Relevant bibliographies by topics / Multiple traumas

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Academic literature on the topic 'Multiple traumas'

Author: Grafiati
Published: 4 June 2021
Last updated: 11 February 2022

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Journal articles on the topic "Multiple traumas"

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Labanauskienė, Jolanta, Haroldas Bernotas, and Benjaminas Siaurusaitis. "Vaikų smurtinių traumų ypatumai." Lietuvos chirurgija 5, no. 2 (2007): 0. http://dx.doi.org/10.15388/lietchirur.2007.3.2239.

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Jolanta Labanauskienė1, Haroldas Bernotas1, Benjaminas Siaurusaitis21 Vilniaus universiteto Vaikų ligoninė, Santariškių g. 7, LT-08406 Vilnius2 Vilniaus universiteto Medicinos fakulteto Vaikų ligų klinika, Santariškių g. 7, LT-08406 VilniusEl paštas: j.labanauskiene@yahoo.com Įvadas / tikslas Vaikų smurtinės traumos aktualios visame pasaulyje, taip pat ir Lietuvoje. Šių traumų klinikiniai požymiai nėra specifiniai, todėl nesant tikslių anamnezės duomenų šių traumų diagnostika nėra lengva. Šio tyrimo tikslas – nustatyti vaikų smurtinių traumų ypatumus, lyginant jas su atsitiktinėmis traumomis. Metodai Retrospektyviai analizuota vaikų, gydytų Vilniaus universiteto vaikų ligoninėje 2001-2005 metais, medicininiai dokumentai. Tirta po 200 ligonių, gydytų dėl smurtinių ir atsitiktinių traumų stacionare ir po 100 ligonių, gydytų ambulatoriškai. Analizuotos traumų priežastys, padariniai ir sunkumas. Rezultatai Vaikų smurtinių ir atsitiktinių traumų priežastys buvo skirtingos. Smurtinėms traumoms buvo būdingi galvos smegenų sužeidimai (55,5%), nosies kaulų, delnakaulių lūžiai, durtinės bei šautinės žaizdos, dauginiai kūno sumušimai. Jos buvo sunkesnės nei atsitiktinės traumos. Šioms buvo būdingi įvairių kūno vietų sumušimai, žaizdos, nudegimai, pavienių kaulų lūžiai. Išvados Vaikų smurtinių ir atsitiktinių traumų priežastys, sužeidimai ir sunkumas buvo skirtingi. Smurtinės traumos buvo daug sunkesnės pagal klinikinius kriterijus ir pediatrinę traumų skalę. Pagrindiniai žodžiai: vaikų smurtinės ir atsitiktinės traumos, ypatumai Specific features of the child abuse Jolanta Labanauskienė1, Haroldas Bernotas1, Benjaminas Siaurusaitis21 Vilnius University Childrens Hospital, Santariškių str. 7, LT-08406 Vilnius, Lithuania2 Clinic of Childrens Diseases of Vilnius University Medical Faculty,Santariškių str. 7, LT-08406 Vilnius, LithuaniaE-mail: j.labanauskiene@yahoo.com Background / objective Child abuse trauma is a concerning issue worldwide, also in Lithuania. Clinical signs of such traumas are not specific, therefore, in lack of definite anamnestic data, the diagnostics of child abuse traumas is complicated. The purpose of this research is to determine the features of child abuse traumas by comparing them to accidental traumas. Methods A retrospective study of medical documents was carried out with regard to the children treated at Vilnius University Children’s Hospital in 2001–2005. The study included two groups. Each group included 200 in-patients and 100 out-patients with abuse and accidental traumas. The causes, consequences and severity of traumas were analyzed. Results Causes of child abuse traumas differed from those of accidental traumas. Child abuse traumas typically included cerebral affection (55.5% ), broken nasal and metacarpus bones, punctured and gunshot wounds and multiple body bruises. These traumas were more severe than accidental traumas which typically included bruises of different body parts, wounds, burns and single broken bones. Conclusions The causes, consequences and severity of child abuse traumas were different from those of accidental traumas. With regard to clinical criteria and according to the Pediatric Trauma Scale, abuse traumas were much more severe than accidental traumas. Key words: child abuse and accidental injuries, specific features
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Meneguolo, M., F. Faccioli, R. Bertoldin, G. D'incà, and S. Guazzieri. "Urological Emergencies in Patients with Multiple Traumas: Our Experience." Urologia Journal 63, no. 2 (1996): 246–50. http://dx.doi.org/10.1177/039156039606300218.

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The Authors describe their limited but significant experience (101 cases) regarding the diagnostic and therapeutic approach to patients with multiple traumas with involvement of the urogenital tract. Approach to the renal trauma in these patients appears to be highly controversial. Experience has shown that in cases of severe renal trauma, when the urologist is called immediately to visit the patient so that a complete and correct urological diagnostic procedure can be planned, the possibilities of conservative treatment to save the kidney are greater.
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Taftachi, Farrokh, Leyla Abdolkarimi, Maryam Ameri, Azadeh Memarian, Alireza Behzadi, and Hooman Bakhshandeh. "Association Between Adrenal Hematoma and Mortality in Pediatric Multiple Blunt Traumas: An Autopsy Evaluation." Global Journal of Health Science 9, no. 4 (2016): 70. http://dx.doi.org/10.5539/gjhs.v9n4p70.

