Articles: trauma.
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Eur J Trauma Emerg S · Apr 2011
Muscle regeneration is undisturbed by repeated polytraumatic injury.
Clinical observations suggest that repeated injury within a week after a traumatic event impairs the regeneration of tissues. Our aim was to investigate the effect of repeated trauma on the proliferation of satellite cells in skeletal muscle tissue. ⋯ The second hit phenomenon is probably due to systemic factors rather than to a diminished regenerating potential of injured soft tissues.
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Eur J Trauma Emerg S · Apr 2011
Blunt traumatic carotid artery dissection still a pitfall? The rationale for aggressive screening.
The optimal diagnostic strategy for carotid dissection following blunt trauma is yet unclear. The rationale for aggressive screening will be discussed based on a consecutive case series of blunt traumatic carotid artery dissection (CAD). ⋯ Screening may increase the rate of early CAD diagnosis, but it is unclear if screening will also result in early detection of a treatable lesion. Trials have to provide the answer to whether initiating therapy will lead to improvements in the outcome in traumatic CAD. We therefore believe that screening is a basic condition for initiation of future clinical trials.
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Eur J Trauma Emerg S · Apr 2011
Influence of routine computed tomography on predicted survival from blunt thoracoabdominal trauma.
Many scoring systems have been proposed to predict the survival of trauma patients. This study was performed to evaluate the influence of routine thoracoabdominal computed tomography (CT) on the predicted survival according to the trauma injury severity score (TRISS). ⋯ Routine thoracoabdominal CT in high-energy blunt trauma patients reveals more injuries than a selective CT algorithm, resulting in a higher ISS. According to the TRISS, this results in higher predicted mortalities. Observed mortality, however, was significantly lower than predicted. The predicted survival according to MTOS seems to underestimate the actual survival when routine CT is used.
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J Emerg Trauma Shock · Apr 2011
Outcome analysis and outcome predictors of traumatic head injury in childhood: Analysis of 454 observations.
To determine factors associated with poor outcome in children suffering traumatic head injury (HI). ⋯ A significant proportion of children admitted with HI were found to have moderate disability at follow-up. We think that improving prehospital care, establishing trauma centers and making efforts to prevent motor vehicle crashes should improve the prognosis of HI in children.
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To determine the injury patterns, complications, and mortality after alcohol consumption in trauma patients. ⋯ In a mixed population of trauma patients, an AP screen is associated with an increased incidence of admission hypotension and depressed GCS score. In this case-matched study, alcohol exposure appeared to increase mortality after injury.