101,516 results match your criteria accident patient

Basic concepts of radiation emergency medicine.

J Radiol Prot 2021 Sep 15. Epub 2021 Sep 15.

Health Division, IRSN, Fontenay-aux-Roses, 92260, FRANCE.

Nuclear and radiological accidents are not frequent but may lead to major consequences in the population. For the health systems, the need to handle a large number of victims will probably remain as an exception. However, a high number of affected victims can be expected in some terrorist scenarios. Read More

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September 2021

[What (general/abdominal) surgeons should know about occupational medicine? : General vaccine recommendations and postexposure prophylaxis of hepatitis B, C and HIV].

Chirurg 2021 Sep 15. Epub 2021 Sep 15.

Bereich Arbeitsmedizin, Medizinische Fakultät, Otto-von-Guericke-Universität Magdeburg, Leipziger Straße 44, 39120, Magdeburg, Deutschland.

This article deals with the general recommendations on vaccination and postexposure prophylaxis, which can be utilized for cuts and needlestick injuries. Cuts and needlestick injuries among surgeons are common occupational accidents. These should be interpreted as acute or emergency situations, especially if there was contact with infectious index patients or the danger of infection cannot be excluded. Read More

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September 2021

Antimicrobial stewardship programs in emergency departments: how do we measure antimicrobial use? A systematic review.

Rev Esp Quimioter 2021 Sep 15. Epub 2021 Sep 15.

Jesus Ruiz, Pharmacy Department, Hospital Santa Creu i Sant Pau. C/San Quintín 89, 08041 Barcelona, Spain.

Objective: The implementation of antimicrobial stewardship programs (ASPs) has become a usual practice in hospital settings. However, the method for monitoring antimicrobial use in accident and emergency departments (ED) is not yet adequately defined. Thus, the objective of this review is to describe antimicrobial use indicators used by ASPs implemented in ED. Read More

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September 2021

[Morphological analysis of coronal femoral intertrochanteric fracture and its effect on reduction and internal fixation].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2021 Sep;35(9):1093-1099

Department of Orthopedics, Luodian Hospital, Baoshan District, Shanghai, 201908, P.R.China.

Objective: To investigate the morphology of coronal femoral intertrochanteric fracture and its effect on reduction and internal fixation.

Methods: The clinical and imaging data of 46 patients with femoral intertrochanteric fracture who met the selection criteria between August 2017 and October 2018 were reviewed. There were 15 males and 31 females; the age ranged from 62 to 91 years, with an average of 72. Read More

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September 2021

[Research on the classification criteria of femoral intertrochanteric fractures based on irreducibility or not].

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi 2021 Sep;35(9):1086-1092

Department of Traumatic Orthopedics, Affiliated Hospital of Jining Medical University, Jining Shandong, 272029, P.R.China.

Objective: To formulate the classification criteria of femoral intertrochanteric fractures based on irreducibility or not in order to predict the difficulty of fracture recovery.

Methods: A clinical data of 244 patients with closed femoral intertrochanteric fractures admitted between January 2017 and March 2020 was retrospectively analyzed. There were 116 males and 128 females with an average age of 77. Read More

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September 2021

Parkinsonism in a Patient With Metal on Metal Total Hip Replacement Related Elevated Serum Heavy Metal Levels.

Cureus 2021 Sep 7;13(9):e17791. Epub 2021 Sep 7.

Oxford Parkinson's Disease Centre, University of Oxford, Oxford, GBR.

Heavy metal toxicity accounts for a rare minority of parkinsonian presentations. It is established that metal on metal total hip replacements can elevate serum cobalt and chromium levels. Here, we present an atypical parkinsonism presentation in a patient with metal on metal total hip replacement related heavy metal exposure, a picture complicated by a previous cerebral vascular accident involving the right lentiform nucleus. Read More

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September 2021

Liver in the Chest: A Case of a Large Traumatic Diaphragmatic Rupture.

Cureus 2021 Aug 9;13(8):e17028. Epub 2021 Aug 9.

Thoracic Surgery, Henry Ford Health System, Jackson, USA.