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<p>Adrenal hematoma is a common hidden catastrophic complication in pediatric victims of multiple blunt traumas. Adrenal hematoma has no obvious symptoms and may not be detected by diagnostic methods such as magnetic resonance imaging, computed tomography scan, and sonography; consequently, this complication may be neglected in children with multiple blunt traumas and cause death through sudden adrenal crisis.</p><p>The current study was conducted on 55 dead children (<13 y) and 110 matured youths (13–17 y) who died in consequence of multiple blunt traumas, comprising car crashes, fall from heights, and falling debris. Our autopsy results showed that the overall prevalence of adrenal hematoma was 26% and this rate was higher in lower ages (1–6 y). There was no significant difference regarding the occurrence of adrenal hematoma between the genders. Adrenal hematoma was most common in abdominal and pelvic traumas. Peritoneal hemorrhage, liver damage, spleen rupture, omental injury, retroperitoneal hemorrhage, renal hematoma, and pelvic fracture were the most common complications associated with adrenal hematoma. In contrast to the previous studies, hematoma was mostly observed in the left adrenal. The incidence of damage to the pancreas, which similarly to the adrenal is a retroperitoneal organ, was very low (1.7%).</p><p>The high incidence of adrenal hematoma due to severe abdominopelvic trauma in children warrants further research. Future studies should shed sufficient light on the efficacy of prophylactic steroids in patients with suspicion of severe abdominopelvic trauma.</p>
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Ered, Arielle, and Lauren M. Ellman. "Specificity of Childhood Trauma Type and Attenuated Positive Symptoms in a Non-Clinical Sample." Journal of Clinical Medicine 8, no. 10 (2019): 1537. http://dx.doi.org/10.3390/jcm8101537.

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Background: Childhood traumatic experiences have been consistently associated with psychosis risk; however, the specificity of childhood trauma type to interview-based attenuated positive psychotic symptoms has not been adequately explored. Further, previous studies examining specificity of trauma to specific positive symptoms have not accounted for co-occurring trauma types, despite evidence of multiple victimization. Methods: We examined the relationship between childhood trauma (Childhood Trauma Questionnaire) with type of attenuated positive symptom, as measured by the Structured Interview for Psychosis-risk Syndromes (SIPS) among a non-clinical, young adult sample (n = 130). Linear regressions were conducted to predict each attenuated positive symptom, with all trauma types entered into the model to control for co-occurring traumas. Results: Results indicated that childhood sexual abuse was significantly associated with disorganized communication and childhood emotional neglect was significantly associated with increased suspiciousness/persecutory ideas, above and beyond the effect of other co-occurring traumas. These relationships were significant even after removing individuals at clinical high-risk (CHR) for psychosis (n = 14). Conclusions: Our results suggest that there are differential influences of trauma type on specific positive symptom domains, even in a non-clinical sample. Our results also confirm the importance of controlling for co-occurring trauma types, as results differ when not controlling for multiple traumas.
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Jencks, Jennifer W., and George S. Leibowitz. "The Impact of Types and Extent of Trauma on Depressive Affect Among Male Juvenile Sexual Offenders." International Journal of Offender Therapy and Comparative Criminology 62, no. 5 (2016): 1143–63. http://dx.doi.org/10.1177/0306624x16676099.

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High levels of depression have been found among incarcerated youth, which suggests that mental health problems are associated with delinquent behavior and are part of a constellation of risk factors that contribute to youth entering the juvenile justice system. In this project, we investigated trauma and mental health issues among male youth in residential treatment, and addressed the following questions: (a) Does childhood trauma predict current depression for male juvenile sexual offenders? (b) If so, do different types of traumas predict depressive affect better than others? and, (c) Does extent of trauma exposure predict depression? Data on incarcerated male juvenile sexual offenders were analyzed ( n = 379). Multiple regressions of various types of traumas and cumulative trauma and depression were conducted. Emotional abuse was the strongest predictor of depressive affect for this sample, and multiple exposures to trauma were the second strongest predictor.
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Sumardi, Fitri Sepviyanti, Iwan Abdul Rachman, and Bambang J. Oetoro. "Tatakelola Anestesi untuk Dekompresi Kraniektomi pada Cedera Otak Traumatik Berat dengan Penyulit Obesitas Morbid." Jurnal Neuroanestesi Indonesia 9, no. 1 (2020): 33–44. http://dx.doi.org/10.24244/jni.v9i1.247.

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Anestesi dan pembedahan mungkin meyebabkan risiko yang cukup besar untuk pasien obesitas, apalagi obesitas morbid. Populasi orang gemuk meningkat, baik di negara maju dan berkembang, sehingga para ahli anestesi lebih sering menghadapi tantangan dalam mengelola pasien obesitas. Trauma multipel bertanggung jawab atas 5 juta kematian per tahun di seluruh dunia dan merupakan penyebab kematian utama bagi orang-orang muda di bawah 40 tahun, mewakili peristiwa akut dan tak terduga. Kami akan melaporkan seorang lelaki 36 tahun dengan obesitas morbid, BMI 48,97 kg/m2, yang mengalami multipel trauma akibat kecelakaan lalulintas, yang akan menjalani operasi evakuasi perdarahan subdural dan dekompresi kraniektomi. Pemilihan obat dan dosis aman sangat sulit pada pasien dengan multipel trauma, karena mungkin status volumenya tidak diketahui secara akurat. Rencana anestesi harus mempertimbangkan status resusitasi dan riwayat penyakit penyerta lain. Peran penting lainnya dari anestesiologis adalah pencegahan cedera sekunder yang disebabkan oleh syok berulang atau resusitasi tidak tepat. Anesthesia Management for Craniectomy Decompression on Severe Brain Traumatic Injury with Comorbid Morbid Obesity AbstractAnesthesia and surgery may cause considerable risk for obese patients, especially morbid obesity. Obese populations increase, both in developed and developing countries, so anesthesiologists more often face challenges in managing obese patients. Multiple traumas is responsible for 5 million deaths per year worldwide and is the leading cause of death for young people under 40, representing acute and unexpected events. We will report a 36-year-old man with morbid obesity, a BMI of 48.97 kg/m2, who experienced multiple traumas due to a traffic accident, who will undergo an evacuation operation for subdural hemorrhage and craniectomy decompression. The selection of drugs and safe doses is very difficult in patients with multiple traumas, because their volume status may not be accurately known. Anesthetic plan must consider resuscitation status and history of other comorbidities. Another important role of anesthesiologist is the prevention of secondary injury caused by recurrent shock or improper resuscitation.
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Aguirre, Nicole, Andrew Milewski, Rohini Kopparam, Joseph Shin, and Deborah Ottenheimer. "Women Seeking Asylum: Multiple Traumas Inflicted by Multiple Perpetrators [6B]." Obstetrics & Gynecology 133, no. 1 (2019): 22S. http://dx.doi.org/10.1097/01.aog.0000559390.33054.36.

