Evaluation of the effects of pain scale and analgesic administration on radiological imaging methods and hospitalization in trauma patients admitted to the emergency service

2021 ◽  

Background: Trauma, one of the major concerns in today’s world, exposes societies to important economic, social and health-related problems. Trauma is known to account for 10% of the world’s deaths. Objective: The aim of the study is to evaluate the demographic characteristics of trauma, which is common in emergency services and causes significant loss of workload and function when appropriate diagnosis and treatment methods are not applied, with radiological imaging methods, pain scale and analgesics. Materials and Methods: This prospective study included 1267 patients over the age of 18, who were admitted to the emergency department due to trauma between 1 January and 31 December 2019. The mean age of patients was 47.01 ± 14.97 year, with a male/female ratio of 1.46. 59.3% of the patients were male and 40.7% were female. Patients’ trauma types, radiology results, mortality, numerical pain scale and analgesic administration were evaluated. Results: Numerical pain scale score of trauma patients in the emergency department was 6.23 ± 2.02. Analysis of radiological imaging methods showed significance with age, numerical pain scale, thoracic and lumbar vertebrae, thoracic and abdominal injuries, types of trauma, consultation, hospitalization, analgesics administration and pain severity. Trauma types were insignificant with age and gender, but a significant relationship was found with all other parameters. Pain intensity was not correlated with gender and tetanus application but was significant with other variables. There was significance in radiological imaging methods and diagnostic types between injury types. Types of diagnosis were found to be correlated with imaging methods, orthopedic consultation, numerical pain scale and injury types. There was a significant correlation with the types of diagnosis, analgesia administration, consultation, and pain classification according to the pain rating scale. There was no correlation between age and gender according to pain intensity. However, there was a strong positive correlation with pain scale scores, consultation, hospitalization, types of trauma, administration of analgesia, and a weak correlation with radiological imaging methods. Conclusion: Early pain scale with radiological imaging and analgesic administration in trauma patients can reduce morbidity rates and shorten hospital stay.

Medicine ◽  
2017 ◽  
Vol 96 (41) ◽  
pp. e7812 ◽  
Author(s):  
Shahram Bolandparvaz ◽  
Mahnaz Yadollahi ◽  
Hamid Reza Abbasi ◽  
Mehrdad Anvar

2021 ◽  
Vol 45 ◽  
pp. 65-70
Author(s):  
Dylan Rose Balter ◽  
Amanda Bertram ◽  
C. Matthew Stewart ◽  
Rosalyn W. Stewart

Author(s):  
Uzair Luqman ◽  
Muhammad Umar Qayyum ◽  
Shahida Tasneem ◽  
Kaleem Ullah ◽  
Mohsin Khan ◽  
...  

Objective: The aim of this study was to evaluate retrospectively the frequency, indications, and outcome of submental intubation in maxillofacial trauma patients.Methodology: This retrospective study was performed at our maxillofacial surgery department. Retrospective data were collected from electronic patient records and patients’ operation notes from 1st June 2013 to 30th April 2018. All patients who had submental intubation performed irrespective of age and gender were included. Indications, intraoperative / post-operative course, any complications and esthetic results were evaluated.Results: During the period of study from 1st June 2013 to 30th April 2018, a total of 253 patients were operated under general anesthesia for various maxillofacial injuries at our hospital. Out of 253 operated patients, 185(73.1%) were males and 68(26.9%) were females with mean age of 32.7 years. A total of 7 submental intubations were performed. Out of these, 2 patients had panfacial trauma, 3 had comminuted Lefort II and III fractures and 2 had comminuted nasoorbitoethmoid (NOE)/ frontal complex fractures. No intraoperative complications were recorded. Postoperatively, one patient had persistent orocutaneous fistula with salivary leakage which was managed conservatively and healed within 4 weeks after surgery.Conclusions: Submental intubation is a simple, safe and fast alternative to tracheostomy for operative airway management in maxillofacial trauma patients. Received: 18 Oct 2018Reviewed: 20 Oct 2018Accepted: 30 Oct 2018 Citation: Luqman U, Qayyum MU, Tasneem S, Ullah K, Khan M, Khan J. Our experience of submental intubation: a reliable alternative to elective tracheostomy in maxillofacial trauma patients. Anaesth Pain & Intensive Care 2018;22 Suppl 1:S113-S117


2021 ◽  
Vol 15 (10) ◽  
pp. 2724-2725
Author(s):  
Javaid Munir ◽  
Zulfiqar Ali Buzdar ◽  
Zia ul Haq ◽  
Muhammad Anwar Sibtain Fazli ◽  
Fakhar uz Zaman

Background: Human life from conception till death needs some sources of energy or heating mechanism to advance from a day to another in the process of livelihood. From innocent infants falling victims to fires, toddlers to scalds, youth to vitriolage and elders to enmity of a variety of sources or to their own debilitation bring them close to the fire source let them fell a prey to burns. Aim: To observe the age and gender predilections amongst the victims of burns Methods: The study was carried out among 250 victims of burns presented from December 2017 to August 2018 and reported in the Accident and Emergency Department of Mayo Hospital Lahore and filtered in Medicolegal Clinic of King Edward Medical University Lahore. Results: The study revealed maximum involvement of pediatric and geriatric age groups falling victim to burn incidents. In an analysis as a whole almost 84% victims were belonging to these two extremes of ages. Gender disparity showed a slight difference of just 10% showing female preponderance being exposed to burns. Keywords: Burns, Age, Gender, Variation, Disparity


2004 ◽  
Vol 32 (Supplement) ◽  
pp. A83 ◽  
Author(s):  
Carlos A Macias ◽  
Gilles Clermont ◽  
R Scott Watson ◽  
Derek C Angus ◽  
Juan Carlos Puyana ◽  
...  

2008 ◽  
Vol 27 (5) ◽  
pp. 373-379 ◽  
Author(s):  
H-L Lee ◽  
H-J Lin ◽  
ST-Y Yeh ◽  
C-H Chi ◽  
H-R Guo

Poisoning is one of the most common reasons for visiting the emergency department in many countries, and the pattern varies from countries to countries and time to time. To compare the etiology and outcome of poisoning patients in different gender and age groups, we conducted a prospective study at the emergency departments of two medical centers in southern Taiwan between January 2001 and December 2002. All cases of poisoning, excluding patients diagnosed as cases of alcohol or food poisoning, were included, and relevant information was collected. There were 1512 cases of poisoning observed with a male to female ratio of 1:1.2 (684/828). Overall, drugs (49.9%) were the main agents involved, and a suicidal attempt (66.1%) was the predominant etiology. A total of 63 fatalities (4.2%) were observed and pesticides, especially paraquat, resulted in most fatalities. Patients aged 19–30 years constituted the most cases, and significant differences in exposure agents, causes, and fatality rates were found among different age and gender groups. The results are compatible with the trend reported by other Asian countries. This study also shows important differences existing in poisoning patients of different age and gender groups. Therefore, different poisoning-prevention strategies should be applied to different groups.


Sign in / Sign up

Export Citation Format

Share Document