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גלרית התמונות |
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לוח ארועים בנושאי טראומה |
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סקר |
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חיפוש |
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כותרות אקראיות |
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Traumatic Intrahepatic Portosystemic Venous Shunt |
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A Rare
Complication of Grade V Liver Laceration
Timothy E. Oppermann, MD, Alain C. Corcos, MD, Larry M. Jones, MD, Roger R.
Barrette, MD,
and Jorge R. Varcelotti, MD
J Trauma. 2007;63:1230 –1233.
Liver injury occurs in approximately 5% of all trauma admissions.1 During the
past three decades the treatmentof blunt liver injury has shifted from surgery
to nonoperative
management, resulting in an appreciable decrease in mortality. Clearly, this
shift from operative to nonoperative management has evolved in an era of
advanced imaging
technologies and improvements in critical care management.2 Most major trauma
centers report nonoperative management
success rates of 82% to 100%.1,3–9 As nonoperative management is now the
standard of care, even for many high-grade (American Association for the Surgery
of Trauma Injury
Grade [AAST] IV and V) injuries, the trauma surgeon occasionally faces unique
complications requiring more complex care. In our institution we treated a
patient with a Grade V
liver laceration complicated by an intrahepatic portosystemic venous shunt. In
the following sections, we describe the
challenges encountered during the care of this patient.
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Brian G. Harbrecht, MD, Sae Hee Ko, MD, Gregory A. Watson, MD, Raquel M. Forsythe, MD,
Matthew R. Rosengart, MD, and Andrew B. Peitzman, MD
Background: Splenic artery arteriography
with possible therapeutic embolization
(SAE) has been postulated to improve
the success rate of nonoperative management
of blunt splenic injuries and increase
splenic salvage. Previous reports, however,
have compared SAE with historical
controls. We compared nonoperative success
with SAE with a contemporaneous
group treated nonoperatively without SAE
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Emergency Department Length of Stay: a Major Risk Factor |
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Brendan G. Carr, MD, MA, Adam J. Kaye, MD, Douglas J. Wiebe, PhD, Vicente H. Gracias, MD,
C. William Schwab, MD, and Patrick M. Reilly, MD
Background: Pneumonia occurs commonly
in intubated patients and is morbid
and occasionally mortal. Pneumonia
prevention strategies have been successful
in the intensive care unit and are
favorably regarded, cost effective, and
efficacious. Trauma patients are often
intubated emergently in the prehospital
or emergency department (ED) setting.
Nationwide, hospital crowding has resulted
in prolonged ED length of stay
(LOS). We sought to study the association
between prolonged ED LOS and
rates of pneumonia
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The Practice of Venous Thromboembolism Prophylaxis in the Major Trauma Patient. |
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Abstract:
Background: The incidence of venous thromboembolism (VTE) without
prophylaxis is as high as 80% after major trauma. Initiation of
prophylaxis is often delayed because of concerns of injury-associated
bleeding. As the effect of delays in the initiation of prophylaxis on
VTE rates is unknown, we set out to evaluate the relationship between
late initiation of prophylaxis and VTE.
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חדשות החברה הישראלית לטראומה |
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פרטים אשיים |
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לוח ארועים חודשי |
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תפריט נושאים |
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