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Özçete, Enver, Selahattin Kiyan, İlhan Uz, Meltem Songür Kodik, and Yusuf Ali Altuncı. "The role of whole-body computed tomography in determining risky patient group with regard to polytrauma patients in the emergency department." Hong Kong Journal of Emergency Medicine 25, no. 3 (2018): 123–29. http://dx.doi.org/10.1177/1024907918755174.

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Backround: High rates in trauma-related mortality pose a major health problem and increase every day. Early diagnosis and treatment can be lifesavers for this patient group in the emergency departments, which serve as the first place to admit trauma patients in a hospital. Objectives: We aim to determine high-risk criteria to indicate trauma patients getting the most use from whole-body tomography in patients with multiple traumas and reduce unnecessary computed tomography. Methods: We examined retrospectively all electronic files and computed tomography results of patients, who had been admitted to emergency department due to trauma, and who had undergone whole-body computed tomography. Results: We found that possibility of multiple injuries increased by 5.9 times in patients requiring mechanical ventilation. Possibility of multiple injuries in patients with free fluid in the Focused Assessment with Sonography for Trauma increased by 5.6 times. We also observed that possibility of multiple injuries in patients with Glasgow Coma Score < 13 increased by 4.3 times. Possibility of multiple injuries in hypoxic patients increased by 3.2 times. Possibility of multiple injuries in patients with a pulse ≥ 120/min increased by 1.8 times. Possibility of multiple injuries in patients with shock index ≥ 0.9 increased by 1.7 times. Conclusion: High-risk group in terms of multiple traumas involves mechanical ventilation need in trauma patients, positive Focused Assessment with Sonography for Trauma, Glasgow Coma Score being under 13, hypoxia, tachycardia, positive shock index, and extravehicular traffic accidents. Whole-body computed tomography should be performed in this patient group.
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BRESLAU, N., E. L. PETERSON, L. M. POISSON, L. R. SCHULTZ, and V. C. LUCIA. "Estimating post-traumatic stress disorder in the community: lifetime perspective and the impact of typical traumatic events." Psychological Medicine 34, no. 5 (2004): 889–98. http://dx.doi.org/10.1017/s0033291703001612.

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Background. Community surveys have assessed post-traumatic stress disorder (PTSD) in relation to traumatic events designated by respondents as the worst they have ever experienced. An assessment of PTSD in relation to all reported traumas would impose too great a burden on respondents, a considerable proportion of whom report multiple traumas. The ‘worst event’ method is efficient for identifying persons with PTSD, but may overestimate the conditional probability of PTSD associated with the entire range of PTSD-level traumas. In this report, we evaluate this potential bias.Method. The Detroit Area Survey of Trauma (n=2181) estimated the PTSD risk from two samples of traumas: (1) a representative sample of traumas formed by selecting a random trauma from each respondent's list of traumas; and (2) traumas designated by respondents as the worst (the standard method).Results. Both estimation methods converged on key findings, including identifying trauma types with the highest probability of PTSD and sex differences in the risk of PTSD. Compared to the random events, the ‘worst event’ method yielded a moderately higher conditional probability for PTSD (0·136 v. 0·092). The bias was due almost entirely to the deviation of the distribution of the worst events from expected values, if all event types had equal prior selection probabilities. Direct adjustment, setting the distribution equal to expected values and applying the observed probabilities of PTSD associated with individual event types brought the estimate close to the unbiased estimate, based on the randomly selected traumas.Conclusions. Only the ‘worst event’ method can be used as a short-cut to assessing all traumas. The bias in the estimated risk of PTSD is modest and is attenuated by direct adjustment.
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Sun, J., P. Bertrand, R. Kraenzler, and P. J. Arnoux. "Spine virtual traumas under multiple impact situations." Computer Methods in Biomechanics and Biomedical Engineering 12, sup1 (2009): 237–39. http://dx.doi.org/10.1080/10255840903094050.

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Dissertations / Theses on the topic "Multiple traumas"

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Deitz, M., and Stacey L. Williams. "Multiple Traumas and Psychiatric Disorders in South Africa." Digital Commons @ East Tennessee State University, 2010. https://dc.etsu.edu/etsu-works/8117.

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Myers, Abby Marie. "Multiple Interpersonal Traumas and Specific Constellations of Trauma Symptoms in a Clinical Population of University Females." Digital Archive @ GSU, 2009. http://digitalarchive.gsu.edu/cps_diss/46.

