scholarly journals Embolization in Trauma: Review of Basic Principles and Techniques

2021 ◽  
Vol 38 (01) ◽  
pp. 018-033
Author(s):  
Jorge E. Lopera
Keyword(s):  
Interventional Radiology ◽  
Cause Of Death ◽  
Paradigm Shift ◽  
Nonoperative Management ◽  
Transcatheter Embolization ◽  
Penetrating Injuries ◽  
Basic Principles ◽  
Traumatic Injuries ◽  
Modern Treatment ◽  
Established Technique

AbstractTrauma is the leading cause of death in patients younger than 45 years. Over the last decade, there has been a progressive paradigm shift toward a nonoperative management of many blunt and penetrating injuries, placing interventional radiology in the forefront in this critical field. Transcatheter embolization is an established technique that plays a significant role in the modern treatment of traumatic injuries of the extremities, pelvis, and solid organs. The purpose of this article is to review the updated principles and techniques used in transcatheter embolization in trauma.

Selective angiographic embolization of blunt splenic traumatic injuries in adults decreases failure rates of nonoperative management

2012 ◽  
Vol 72 (5) ◽  
pp. 1456
Author(s):  
Indermeet S. Bhullar ◽  
Eric R. Frykberg ◽  
Daniel Siragusa ◽  
David Chesire ◽  
Julia Paul ◽  
...  
Keyword(s):  
Nonoperative Management ◽  
Angiographic Embolization ◽  
Failure Rates ◽  
Traumatic Injuries

scholarly journals Rekonstruksi Politik Hukum Pidana Nasional (Telaah Kritis Larangan Analogi dalam Hukum Pidana)

2016 ◽  
Vol 12 (3) ◽  
pp. 524
Author(s):  
Tongat Tongat
Keyword(s):  
Criminal Law ◽  
Paradigm Shift ◽  
The State ◽  
Law Reform ◽  
Basic Principles ◽  
Draft Code ◽  
The Republic

A paradigm shift in the state of life—especially post the Constitution of the Republic of Indonesia 1945 amendments—have not been fully understood  properly. Up to now—included in the lawless life—is still a gap between the paradigm and its implementation . This paradigmatic gap visible example of the lack of a comprehensive implementation of the basic principles of the Constitution of the Republic of Indonesia 1945 in a national criminal law reform ( draft Code of Criminal Law ) . The draft Code of Criminal Law as one form of national criminal law reform is seen has not fully represent constitution demands. Prohibiting the   use of analogy in criminal law is still seen at odds with the provisions of Article 1 ( 3 ) of the Constitution of the Republic of Indonesia 1945. The gap is not only paradigmatic potential to cause difficulties in its application, but also potentially the cancellation clause in the legislation  concerned.

Diagnostics and modern treatment of migraine: what can a general practitioner do?

2021 ◽  
pp. 13-18
Author(s):  
V. V. Osipova
Keyword(s):  
Migraine Attack ◽  
Behavioral Therapy ◽  
Treatment Strategies ◽  
Diagnostic Errors ◽  
Evidence Base ◽  
Preventive Therapy ◽  
Basic Principles ◽  
High Effect ◽  
Primary Health ◽  
Modern Treatment

The article focuses on the basic principles of diagnosis and treatment of migraine at the stage of primary health care. The diagnostic criteria of migraine, common diagnostic errors and alarming symptoms that are indications for instrumental investigations are given. The main treatment strategies of migraine are described: behavioral therapy, attack relief, and preventive therapy. Special attention is being paid to the treatment of a migraine attack, depending on its severity, including the features of the use of simple analgesics and triptans – specific drugs that have a pathogenetic antimigrenous effect. The principles of the use of tryptans that provide a high effect of relieving a migraine attack are being listed. The advantages of eletriptan as a last‑generation triptan, which is highly effective in relieving migraine attacks and is safer than other drugs in this class, are highlighted. Among the modern classes of drugs that have an evidence base in migraine prevention, those that can be successfully used by general practitioners are indicated.

Operative Exposure of Abdominal Injuries and Closure of the Abdomen

2019 ◽  
Author(s):  
Matthew D Nealeigh ◽  
Mark W Bowyer
Keyword(s):  
Open Abdomen ◽  
Nonoperative Management ◽  
Damage Control ◽  
Damage Control Surgery ◽  
Damage Control Resuscitation ◽  
Abdominal Injuries ◽  
Penetrating Injuries ◽  
Optimal Outcomes ◽  
Medial Rotation ◽  
Selective Nonoperative Management

Operative exposure and management of significant blunt or penetrating injuries to the abdomen is a critical skill required of all surgeons caring for victims of trauma. Application of damage control resuscitation and damage control surgical principles improves survival. Advances in diagnostics, increasing experience with selective nonoperative management, and use of endovascular and angiographic techniques have all significantly decreased the frequency of laparotomies performed for trauma. This decreasing clinical experience mandates that surgeons dealing with victims of trauma remain facile with the operative approaches and techniques detailed in this chapter to achieve optimal outcomes. Detailed management of specific injuries is covered in other chapters of this text. This review contains 7 figures, 2 tables, and 41 references.  Key Words: abdominal trauma, damage control resuscitation, damage control surgery, endovascular control of hemorrhage, open abdomen, REBOA, supraceliac control of aorta, trauma systems, visceral medial rotation

scholarly journals The Revolution within a Revolution: Personal Experiences of a Young Interventional Radiologist

