Search Tag: trauma
2025 16 Jun
Timely identification of haemorrhage control resuscitation (HCR) needs in trauma patients is challenging due to inconsistent recognition and decision-making, which delay treatment and harm outcomes. Traditional clinical tools like scores and flowcharts are easy to use but often lack predictive accuracy and are poorly integrated into clinical practice. ...Read more
2025 11 Jun
Advancements in civilian casualty care can reduce mortality from trauma, particularly those due to airway compromise or prehospital haemorrhage. Timely delivery of lifesaving interventions (LSIs) is crucial but challenging for prehospital medics, who must make rapid decisions under constrained conditions with limited experience and unreliable triage...Read more
2025 08 Apr
Severe traumatic injuries cause 4.4 million deaths globally each year, with haemorrhage responsible for 35–40% of these deaths, making it the second leading cause after brain injuries. Haemorrhagic deaths occur rapidly, often before hospital arrival, necessitating fast, pre-hospital interventions like haemostatic dressings, tourniquets, hypothermia...Read more
2024 09 Jul
In major trauma patients, ionised calcium levels (iCa2+) can be disrupted by injury, physiological imbalances, resuscitation strategies, and blood transfusions. Hypocalcaemia often results from the transfusion of citrate-containing blood products, as citrate binds to calcium, and this effect is exacerbated in cases of organ failure and massive transfusion....Read more
2024 30 Apr
The impact of trauma on global health is significant, resulting in millions of deaths and disabilities annually, with a particularly high toll on young people. However, the elderly are also increasingly affected. Variances in trauma-related death patterns worldwide are influenced by factors such as prompt treatment availability and the prevalence...Read more
2024 02 Apr
Antibiotic prophylaxis (AP) in surgery prevents surgical site infections (SSIs). Despite clear recommendations from health authorities, AP is often misused globally, leading to reduced patient safety and increased antimicrobial resistance. Factors contributing to inappropriate AP use include errors in drug selection, dosage, duration, timing, and administration...Read more
2024 03 Jan
This study focuses on the impact of sepsis, a condition resulting from a dysregulated immune response to infection, on the ability of patients to return to work (RTW). Sepsis is a significant global health concern, causing substantial morbidity and mortality. Sepsis survivors commonly experience long-term cognitive and functional impairments, but the...Read more
2023 30 Nov
Intensive care impacts more than the patient, with ripple effects for families, employers and wider societies. Patient-centred outcomes reiterate the need for clinical therapies targeting the biological circuitry of the big-hitting syndromes like ARDS, sepsis, delirium, renal failure and recognising they persist beyond the veil of discharge....Read more
2023 19 Apr
Conflict zones often involve gunfights, bomb blasts, and mass casualty incidents. However, patients in conflict zones may also present with everyday medical problems unrelated to trauma. Despite the challenges of working in a conflict zone, healthcare professionals strive to provide care for all patients, including those with chronic medical conditions....Read more
2023 07 Mar
According to the Global Burden of Diseases, Injuries, and Risk Factors Study, trauma accounted for 8% of total deaths annually. Among adolescents aged 10-24 years, road injuries, self-harm, and interpersonal violence are the top causes of disability-adjusted life-years, and road injuries are ranked first in the 25-49 year age group. Post-traumatic...Read more
2022 12 Jul
Time has always been considered an essential determinant of outcome in the early care of trauma patients, and the concept of trauma as a time-sensitive condition has been part of education and policy for decades. However, data on system performance from physician-staffed EMS are far less abundant than data from EMS systems. Physician-staffed EMS is...Read more
2021 28 Jun
A recent study out of the UK gathered data from five hospitals to establish if a detailed review of trauma reports with reference to the coding manual improved accuracy of ISS. Investigators included information on imaging undertaken, mechanism of injury (MOI), Injury Severity Score (ISS), and injury descriptors. Patients with ISS near...Read more
2019 03 Dec
New research from New York University (NYU) sheds light on how damage from mild traumatic brain injury, or concussion, affects your cognitive function. Transmission of information between the brain's left and right hemispheres is via the corpus callosum, a bundle of nerve fibres that carries signals between the two sides. Concussions are harmful...Read more
2019 26 Sep
The critically ill patient is often unable to feed by mouth. This condition, in some patients, can range from days to months. It is imperative that these patients receive macronutrients either through enteral or parenteral nutrition. If they don't, there is a risk of an energy deficit that could lead to loss of lean body mass and subsequently, other...Read more
2019 26 Sep
The fifth edition of the European Trauma Treatment Guidelines that have already been cited 1650 times and downloaded from the original home page nearly 600,000 times. The European trauma treatment guidelines have significantly changed the treatment modalities of trauma patients around the world. The guidelines have also been endorsed...Read more