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Female survivors of multiple forms of trauma are increasingly found to be a significant portion of the university population (Briere, Kaltman, & Green 2008). While there is a strong literature base for understanding the effects of individual trauma on psychological functioning (e.g., Briere, 1992; Kaltman, Krumnick, Stockton, Hooper, & Green, 2005), little is known about specific symptom constellations for those who have experienced multiple traumas (Rich, Gingerich, & Roseìn, 1997). Using a clinical population of 500 female university students, this study explored the rates of multiple interpersonal traumatic experiences, the connection between multiple traumas and symptom severity, and the association of specific constellations of multiple types of traumas with specific constellations of trauma symptoms. The Trauma Symptom Inventory-Alternate (Briere, 1995) and self-report measures of demographic data and abuse histories were used to collect data, which was analyzed with frequencies, Multivariate Analysis of Variance, and a Canonical Correlation to explore the interrelationships of abuse and trauma symptoms. Multiple abuse was common, with 81% of participants experiencing two or more types of abuse. Multiple trauma generally predicted more severe trauma-related symptoms than those with no trauma or single traumas. A Canonical Correlation revealed a moderately significant relationship between participants with aggressive types of abuse (e.g., childhood physical, adult physical, and adult sexual abuse) with higher symptoms of intrusive experiences, defensive-avoidance, and dissociation. These findings suggest a differential model of trauma effects, particularly for trauma types characterized by aggression. Implications for future research and clinical practice are addressed.
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McElroy, Sarah Kobielski. "Role of Meaning Making in the Association between Multiple Interpersonal Traumas and Post-Traumatic Adaptation." Bowling Green, Ohio : Bowling Green State University, 2009. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=bgsu1245674525.

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Mpamira, Tabitha M. "Effects of multiple concurrent interpersonal traumas on post traumatic stress disorder symptomology." Muncie, Ind. : Ball State University, 2009. http://cardinalscholar.bsu.edu/664.

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Fossion, Pierre. "Contribution à l'étude des conséquences à long terme des traumatismes de l'enfance sur les stratégies d'adaptation aux stress et aux traumatismes ainsi que sur le développement de troubles anxio-dépressifs à l'âge adulte." Doctoral thesis, Universite Libre de Bruxelles, 2016. http://hdl.handle.net/2013/ULB-DIPOT:oai:dipot.ulb.ac.be:2013/222262.

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Nous avons réalisé une enquête par questionnaire auprès de 65 anciens enfantsjuifs cachés durant la deuxième guerre mondiale, situation évaluée comme untraumatisme dans l’enfance, ainsi qu’auprès de leurs enfants. Nous avons comparé cesanciens enfants cachés à 65 sujets ni juifs ni cachés d’âge comparable. Dans unpremier temps, nous nous sommes intéressés au degré d’anxio-dépression de cespopulations consécutivement en tenant compte de deux variables :l’existence dupremier traumatisme dans l’enfance (enfants cachés ou non) et la présence oul’absence d’éventuels traumatismes ultérieurs. L’effet de ces deux variables surl’anxio-dépression a été expliqué par leurs effets sur les compétences de résilience.Les variables Anxio-Dépression et Résilience ont été mesurées quantitativement surbase d’échelles validées. De plus, nous nous sommes intéressés à un concept prochede la résilience, le Sens de la Cohérence (SOC), également mesuré sur base d’uneéchelle quantitative validée. Quatre résultats majeurs ressortent de notre enquête.Premièrement, nous avons démontré que la résilience subit une érosion sousl’effet de traumatismes multiples (phénomène de sensibilisation), ce qui augmente lerisque de développer des troubles anxio-dépressifs. De ce fait, la résilience n’est pasun trait de personnalité, fixé pour la vie entière une fois le développementpsychologique de l’individu accompli, mais s’assimile à une aptitude, susceptible des’éroder mais aussi de se renforcer par des techniques psychothérapeutiquesspécifiques. Nous confirmons les résultats des précédentes recherches montrant que larésilience n’est pas un bloc monolithique mais plutôt un concept multifactoriel quis’appuie sur les ressources propres de l’individu, celles de son milieu familial et cellesde son milieu social.Deuxièmement, nous avons pu démontrer que le SOC s’érode lui aussi sousl’effet de traumatismes multiples mais que, contrairement à la résilience, il a unedouble composante, à la fois aptitude et trait de personnalité ;c’est-à-dire qu’unepartie du SOC ne s’érode pas en fonction des expériences traumatiques rencontrées aulong de l’existence et apparaît comme une composante stable fixée dès l’enfance.Troisièmement, notre recherche a permis de démontrer que la survenue d’untraumatisme ultérieur aggrave la perception qu’a un individu d’un traumatisme subidurant l’enfance, montrant en cela que la mémoire et les souvenirs ne sont pas figésune fois pour toutes mais sont en perpétuel remaniement, modelés par les interactionsconstantes entre le passé et le présent.Quatrièmement, notre recherche a montré que la présence d’un traumatismemajeur chez les parents peut engendrer une altération du fonctionnement familial quiempêcherait leurs enfants de développer des stratégies efficientes d’adaptation auxstress et aux traumatismes (résilience et SOC), ce qui favorise, chez eux, ledéveloppement de troubles anxio-dépressifs.Au travers de ces conclusions, nous abordons les conséquences à la foisthéoriques et cliniques. Nous soulignons les principales limitations de nos études<br>Doctorat en Sciences médicales (Médecine)<br>info:eu-repo/semantics/nonPublished
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Imamura, Janete Honda. "Epidemiologia dos traumas em países desenvolvidos e em desenvolvimento." Universidade de São Paulo, 2012. http://www.teses.usp.br/teses/disponiveis/5/5141/tde-18092012-161930/.

