scholarly journals A life saving approach after thoracic trauma: Emergency Room Thoracotomy

2012 ◽  
Vol 18 (4) ◽  
pp. 306-310 ◽  
Author(s):  
Tevfik Ilker Akcam ◽  
Kutsal Turhan ◽  
Ayse Gul Ergonul ◽  
Emrah Oguz ◽  
Alpaslan Cakan ◽  
...  
Keyword(s):  
Emergency Room ◽  
Thoracic Trauma ◽  
Life Saving ◽  
Trauma Emergency Room

scholarly journals Use of rabies immune globulin in seven urban emergency rooms in Pakistan

2014 ◽  
Vol 8 (1) ◽  
pp. 61-65 ◽  
Author(s):  
Naseem Salahuddin ◽  
Khadija Mubashar ◽  
Naila Baig-Ansari
Keyword(s):  
Emergency Room ◽  
Immune Globulin ◽  
Health Care Providers ◽  
Cross Sectional Study ◽  
Human Rabies ◽  
Care Providers ◽  
Emergency Rooms ◽  
Cross Sectional ◽  
Life Saving ◽  
The Cost

Abstract Background: Human rabies is a fatal infectious disease that is entirely preventable if correct and timely postexposure prophylaxis is given. Unfortunately, rabies immune globulin (RIG) administration, a life-saving biological, is often avoided by Emergency Room health care providers (HCPs). Objective: To understand the practices of HCPs for administration of RIG in severe dog-bite exposures, which are common causes of emergency room visits in Pakistan. Methods: A cross-sectional study was conducted among 103 HCPs working in seven hospitals in three cities of Pakistan. Results: Of 103 HCPs who responded to the questionnaires, 97.1% had administered rabies vaccine and 31.1% had administered ERIG in the past three years of their practice; three quarters said they would prefer to use HRIG if available; 35% said they would not inject wounds at all, 24.3% would only vaccinate a patient with severe dog bites, but not administer RIG. More than 55% were concerned about the cost of human and equine RIG. Conclusion: Although there is awareness about use of RIG, this life saving biological is grossly underused because of poor availability in Emergency Rooms (ERs) even though stocked by local dealers. Animal bite centers must make RIG available for severe exposures.

scholarly journals Profile of thoracic trauma victims submitted to chest drainage

2017 ◽  
Vol 44 (1) ◽  
pp. 27-32
Author(s):  
CESAR AUGUSTO BROSKA JÚNIOR ◽  
ADRIANE BARBOSA BOTELHO ◽  
ANDRÉ DE CASTRO LINHARES ◽  
MARIANA SANTOS DE-OLIVERIA ◽  
GABRIELA VERONESE ◽  
...  
Keyword(s):  
Emergency Room ◽  
Thoracic Trauma ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Chest Drainage ◽  
Cross Sectional ◽  
Thoracic Drainage ◽  
Trauma Service ◽  
Trauma Victims ◽  
Evangelical University

ABSTRACT Objective: to describe and compare the variables involved in trauma victims undergoing thoracic drainage. Methods: we conducted a retrospective, analytical, descriptive, cross-sectional study, with medical records of patients attended at the Trauma Service of the Curitiba Evangelical University Hospital between February 2011 and January 2014. Results: there were 488 patients undergoing chest drainage, 84.7% men and 15.3% women, with an average age of 38.2 years. Attendances usually occurred at night, without predominance between open or closed mechanism, gender or age group. The majority of patients with thoracic trauma requiring drainage were diagnosed by anamnesis and physical examination (41.1%) and drained in the emergency room (80.8%). Most of the patients (66.2%) had another associated lesion, mostly some abdominal viscera. Complications were present in 16.6% (81 patients), most of them due to drainage positioning error (9.2%). The mean hospital stay was 15 days and drainage lasted for an average of 8.1 days, with no statistical difference between open and closed trauma. The clinical outcome was discharge in most cases. Conclusion: the profile of patients with thoracic trauma is that of young men, attended at night, with some other associated lesion. Although diagnosis and treatment were rapid and most often without the need for complex examinations, the time of drainage, hospitalization and complications were higher than in the literature, which can be explained by the drainage being made at the Emergency Room and the presence of associated injuries.

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