Search Tag: trauma

ICU Management

ICU Volume 15 - Issue 4 - 2015

2015 31 Dec

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ICU Management

Burn Care: Regionalisation, Organisation and Triage

2015 31 Dec

The interdisciplinary nature of burn care has driven centre regionalisation. The role of burn centres in the national trauma system cannot be overstated.  Burn centres, essential components of any trauma system, serve a broad base of patients, including potentially those injured in mass casualty events. Over the past fifty years, the field of burn... Read more

ICU Management

Blast Injury

2015 31 Dec

What to Expect in Civilian vs. Military Contexts Civilian blast injuries are not rare, but most are not due to military explosives, meaning extrapolation from military texts is often inappropriate. In civilian mass casualty events, emergency departments will see large patient numbers, but few require surgery or intensive care. Survivors of small... Read more

ICU Management

Fluid Choices in Trauma

2015 31 Dec

This article focuses on the type of fluid available and respective indications in the course of trauma resuscitation according to the situation: haemorrhagic shock, trauma brain injury. In trauma patients, fluid resuscitation aims at preventing a cardiac arrest due to severe hypovolaemia and at achieving a satisfying level of mean arterial pressure... Read more

ICU Management

Emergency Medicine & Trauma

2015 31 Dec

Providing seamless emergency care is the ideal for those of us who work in emergency medicine and intensive care. In the past, intensive care units were a closed part of the hospital, and admission was strictly controlled. This idea is obsolete now. It is heartening that we are providing more integrated care between emergency and intensive care. Intensivists... Read more

IMAGING Management

Ruling out CT for Minor Head Trauma

2015 29 Dec

Combinations of history and physical examination features in clinical decision rules can identify patients with minor head trauma at low risk of severe intracranial injuries, and for whom head CT may not be necessary. The findings are based on a systematic review conducted by Joshua S. Easter, MD, MSc, of the Department of Emergency Medicine, University... Read more

IMAGING Management

MRI Shows ‘Brain Scars’ in Military Personnel with Blast-related Concussion

2015 15 Dec

MRI shows brain damage in a high percentage of active duty U.S. military personnel who suffered blast-related mild traumatic brain injury (MTBI), or concussion, according to a study published in the journal Radiology . Researchers used MRI to study 834 military service members with MTBI related to blast injuries. MRI scans revealed the presence of... Read more

ICU Management

Massive Blood Transfusion - Lessons from the Military

2015 09 Nov

A new military trauma care protocol for managing haemorrhage and resuscitation may assist in saving both combat and civilian patients, according to a new study published in the AANA Journal . David Gaskin, CRNA, MHS, and co-authors write that although “haemorrhage is a less common cause of death than a central nervous system injury, it is the most... Read more