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Objetivos: Estudo sobre mortalidade por causas externas não intencionais divulgadas na literatura médica mundial em crianças e adolescentes, com verificação das principais causas externas fatais não intencionais e identificação de diferenças de causas externas de óbito entre países de diferentes desempenhos econômico-sociais. Método: Revisão sistemática da literatura mundial sobre mortalidade por causas externas não intencionais em crianças e adolescentes de julho de 2001 a junho de 2011, através das bases de dados de periódicos eletrônicos científicos PubMed, LILACS, EMBASE e pesquisa manual com dados de âmbito nacional de órgãos oficiais. Resultados: Selecionados 15 artigos de periódicos, um livro e os dados estatísticos de 2010 da base de dados do Ministério da Saúde do Brasil. A maioria de países envolvidos nas divulgações de dados apresentavam alto desempenho econômico-social, com preponderância de países de alta e média renda econômica e índice de desenvolvimento econômico muito alto. Dos óbitos por causas externas, as principais causas foram as não intencionais. Verificou-se predominância dos acidentes de transporte como principal causa de óbito nos países estudados, em especial a partir da idade pré-escolar. A seguir os afogamentos e submersões se sobressaem, seguidos pelas quedas, queimaduras e as intoxicações. As maiores taxas de mortalidade por causas externas não intencionais por faixa etária foram observadas nas crianças menores de um ano de idade, principalmente pelos riscos acidentais à respiração excluindo os afogamentos e as submersões. Foi identificado ainda um número expressivo de óbitos por causas externas de intenção indeterminada. No Brasil, esses fatos também se repetiram e observou-se que praticamente metade dos óbitos em crianças por acidentes de transporte ocorreram na própria via pública. Conclusões: O acidente de transporte foi identificado como causa predominante de óbito por causas externas não intencionais na infância nos países estudados, principalmente a partir da idade pré-escolar. A faixa etária dos lactentes foi especialmente susceptível aos riscos acidentais à respiração que excluem os afogamentos e as submersões acidentais. Investigações mais detalhadas dos óbitos por causas externas para reduzir o número de eventos por intenções indeterminadas devem ser consideradas. Mais divulgações de dados sobre a ocorrência de mortes por causas não intencionais em países com menor desenvolvimento econômico e social são necessárias para um maior conhecimento e conscientização desses eventos passíveis de prevenção<br>Objective: Report on the mortality rate of children and youths due to non-intentional external causes disclosed in the world medical literature, with analysis of the principal non-intentional external deadly causes and identification of differences related to the external causes of death in countries with different economic and social performances. Method: This was a systematic review of the literature on mortality from accidental injury in children and adolescents. We searched the PubMed, Latin-American and Caribbean Health Sciences Literature, and Excerpta Medica databases for articles published between July of 2001 and June of 2011. National data from official agencies, retrieved by hand searches, were also reviewed. Results: We reviewed 15 journal articles and 1 book, as well as 2010 statistical data from the Brazilian National Ministry of Health Mortality Database. Most of the data relate to countries with high economic and social performance, with predominance of countries with high and middle economic income and very high economic development rates. Deaths due to external causes were primarily the result of non-intentional causes. There was a predominance of transportation accidents as the principal cause of death in the countries surveyed, especially as from preschool age. Accidental drowning and submersion rank second, followed by falls, burns and poisoning. The highest rates of death from non-intentional external causes by age grade were observed in children below 1 year old, principally due to accidental threats to breathing, excluding drowning and submersion. A significant number of deaths due to undetermined external causes was also identified. This situation was also registered in Brazil, and nearly half of all childhood deaths from traffic accidents occurred at the scene. Conclusions: Traffic accidents were found to constitute the leading external cause of accidental death among children in the countries under study, principally among those of preschool age or older. Infants were found to be particularly vulnerable to accidental non-drowning threats to breathing. A detailed investigation about deaths due to external causes must be considered in order to reduce the number of deaths due to undetermined causes. Further studies investigating the occurrence of accidental deaths in countries with low social and economic development are needed in order to improve the understanding of these preventable events
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Dickinson, Sarah E. "Smart Start for Trauma: A Multiple Baseline Design." Scholar Commons, 2018. https://scholarcommons.usf.edu/etd/7498.

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The purpose of this study was to address gaps in the trauma treatment literature related to the expense and inaccessibility of evidence-based interventions for children with disabilities who have experienced trauma. Another aim of this study was to provide additional support for a newly piloted intervention for children with disabilities who have experienced trauma. This intervention is known as Smart Start: Parenting Tools for Children with Developmental Delay, Social-Emotional Concerns, and Trauma. A non-concurrent multiple baseline method was used to determine whether there was a functional relationship between the intervention and children’s challenging behaviors for five caregiver-child dyads. In addition, three of five caregiver-child dyads were assessed for improvements in child PTSD symptomatology, positive parenting practices, parenting stress, and treatment acceptability. Results from visual analysis, masked visual analysis, and hierarchical linear modeling were mixed, but generally supported a statistically and clinically significant relationship between participation in Smart Start and improved caregiver ratings of children’s challenging behaviors. Wilcoxon Signed-Rank test did not show statistically significant changes in interventionists’ ratings of challenging behavior, but descriptively, four of five children were rated as improved. Reliable change index scores revealed statistically significant changes in trauma symptoms and parenting stress for two participants. Positive parenting practices improved significantly for all participants according to the reliable change index. The intervention was implemented with good fidelity. All caregivers found Smart Start highly acceptable. Future research with larger samples is warranted based on the extremely promising results of the present study.
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Newton, Jason. "Identification of Multiple Levels of Trauma Induced Coagulopathy." VCU Scholars Compass, 2013. http://scholarscompass.vcu.edu/etd/528.

