried to identify role of hypothermia in different type underlying arrest rhythms ⋯ Patients admitted to CCU had better survival rate, home returning rate, less LOS and Ventilator dependent day. The majority of the patients admitted to CCU had Vfib as underlying rhythm compared to PEA/Asystole in MICU patients. Greatest benefit of therapeutic hypothermia was seen in patients with Vfib than PEA/Asystole, with inverse survival relationship noticed if presenting rhythm was asystole.Reference #1: Circulation. 2003; 108: 118-121DISCLOSURE: The following authors have nothing to disclose: Parth Rali, Win NaingNo Product/Research Disclosure Information.
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Critical Care Posters IIISESSION TYPE: Poster PresentationsPRESENTED ON: Saturday, March 22, 2014 at 01:15 PM - 02:15 PMPURPOSE: It takes an experienced multi-professional team to handle emergent airway situations. Critical airway emergencies are increasing due to advances in medical treatments, obesity and sleep apnea. Difficult airway events are low volume and high risk, requiring expert skill and communication. In the United States, a leading adverse patient safety event is "death or serious disability associated with airway management." We created a Code Critical Airway Team to manage airway emergencies. ⋯ The following authors have nothing to disclose: Emily Rhoades, Pat McCabe, Kristen Nelson, Ziad Deeb, Jeffrey Dubin, George SampleNo Product/Research Disclosure Information.
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The role of total hip arthroplasty (THA) for fracture in octogenarians remains unclear. Over a two-year period, 354 patients aged > 80 years were admitted with a displaced intracapsular hip fracture. Using defined clinical guidelines, 38 patients underwent THA with a median age of 84 years, mean follow-up of 20 months. ⋯ There were no dislocations or periprosthetic fractures and patient survival was 97% at 30 days and 87% at one year. There was one revision for deep infection. This study demonstrates that THA for selected octogenarians can be performed safely, allows the majority of patients to return to independent living and has a low complication rate.
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Evaluating the cervical spine in the obtunded trauma patient is a subject fraught with controversy. Some authors assert that a negative computed tomography (CT) scan is sufficient. Others argue that CT alone misses occult unstable injuries, and magnetic resonance imaging (MRI) will alter treatment. This study examines the data in an urban, county trauma center to determine if a negative cervical spine CT scan is sufficient to clear the obtunded trauma patient. ⋯ In the obtunded trauma patient with a negative cervical spine CT, obtaining an MRI does not appear to significantly alter management, and no unstable injuries were missed on CT scan. This should be taken into consideration given the current efforts at cost-containment in the health care system. It is one of the larger studies published to date.