2019 ◽  
Vol 36 (01) ◽  
pp. 029-031
Author(s):  
Sonali Mehandru
Keyword(s):  
Interventional Radiology ◽  
Diagnostic Imaging ◽  
Paradigm Shift ◽  
Training Programs ◽  
Early Career ◽  
Outpatient Clinics ◽  
Clinical Model ◽  
Interventional Radiologist ◽  
Personal Experiences ◽  
Challenges And Opportunities

AbstractInterventional radiology (IR) has undergone a paradigm shift, and has become more clinically directed. This is particularly true with the new training programs, which are all required to have outpatient clinics, admitting services, and consult services within their hospitals. Despite these changes in education, however, many jobs still require a significant amount of diagnostic imaging work, and many established groups are reticent to allow the time and resources needed to pursue this clinical model of IR practice. This lack of support can lead to frustration for the early career interventional radiologist. This article describes the experience of one early career interventional radiologist, including some of the challenges and opportunities that have arisen from the recent changes in training.

Nonoperative Management of Appendicitis: A Paradigm Shift?

2017 ◽  
Vol 70 (1) ◽  
pp. 101-102
Author(s):  
Callie M. Thompson ◽  
Wesley H. Self ◽  
Tyler W. Barrett
Keyword(s):  
Paradigm Shift ◽  
Nonoperative Management

Trauma

2018 ◽  
Author(s):  
David A. Young
Keyword(s):  
Cause Of Death ◽  
Life Support ◽  
Motor Vehicle ◽  
The United States ◽  
Motor Vehicle Accidents ◽  
Advanced Trauma Life Support ◽  
Traumatic Injuries ◽  
Vehicle Accidents ◽  
One Year ◽  
Uncontrolled Bleeding

Traumatic injuries are the most common cause of death within the United States for children above one year of age Most traumatic injuries in children are a result of motor vehicle accidents, child abuse (or nonaccidental trauma), drowning, thermal injury, or falls. Motor vehicle accidents are the leading cause of death for children above the age of one year. Strategies of Advanced Trauma Life Support (ATLS) utilize a standardized approach to promptly identify and manage life-threatening traumatic injuries. These strategies include recognition of cardiopulmonary disorders, volume resuscitation, and prevention of additional injuries including to the cervical spine. A management plan for severe and uncontrolled bleeding is critically important to have established when caring for children with traumatic injuries. Many strategies have been developed to manage severe and uncontrolled bleeding including the use of massive transfusion protocols, damage control surgery, and hemostatic agents.

scholarly journals Blunt Hepatic Injury: A Paradigm Shift From Operative to Nonoperative Management in the 1990s

2000 ◽  
Vol 231 (6) ◽  
pp. 804-813 ◽  
Author(s):  
Ajai K. Malhotra ◽  
Timothy C. Fabian ◽  
Martin A. Croce ◽  
Timothy J. Gavin ◽  
Kenneth A. Kudsk ◽  
...  
Keyword(s):  
Paradigm Shift ◽  
Hepatic Injury ◽  
Nonoperative Management ◽  
Blunt Hepatic Injury

scholarly journals The sword and the knife: a comparison of ancient Egyptian treatment of sword injuries and present day knife trauma.

Res Medica ◽  
2017 ◽  
Vol 24 (1) ◽  
pp. 47-56 ◽  
Author(s):  
Katherine Jane Wade
Keyword(s):  
Medical Practice ◽  
Current Treatment ◽  
Basic Principles ◽  
Traumatic Injuries ◽  
Treatment Regimes ◽  
Ancient Egyptian ◽  
Sharp Force ◽  
Sharp Force Injury

The Edwin Smith papyrus is the oldest known surgical treatise, thought to have been written in 1700 B.C. It was first discovered in Luxor in 1862 and was first translated from hieroglyph script by Egyptologist, James Henry Breasted in 1930. The papyrus details forty eight traumatic injuries which are topographically organised and considered formulaically through examination, diagnosis, prognosis and treatment.The Khopesh was an ancient Egyptian sickle shaped sword which was thought to have been used to inflict a slash-type sharp force injury during battle. Treatment of these slash-type wounds as described in the Edwin Smith papyrus are compared with the current treatment of equivalent slash-type injuries, commonly knife wounds in the twenty first century.Comparison of a variety of components involved in the treatment of historical and modern slash-type sharp force wounds has illustrated that despite advances in medical practice, some of the basic principles of our current treatment regimes are derived from practices established thousands of years ago by the ancient Egyptians. 

scholarly journals On-Site Medical Management of Avalanche Victims—A Narrative Review

2021 ◽  
Vol 18 (19) ◽  
pp. 10234
Author(s):  
Simon Rauch ◽  
Giacomo Strapazzon ◽  
Hermann Brugger
Keyword(s):  
Cardiac Arrest ◽  
Mortality Rate ◽  
Cause Of Death ◽  
Medical Management ◽  
Site Management ◽  
Mountain Regions ◽  
Common Cause ◽  
Traumatic Injuries ◽  
Favorable Prognosis ◽  
Air Pocket

Avalanche accidents are common in mountain regions and approximately 100 fatalities are counted in Europe each year. The average mortality rate is about 25% and survival chances are mainly determined by the degree and duration of avalanche burial, the patency of the airway, the presence of an air pocket, snow characteristics, and the severity of traumatic injuries. The most common cause of death in completely buried avalanche victims is asphyxia followed by trauma. Hypothermia accounts for a minority of deaths; however, hypothermic cardiac arrest has a favorable prognosis and prolonged resuscitation and extracorporeal rewarming are indicated. In this article, we give an overview on the pathophysiology and on-site management of avalanche victims.

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