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Trauma continues to be a major cause of death across the globe. While the exact causes of trauma differ greatly between the military and civilian lifestyles, the ability to stop bleeding after trauma is paramount for survival. Over the past decade coagulation research has transitioned from a classical understanding of plasma based protein coagulation to the current cell focused research. As part of this shift, platelets have become a central player in hemostasis. Unfortunately little is currently understood about how platelet function is affected by trauma. In an effort to better define platelet function during trauma and the resulting shock from exsanguination, a multipronged approach was developed. The hypothesis that the introduction of a state of clinical shock in a controlled environment would allow for an in-depth assessment of trauma-induced coagulopathy led to the development of a swine based model of hemorrhagic shock. In this model a composite injury consisting of soft tissue damage, long bone fracture, and controlled hemorrhage was used to induce a moderate state of hypovolemic shock. As a result of this injury the animals showed both the beginning of a plasma protein consumption coagulopathy as well as kinetic quickening in the clotting process. These surprising results show competing up-regulation and down-regulation of the coagulation system in response to trauma induced shock. To better define the effect of polytrauma on platelet function in a human population a clinical study was conducted. The hypothesis behind the development of this study was that the examination of platelet function during polytrauma would lead to a more complete understanding of the effects of trauma on hemostasis. This study resulted in the identification of two separate but not mutually exclusive coagulopathies in response to trauma. The first was the traditional consumption based coagulopathies recently suggested to be varying degrees of disseminated intravascular coagulopathy. The second was a development a hypercoagulable state that may be attributed to increased platelet function. The identification of these two competing coagulopathies in separate models highlights the inadequacies of the current plasma based clinical testing, and the need for increased whole blood testing in the trauma treatment environment.
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Perez, Savannah. "The Effects of Trauma from Multiple Placements of Foster Youth." CSUSB ScholarWorks, 2019. https://scholarworks.lib.csusb.edu/etd/911.

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Over the course of several decades, the foster youth population continues to grow due to various forms of abuse that have occurred in the biological home. Many foster children experience multiple placements which ultimately cause a significant amount of trauma due to placement instability. The study examined trauma of instability among foster youth and discussed interventions that could be implemented when working with resource families and foster youth within the field of social work. A post-positivism paradigm was used to focus on understanding the trauma of placement instability. A total of six face-to-face interviews of master’s level social workers were conducted to obtain qualitative data. The interviews consisted of a variety of both descriptive, structural, and contrast questions to explore trauma and common behaviors of foster youth who experienced instability. All data obtained from the interviews were recorded, transcribed, and analyzed through open coding, axial coding, and selective coding by traditional means. Content analysis was used to identify four themes: Impact of Multiple Placements, Useful Interventions, Benefits of Stability, and Family Characteristics. The following research study contributes to social work practice by providing useful interventions such as: teaching, modeling, self-regulation and self-awareness techniques for youth and foster families to address instability. This also includes training families to be trauma-informed caretakers and pre-screening foster families to identify the best match for children to reduce instability.
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Hutchings, Lynn. "Early identification and prediction of multiple organ failure following major trauma." Thesis, University of Oxford, 2014. http://ora.ox.ac.uk/objects/uuid:bece7667-770b-4cdf-87d8-407dca80a4ee.

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Introduction: Trauma is the main cause of death in working-age adults in the UK. Multiple organ failure (MOF) is associated with a high proportion of late trauma deaths, and MOF survivors have poor long-term outcomes. Early prediction of patients at risk of MOF would assist treatment decisions and allow targeted interventions. Methods: A cohort of major trauma patients requiring intensive care unit (ICU) treatment at the John Radcliffe Hospital was identified. Data were obtained from the two national databases of the Trauma Audit Research Network and the Intensive Care National Audit and Research Centre, and from a local ICU database with hourly data recording. Literature review and questionnaire analysis of trauma clinicians identified candidate predictors of MOF, grouped into patient, injury, physiological, laboratory and management variables. MOF scoring systems were reviewed to determine the most appropriate for use in trauma patients. Prediction models of post-trauma MOF were developed using logistic regression at a range of times from 0 to 48 hours after injury. Models were internally validated using bootstrapping. Results: 517 adult trauma patients were identified from 2003-2011. Overall mortality was 14.9%, with 491 patients surviving more than 48 hours, and therefore being at risk of MOF development. For these 491 patients, MOF incidence depended on the definition, and ranged from 23% (Denver score) to 58% (SOFA score). MOF was associated with mortality, time to ICU admission, and length of ICU and hospital stay. MOF could be predicted with an accuracy of up to 81.3% at 2 hours post-injury, and 84.2% at 12 hours post-injury using small numbers of clinical variables. Age, head injury, abdominal injury, maximum heart rate and the need for vasopressors were strong predictors of all definitions of MOF. Conclusions: Post-trauma MOF can be predicted early after injury using combinations of clinical variables. Further validation of the identified variables on external populations would allow development of a clinical score to assist clinicians in trauma management.
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Books on the topic "Multiple traumas"

1

Multiple selves, multiple voices: Working with trauma, violation, and dissociation. Wiley, 1996.

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M, McQueen Margaret, and Tornetta Paul, eds. Trauma. Lippincott Williams & Willkins, 2006.

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More alike than different: Treating severely dissociative trauma survivors. University of Toronto Press, 1996.

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Cheryl, LaLonde, ed. Burn trauma. Thieme Medical Publishers, 1989.

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Attachment, trauma, and multiplicity: Working with dissociative identity disorder. 2nd ed. Routledge, 2010.

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Sinason, Valerie. Attachment, trauma, and multiplicity: Working with dissociative identity disorder. 2nd ed. Routledge, 2011.

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Torres, Wilfredo (Comic book artist), Ferguson Lee, and Brown Dan (Colorist), eds. Legion: Trauma. Marvel Worldwide, Incorporated, 2018.