Motor vehicle collisions (MVC) cause more than one million deaths annually and an estimated 20-50 million significant injuries. They can cause blunt and penetrating trauma. Blunt diaphragmatic rupture is generally associated with multiple severe injuries due to the high force needed to cause the injury. Read More

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Acute respiratory distress syndrome caused by carbon monoxide poisoning and inhalation injury recovered after extracorporeal membrane oxygenation along with direct hemoperfusion with polymyxin B-immobilized fiber column: a case report.

J Med Case Rep 2021 Sep 15;15(1):456. Epub 2021 Sep 15.

Department of Internal Medicine, Haeundae Paik Hospital, Inje University College of Medicine, Busan, 135-710, Korea.

Background: Inhalation injury from smoke or chemical products and carbon monoxide poisoning are major causes of death in burn patients from fire accidents. Respiratory tract injuries from inhalation injury and carbon monoxide poisoning can lead to acute respiratory distress syndrome and cytokine storm syndrome. In the case of acute respiratory failure needing mechanical ventilation accompanied by cytokine storm, mortality is high and immediate adequate treatment at the emergency department is very important. Read More

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September 2021

Pediatric patients accessing Accident and Emergency Department (A&E) for non-urgent treatment: Why do parents take their children to the A&E?

Int Emerg Nurs 2021 Sep 11;58:101053. Epub 2021 Sep 11.

Academic Department of Pediatrics, Bambino Gesù Children's Hospital, IRCCS, Piazza Sant'Onofrio 4, 00165 Rome, Italy. Electronic address:

Introduction: About 20-30% of children access the Pediatric Accident and Emergency Department (A&E) for non-urgent health care that should normally follow other health care paths. This study aimed to investigate why parents take their children to the A&E for non-urgent visits rather than using primary care services.

Methods: A one-year cross-sectional study was conducted in a large pediatric A&E in Italy. Read More

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September 2021

Rise of extremity fractures and sport accidents in children at 8-12 years and increase of admittance via the resuscitation room over a decade.

Eur J Trauma Emerg Surg 2021 Sep 14. Epub 2021 Sep 14.

Department of Trauma, Hand and Reconstructive Surgery, University Hospital, Goethe University Frankfurt, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Germany.

Introduction: In an emergency department, the majority of pediatric trauma patients present because of minor injuries. The aim of this study was to evaluate temporal changes in age-related injury pattern, trauma mechanism, and surgeries in pediatric patients.

Methods: This retrospective study included patients < 18 years of age following trauma from 01/2009 to 12/2018 at a level I trauma center. Read More

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September 2021

Pinckney fracture: do not underestimate trauma of the distal phalanx of the hallux.

BMJ Case Rep 2021 Sep 13;14(9). Epub 2021 Sep 13.

Serviço de Ortopedia Pediátrica, Hospital Dona Estefânia - Centro Hospitalar Lisboa Central, Lisboa, Portugal.

Toe injuries are common in the emergency department and most of them are treated conservatively. In some circumstances, these injuries can present as a physeal fracture with concomitant soft-tissue injury affecting the nail bed and resulting in a hidden open fracture. To adequately treat these patients, a high index of suspicion is needed to diagnose and treat the open fractures and to prevent complications such as infection, osteomyelitis, malunion and premature physeal arrest. Read More

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September 2021

Neurological safety and efficacy of darifenacin and mirabegron for the treatment of overactive bladder in patients with history of cerebrovascular accident: A prospective study.

Neurourol Urodyn 2021 Sep 13. Epub 2021 Sep 13.

Department of Urology and Renal Transplant, Vardhaman Mahavir Medical College and Safdarjung Hospital, New Delhi, India.

Objectives: To evaluate the neurological safety and clinical efficacy of darifenacin and mirabegron in patients with a history of cerebrovascular accident (CVA) who had overactive bladder (OAB) symptoms.

Methods: This prospective randomized study, approved by the institute's ethics committee, was carried out at a tertiary care center from December 2018 to June 2020. Treatment naïve adult patients with a past history of CVA with stable neurological status for atleast past 3 months with symptoms of OAB for 3 or more months were included. Read More

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September 2021

Eduard Gamper (1887-1938): cases and accidents.

