Articles: trauma.
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The best marker for the monitoring of immune alterations in critically ill patients (sepsis, trauma, pancreatitis, surgery, burns) so far remains decreased HLA-DR expression on monocytes measured by flow cytometry as it regularly provides valuable information in terms of mortality prediction or evaluation of risk for secondary infections. As shown by Cajander and colleagues in a recent issue of Critical Care, some promising tools-based molecular biology may circumvent some drawbacks related to flow cytometry. Herein, issues and perspectives about this alternative are discussed.
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Missed injuries sustain an important issue concerning patient safety and quality of care. The purpose of this study is to examine the effect of surgeon commitment to trauma care on missed injuries. We hypothesised that surgeons committed to the trauma service has less missed injuries than surgeons not committed to the trauma service would have. ⋯ Physicians will perform better when they are trained and interested in a specific area than those not trained, or even not having any particular interest in that specific area. Surgeons committed to the trauma service had less missed injuries in severely injured patients, and it is vital to improve patient safety and quality of care for trauma patients. Staff training and education for assessing severely injured patients and creating an open culture with detection and reduction of the potential for error are important and effective strategies in decreasing missed injuries and improving patient safety.
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Prognostic models may have some clinical advantages when predicting the outcome of individual trauma patients is relevant. The variables that are predicted to have a negative effect on outcome in a model can also guide clinicians in their resuscitation attempt of trauma victims.
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Former studies have demonstrated that health-related quality of life is decreased in severely injured patients. However, in those studies patients were asked about their functioning and not about their (dis)contentment concerning their functioning. Little is known about how severely injured patients experience their quality of life (QOL). The objective of this cross-sectional study was to measure this subjective QOL of severely injured patients after their rehabilitation phase and to examine which accident- and patient-related factors affect the QOL of these patients. ⋯ The experience of impaired QOL appears to depend on living alone, inability to return to work and pre-accidental comorbidity rather than on the injured body area or the severity of the injury. Duration of hospital or ICU stay is important to subsequent QOL, even if ISS or body region is not.
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Scand J Trauma Resus · Jan 2014
Erratum: a consensus based template for reporting of pre-hospital major incident medical management.
After the publication of our article "A consensus based template for reporting of pre-hospital major incident medical management" Scand J Trauma Resusc Emerg Med 2013, 22:5, we noticed that The Major Incident Reporting Collaborators were not included as authors. They have now been added at the end of the author list. The group consists of Gareth Davies, Michel Debacker, Erik Frischknecht Christensen, Juhana Hallikainen, Troels Martin Hansen, Jorine Juffermans, Per Kulling, Vidar Magnusson, Jannicke Mellin-Olsen, Kai Milke, Anders Ruter, Stephen JM Sollid, Wolfgang Voelckel.