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The impact of multiple childhood trauma on homeless runaway adolescents. Garland Pub., 1999.

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ATLS, advanced trauma life support for doctors: Student course manual. 8th ed. American College of Surgeons, 2008.

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1930-, Boyd Robert J., and McCabe Charles J, eds. Trauma management: Early management of visceral, nervous system, and musculoskeletal injuries. Year Book Medical Publishers, 1988.

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Book chapters on the topic "Multiple traumas"

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Jacocks, M. Alex. "Multiple Trauma." In Oklahoma Notes. Springer US, 1993. http://dx.doi.org/10.1007/978-1-4684-0454-8_5.

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Jacocks, M. Alex. "Multiple Trauma." In Oklahoma Notes. Springer New York, 1996. http://dx.doi.org/10.1007/978-1-4612-2372-6_5.

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Dhillon, Ramindar S., and James W. Fairley. "Laryngeal trauma." In Multiple-choice Questions in Otolaryngology. Palgrave Macmillan UK, 1989. http://dx.doi.org/10.1007/978-1-349-10805-3_212.

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Dalton, A. Mark. "Trauma." In Multiple-choice Questions in Accident and Emergency. Macmillan Education UK, 1992. http://dx.doi.org/10.1007/978-1-349-11850-2_8.

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Clement, Nicholas D. "Multiple fractures." In Musculoskeletal Trauma in the Elderly. CRC Press, 2016. http://dx.doi.org/10.1201/9781315381954-15.

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Widder, Sandy, and Lawrence M. Gillman. "Multiple-Choice Review Questions." In Trauma Team Dynamics. Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-16586-8_39.

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Sanford, Art, and David N. Herndon. "Modulation of the Hypermetabolic Response After Trauma and Burns." In Multiple Organ Failure. Springer New York, 2000. http://dx.doi.org/10.1007/978-1-4612-1222-5_33.

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Del Corso, Francesco, Carlo Coniglio, Aimone Giugni, et al. "Multiple Organ Failure in Trauma Patients." In Trauma Surgery. Springer Milan, 2013. http://dx.doi.org/10.1007/978-88-470-5403-5_14.

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Böker, D. K. "Zum Zusammenhang von Trauma und Gliom." In Multiple Sklerose Neuroonkologie Konstitutionelle Dyslexie. Springer Berlin Heidelberg, 1991. http://dx.doi.org/10.1007/978-3-642-84478-2_141.

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Deakin, C. D. "Early assessment of multiple trauma." In Anaesthesia, Pain, Intensive Care and Emergency Medicine — A.P.I.C.E. Springer Milan, 2003. http://dx.doi.org/10.1007/978-88-470-2215-7_32.

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Conference papers on the topic "Multiple traumas"

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Padovani, Cauê, Gabriela Macuco, Carolina W. Trevisan, et al. "Patients With Single Or Multiple Traumas Are Able To Live Independently 12 Months After Hospital Discharge." In American Thoracic Society 2012 International Conference, May 18-23, 2012 • San Francisco, California. American Thoracic Society, 2012. http://dx.doi.org/10.1164/ajrccm-conference.2012.185.1_meetingabstracts.a2283.

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Liu, Wenwen. "Emergency Treatment and Nursing Care of 148 Multiple Trauma Patients Complicated with Severe Thoracic Trauma." In 4th International Conference on Management Science, Education Technology, Arts, Social Science and Economics 2016. Atlantis Press, 2016. http://dx.doi.org/10.2991/msetasse-16.2016.127.

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Kahloul, Mohamed, Chawki Jebali, Raoudha Chrigui, et al. "Risk factors of nosocomial pneumonia in multiple trauma patients." In ERS International Congress 2018 abstracts. European Respiratory Society, 2018. http://dx.doi.org/10.1183/13993003.congress-2018.pa2642.

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Bolander, Richard, Cynthia Bir, and Pamela VandeVord. "Intracranial Pressure Measurement Within the Rat Skull is Sensitive to Shock Wave Intensity and Weight of the Specimen." In ASME 2011 Summer Bioengineering Conference. American Society of Mechanical Engineers, 2011. http://dx.doi.org/10.1115/sbc2011-53590.

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Blast associated injuries have been quantified into different classes based on the type of trauma that they create [1]. Of these types of trauma, the neuropathology invoked by shock wave exposure is the most ambiguous [1]. The properties associated with shock wave exposure have lead to multiple hypothesized mechanisms for brain trauma including: acceleration-based damage, a thoracic squeeze resulting in pressure pulses to the brain, or transference of energy from the shock wave into the brain via the skull [2, 3].
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Crepaldi, Gianluca, and Pia Andreatta. "THE CONCEPT OF CUMULATIVE TRAUMA IN TIMES OF COVID-19: COULD KHANS THEORY BECOME USEFUL AGAIN?" In International Psychological Applications Conference and Trends. inScience Press, 2021. http://dx.doi.org/10.36315/2021inpact079.

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"The paper discusses whether the psychoanalytic concept of Cumulative Trauma could be a valuable theoretical contribution in understanding possible traumatization’s of children in the course of the Covid-19 pandemic, as they may quite often face a multiple stressed parent during a lockdown, who’s parental function is on the verge breaching. This concept of trauma as established by British Psychoanalyst Masud Khan in 1963 was hardly taken into account in recent trauma research and it has seen little discussion in psychodynamic literature; if at all, it has been used as a merely descriptive category, without considering the suspension of the parental care function, which was identified as the decisive traumatogenic factor for the child’s traumatization. The paper begins with a recapitulation of the original theory and then moves on to linking the Cumulative Trauma to current research contexts (attachment, mentalization, developmental trauma disorder). Finally, the relevance of the concept for parenting in times of the Covid-19 pandemic is explored on the basis of a short clinical case example."
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Hampton, Carolyn E., and Michael Kleinberger. "Computational Human Torso Model Validation for Frontal Blunt Trauma." In ASME 2018 International Mechanical Engineering Congress and Exposition. American Society of Mechanical Engineers, 2018. http://dx.doi.org/10.1115/imece2018-88382.