J Neurol 2021 Sep 13. Epub 2021 Sep 13.

Klinik für Psychiatrie und Psychotherapie, TU München, München, Germany.

Eduard Gamper (1887-1938) was Head of the Department of Neuropsychiatry at the Charles University's German Faculty of Medicine in Prague. He had trained in Innsbruck, where he undertook groundbreaking work on the midbrain in an anencephalic child and in a series of patients who had died from Wernicke's encephalopathy. Gamper identified the mamillary bodies as key in the performance of declarative memory. Read More

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September 2021

The spectrum of blunt abdominal trauma in Pietermaritzburg.

S Afr J Surg 2021 Sep;59(3):90-93

Department of Surgery, University of the Witwatersrand, South Africa and Department of Surgery, University of KwaZulu-Natal, South Africa.

Background: This study reviews the Pietermaritzburg Metropolitan Trauma Service (PMTS) experience with the management of blunt abdominal trauma (BAT).

Methods: A retrospective review of the hybrid electronic medical registry (HEMR) between December 2012 and September 2019 was conducted. All patients admitted following BAT were included. Read More

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September 2021

Association between Discontinuing Chronic Opioid Therapy and Newly Diagnosed Substance Use Disorders, Accidents, Self-Inflicted Injuries and Drug Overdoses within the Prescribers' Health Care System: A Retrospective Cohort Study.

Addiction 2021 Sep 13. Epub 2021 Sep 13.

Division of Pharmaceutical Evaluation and Policy, College of Pharmacy, University of Arkansas for Medical Sciences, Little Rock, AR.

Background And Aim: Prescribers are commonly confronted with discontinuing opioid therapy among patients prescribed chronic opioid therapy (COT). This study aimed to measure the association between discontinuing COT and diagnoses of substance use disorders (SUDs) and opioid-related adverse outcomes (AOs).

Design: Retrospective cohort study SETTING: U. Read More

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September 2021

Consensus-based Standards and Indicators to strengthen trauma center injury and violence prevention programs.

Trauma Surg Acute Care Open 2021 23;6(1):e000762. Epub 2021 Aug 23.

Trauma and Acute Care Surgery, University Hospitals Cleveland Medical Center, Cleveland, Ohio, USA.

For decades, the American College of Surgeons Committee on Trauma (ACSCOT) has published which outlines specific criteria necessary to be verified by the college as a trauma center, including having an organized and effective approach to prevention of trauma. However, the document provides little public health-specific guidance to assist trauma centers with developing these approaches. An advisory panel was convened in 2017 with representatives from national trauma and public health organizations with the purpose of identifying strategies to support trauma centers in the development of a public health approach to injury and violence prevention and to better integrate these efforts with those of local and state public health departments. Read More

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Outcome of Delayed Perineal Anastomotic Urethroplasty in Children with Post-Traumatic Urethral Stricture in a Tertiary Center, Addis Ababa, Ethiopia.

Res Rep Urol 2021 29;13:631-637. Epub 2021 Aug 29.

Department of Surgery, Pediatric Surgery Division, Addis Ababa University, Addis Ababa, Ethiopia.

Background: Urethral stricture is a challenging urologic problem resulting from congenital, idiopathic, traumatic, iatrogenic,and inflammatory causes. Road traffic accidents and falling-down accidents are the most common traumatic causes. Although most management principles are extrapolated from adults, stricture in children has a unique anatomic challenge. Read More

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Failure of Miniplate Fixation in a Fracture of the Mandibular Coronoid Process.

Plast Reconstr Surg Glob Open 2021 Sep 7;9(9):e3815. Epub 2021 Sep 7.

Department of Plastic Surgery, Inha University Hospital, Incheon, Korea.

Mandibular coronoid fractures are mainly the result of motor vehicle accidents, followed by assaults and falls. We report a case of failure of miniplate fixation in a coronoid fracture. A 57-year-old man fell onto his face from a 3-m height. Read More

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September 2021

Traumatic brain injury caused by Brazil-nut fruit in the Amazon: A case series.

