scholarly journals TO ASSESS THE INCIDENCE OF DVT AMONG PATIENTS OF LOWER LIMB SURGERIES /LOWER LIMB TRAUMA ADMITTED TO ST. STEPHEN?S HOSPITAL

Author(s):  
Ankur Rai ◽  
Shailendra Kumar Singh ◽  
Rajendra Kumar Gupta

Background: This study therefore aimed to assess the incidence of DVT among patients of lower limb surgeries /lower limb trauma admitted to St. Stephen?s hospital Methods: The prospective study was conducted at St Stephen?s hospital from Jan 2019 to December 2019 for duration of 1 year, and 104 patients were part of the study. Results: The overall prevalence of DVT in our study was found to be 2.8%. Out of 3 DVT cases 2 were found in males (3.4%) and 1 was a female (2.1%). Conclusion: There is comparable incidence of DVT in our patients as compared to the incidence found in world literature. There is a need to institute DVT prophylaxis in patients undergoing major lower limb surgeries. Keywords: DVT, Lower limb, Trauma

Author(s):  
Diogo de Freitas Valeiro Garcia ◽  
Rafael Richard Clorado de Sá ◽  
Celso de Oliveira Bernini ◽  
Samir Rasslan

ABSTRACT The decision of either preserving a member or primary amputation (PA) in severe extremity trauma, especially in the presence of fractures, vascular injuries or serious injuries of soft tissues has always been a challenge for the trauma surgeon. The initial assessment with objective criteria like indexes, such as the Mangled Extremity Severity Score (MESS) or the PSI, can aid in the differentiation of members that can be saved or should be amputated primarily. We report on the design and preliminary results of our ongoing prospective study analyzing laboratory test as predictors of amputation in severe lower limb trauma. Materials and methods All patients treated in our emergency department with severe lower limb trauma and open fractures (classified as Gustilo III) were included in this study. We collected blood for laboratory test of all patients at admission. All injured limb were photographed for posterior analysis and MESS classification. Results From March 15, 2012, to June 10, 2012, n = 20 patients were included in our study. PA was performed in eight (40%) and preserving procedures (PP) in 12 (60%). Mean age was 30 in PP group and 40.5 in PA. Mean systolic pressure at the emergency room was 130 mm Hg in PP and 107 mm Hg in PA. MESS index was calculated for all patients and the means were 5 for the PP group and 8 for the PA group. Laboratory test of the two groups were compared and statistically analyzed. Acidosis, arterial lactate levels and hemoglobin levels at admission had a statistical difference between the two groups: pH = 7.36 PP vs 7.18 PA (p = 0.001); lactate: PP = 25 vs PA = 63 (p < 0.001); hemoglobin: PP = 13.6 vs PA = 7.85 (p = 0.03). Conclusion Laboratory results of tests collected during initial assessment of patients with severe lower limb trauma are different between those submitted to PA or a PP. How to cite this article Garcia DFV, de Sá RRC, Bernini CO, Rasslan S . Preliminary Results of a Prospective Study on Severe Lower Limb Trauma: Analysis of Laboratory Tests as Predictors of Amputation. Panam J Trauma Critical Care Emerg Surg 2013;2(1):58-61.


Author(s):  
Mario Cherubino ◽  
Tommaso Baroni ◽  
Luigi Valdatta

2020 ◽  
Vol 20 ◽  
pp. 100270 ◽  
Author(s):  
Banne Nemeth ◽  
Delphine Douillet ◽  
Saskia le Cessie ◽  
Andrea Penaloza ◽  
Thomas Moumneh ◽  
...  

Author(s):  
M. J. Yaremchuk ◽  
A. J. Weiland

2017 ◽  
pp. 629-659
Author(s):  
Jonathan R. A. Phillips ◽  
Gunasekaran Kumar

2020 ◽  
Vol 35 (1) ◽  
pp. 115-118
Author(s):  
Bruce Richard Paix ◽  
David John Tingey ◽  
Grant Copley ◽  
Matthew Casson ◽  
Damien Shoolbread ◽  
...  

AbstractExternal aortic compression (EAC) has long been used to control exsanguinating post-partum hemorrhage, but it has only recently been described in the prehospital trauma setting. This paper reports four cases where manual EAC was used during transport to manage life-threatening bleeding, twice from stab wounds, once from ruptured ectopic pregnancy, and once from severe lower-limb trauma. It showed that EAC has life-saving potential in the prehospital setting, but that safety and efficacy during transport requires the use of a hands-free compression device, such as an aortic tourniquet.


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