Surg Neurol Int 2021 9;12:399. Epub 2021 Aug 9.

Departament of Neurosurgery, Getúlio Vargas University Hospital - Federal University of Amazonas, Manaus, AM, Brazil.

Background: Traumatic brain injury (TBI) represents one of the leading public health problems and a significant cause of neurological damage. Unintentional causes of TBI are the most frequent. However, fruit falling over the head causing TBI is extremely rare. Read More

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Outcome of diffuse axonal injury in moderate and severe traumatic brain injury.

Surg Neurol Int 2021 3;12:384. Epub 2021 Aug 3.

Department of Neurosurgery, Jinnah Postgraduate Medical Centre, Karachi, Pakistan.

Background: Diffuse axonal injury (DAI) is a common presentation in neurotrauma. Prognosis is variable but can be dependent on the initial presentation of the patient. In our study, we evaluated the outcome of diffuse axonal injury. Read More

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Blood-based detection of lung cancer using cysteine-rich angiogenic inducer 61 (CYR61) as a circulating protein biomarker: a pilot study.

Mol Oncol 2021 Sep 12. Epub 2021 Sep 12.

Department of Tumor Biology, University Medical Center Hamburg-Eppendorf, Martinistraße 52, 20246, Hamburg, Germany.

Lung cancer is the most often diagnosed cancer and the main cause of cancer deaths in the world compared to other tumor entities. To date, the only screening method for high-risk lung cancer patients is low-dosed computed tomography which still suffers from high false-positive rates and over-diagnosis. Therefore, there is an obvious need to identify biomarkers for the detection of lung cancer that could be used to guide the use of low-dosed computed tomography or other imaging procedures. Read More

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September 2021

Analysis of Pedestrian Fractures in Collisions Between Small Cars and Pedestrians Based on Surveillance Videos.

Am J Forensic Med Pathol 2021 Sep 10. Epub 2021 Sep 10.

From the School of Forensic Medicine Guangdong Provincial Research Center of Traffic Accident Identification Engineering Technology, Centre of Forensic Science Southern Medical University, School of Forensic Medicine, Southern Medical University School of Mechanical & Automotive Engineering, South China University of Technology, Guangzhou, Guangdong, China.

Objective: To discuss the collision relationship and the cause of the fracture caused by traffic accidents in which the front of a small car collides with the side of a pedestrian while braking.

Methods: The surveillance videos of 42 traffic accidents involving the front of a small car colliding with the side of a pedestrian while braking were collected. By analyzing the surveillance videos and the paths, the speed of the collision, the relationship between the vehicle and the pedestrian upon collision, and the movement trajectory of the human body were clearly identified. Read More

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September 2021

Prevalence of Traumatic Dental Injury in a Tertiary Care Hospital: A Descriptive Cross-sectional Study.

JNMA J Nepal Med Assoc 2021 Jan 31;59(233):31-34. Epub 2021 Jan 31.

Department of Biochemistry, Universal College of Medical Sciences, Bhairahawa, Rupandehi, Nepal.

Introduction: Traumatic dental injury is an injury inflicted on the dentoalveolar system. It has a physical as well as a psychological impact. Despite this concern, epidemiological data regarding its prevalence is insufficient in the literature of Nepal. Read More

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January 2021

Effect of the COVID-19 pandemic on cardiac arrest resuscitation practices and outcomes in non-COVID-19 patients.

J Intensive Care 2021 Sep 10;9(1):55. Epub 2021 Sep 10.

Department of Anaesthesia and Intensive Care, The Chinese University of Hong Kong, Hong Kong SAR, China.

The effect of changes to cardiopulmonary resuscitation (CPR) procedures in response to Coronavirus disease 2019 (COVID-19) on in-hospital cardiac arrest (IHCA) management and outcomes are unreported. In this multicenter retrospective study, we showed that median time to arrival of resuscitation team has increased and proportion of patients receiving first-responder CPR has lowered during this pandemic. IHCA during the pandemic was independently associated with lower return of spontaneous circulation OR 0. Read More

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September 2021

Indications for amputation after traumatic brachial plexus injury in adults: case report and review of new prosthetic technologies.

Hand Surg Rehabil 2021 Sep 7. Epub 2021 Sep 7.

Hand, upper limb & peripheral nerve surgery department, Georges-Pompidou European Hospital (HEGP), 20, rue Leblanc, 75015 Paris, France; University of Paris, Medical School, 12, rue de l'école de médecine, 75006 Paris, France; Research Unit, Clinique Blomet, 136 bis, rue Blomet, 75015 Paris, France.

Hand amputation can be discussed after traumatic brachial plexus injury when the patient's hand is non-functional, painful and/or insensitive. That indication is more common in English-speaking countries than in European or Latin countries. New prostheses are now on the market and can be used after hand amputation to improve the functional prognosis in well-selected patients. Read More

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September 2021

Herlyn Werner Wunderlich Syndrome Presenting with Ischemic Stroke due to Suspected Paroxysmal Nocturnal Hemoglobinuria: A Case Report.

JNMA J Nepal Med Assoc 2021 Feb 28;59(234):192-196. Epub 2021 Feb 28.

Department of Internal Medicine, Kathmandu Medical College and Teaching Hospital, Sinamangal, Kathmandu, Nepal.

Paroxysmal nocturnal hemoglobinuria can rarely present as cerebral ischemia and stroke due to arterial thrombosis. However, it should be considered in a young patient with bone marrow failure features, systemic thromboses, and hemolysis. The variants of paroxysmal nocturnal hemoglobinuria pose a diagnostic challenge and hence are important to recognize. Read More

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February 2021

Spectrum of Diseases among Neurosurgical Patients in a Tertiary Care Hospital of Nepal: A Descriptive Cross-sectional Study.

JNMA J Nepal Med Assoc 2021 Feb 28;59(234):176-179. Epub 2021 Feb 28.

Department of Anesthesia and Critical Care, Karnali Academy of Health Sciences, Karnali, Nepal.

Introduction: The number of neurosurgical cases, especially traumatic injuries, are increasing in remote settings. This study aims to determine neurosurgical cases in a tertiary care center teaching hospital situated in a remote area of Nepal.

Methods: It was a descriptive cross-sectional study among 138 neurosurgical patients at Karnali Academy of Health Sciences from 2019 August to 2020 July. Read More

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February 2021

Peroneus brevis tendon injuries: Report of two cases and review of literature.

Trauma Case Rep 2021 Oct 24;35:100524. Epub 2021 Aug 24.

Hellenic Police Orthopaedic Department, Greece.

The incidence of peroneal tendon disorders in the population is unknown and they are usually overlooked. We report two cases of peroneus brevis injuries and a comprehensive literature review was performed. The first case was a 53-year-old man presented with persistent pain on the lateral aspect on the left ankle during the last four years and difficulty to bear weight during the last year. Read More

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October 2021

Severe hand contracture treated by external fixation after proximal row carpectomy and awake tenolysis after general anesthesia: A case report.

Chin J Traumatol 2021 Aug 16. Epub 2021 Aug 16.

Department of Orthopedic Surgery, Kurashiki Central Hospital, 1-1-1 Miwa, Kurashiki, 710-0052, Japan.

Wide-awake local anesthesia has many advantages. We describe a new method to use wide-awake local anesthesia with more flexibility. A 32-year-old man with a severe right-hand contracture after an iatrogenic tourniquet accident during an anterolateral thigh flap for a partial hand amputation underwent contracture release using external fixation after proximal row carpectomy and subsequent tenolysis. Read More

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A Bayesian Approach on Investigating Helicopter Emergency Medical Fatal Accidents.

Aerosp Med Hum Perform 2021 Jul;92(7):563-569

Helicopter Emergency Medical Service (HEMS) is a mode of transportation designed to expedite the transport of a patient. Compared to other modes of emergency transport and other areas of aviation, historically HEMS has had the highest accident-related fatality rates. Analysis of these accident data has revealed factors associated with an increased likelihood of accident-based fatalities. Read More

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