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Recent research on behind-armor blunt trauma (BABT) has focused on the personal protection offered by lightweight armor. A finite element analysis was performed to improve the biofidelity of the US Army Research Laboratory (ARL) human torso model to prepare for simulating blunt chest impacts and BABT. The overly stiff linear elastic material models for the torso were replaced with material characterizations drawn from current literature. FE torso biofidelity was determined by comparing peak force, force-compression, peak compression, and energy absorption data with cadaver responses to a 23.5 kg pendulum impacting at the sternum at 6.7 m/s. Nonlinear foam, viscous foam, soft rubbers, fibrous hyperelastic rubbers, and low moduli elastic material were considered as material models for the flesh, organs, and bones. Simulations modifying one tissue type revealed that the flesh characterization was most crucial for predicting compression and force, followed closely by the organs characterizations. Combining multiple tissue modifications allowed the FE torso to mimic the cadaveric torsos by reducing peak force and increasing chest compression and energy absorption. Limitations imposed by the Lagrangian finite element approach are discussed with potential workarounds described. Proposed future work is split between considering additional impact scenarios accounting for position and biomaterial variability.
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Ewy, Joshua, Martin Piazza, Brian Thorp, Michael Phillips, and Carolyn Quinsey. "Pediatric Trauma Patients with Temporal Bone Fractures Are at Risk for Multiple Cranial CT Scans." In 30th Annual Meeting North American Skull Base Society. Georg Thieme Verlag KG, 2020. http://dx.doi.org/10.1055/s-0040-1702371.

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Camilo Ferreira, Raisa, and Erika Christiane Marocco Duran. "Content validation of defining the Nurses Diagnosis features “Impaired Physical Mobility” in multiple trauma victms." In XXIV Congresso de Iniciação Científica da UNICAMP - 2016. Galoa, 2016. http://dx.doi.org/10.19146/pibic-2016-50695.

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Oestreich, MA, K. Seidel, HH Müller, et al. "Immunomodulatory effects of mild hypothermia onto the pulmonary inflammatory response following multiple trauma in sus scrofa." In 60. Kongress der Deutschen Gesellschaft für Pneumologie und Beatmungsmedizin e. V. Georg Thieme Verlag KG, 2019. http://dx.doi.org/10.1055/s-0039-1678324.

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Matic, Peter, Alex E. Moser, and Robert N. Saunders. "Combat Helmet Design Incorporating Multiple Ballistic Threats, Brain Functional Areas and Injury Considerations." In ASME 2016 International Mechanical Engineering Congress and Exposition. American Society of Mechanical Engineers, 2016. http://dx.doi.org/10.1115/imece2016-67364.

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Combat helmet protection zone parametric design is presented for small arms and explosive device ballistic threat notional spatial distributions. The analysis is conducted using a computer aided design software application developed to evaluate ballistic threats, helmet design parameters, and a standard set of common brain injuries associated with head impacts. The analysis helps to define the helmet trade space, facilitates prototyping, and supports helmet design optimization. Direct head impacts and helmet impacts, with and without helmet back face contact to the head, are tabulated. Head strikes are assumed to produce critical or fatal penetrating injuries. Helmet back face deflections and impact generated projectile-helmet-head motions are determined. Helmet impact obliquity is accounted for by attenuating back face deflection. Head injury estimates for ten common focal and diffuse head injuries are determined from the back face deflections and the head injury criteria. These, in turn, are related to the abbreviated injury score and associated radiographic dimensional diagnostic criteria and loss of consciousness diagnostic criteria from the trauma literature.
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Reports on the topic "Multiple traumas"

1

Freeman, Karen, Scott Thompson, Eric Allely, Annette Sobel, and Sharon Stansfield. A Virtual Reality Training System for the Triage and Stabilization of Head Trauma and Multiple Injury Patients. Defense Technical Information Center, 1997. http://dx.doi.org/10.21236/ada381347.

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Carney, Nancy, Tamara Cheney, Annette M. Totten, et al. Prehospital Airway Management: A Systematic Review. Agency for Healthcare Research and Quality (AHRQ), 2021. http://dx.doi.org/10.23970/ahrqepccer243.

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Objective. To assess the comparative benefits and harms across three airway management approaches (bag valve mask [BVM], supraglottic airway [SGA], and endotracheal intubation [ETI]) by emergency medical services in the prehospital setting, and how the benefits and harms differ based on patient characteristics, techniques, and devices. Data sources. We searched electronic citation databases (Ovid® MEDLINE®, CINAHL®, the Cochrane Central Register of Controlled Trials, the Cochrane Database of Systematic Reviews, and Scopus®) from 1990 to September 2020 and reference lists, and posted a Federal Register notice request for data. Review methods. Review methods followed Agency for Healthcare Research and Quality Evidence-based Practice Center Program methods guidance. Using pre-established criteria, studies were selected and dual reviewed, data were abstracted, and studies were evaluated for risk of bias. Meta-analyses using profile-likelihood random effects models were conducted when data were available from studies reporting on similar outcomes, with analyses stratified by study design, emergency type, and age. We qualitatively synthesized results when meta-analysis was not indicated. Strength of evidence (SOE) was assessed for primary outcomes (survival, neurological function, return of spontaneous circulation [ROSC], and successful advanced airway insertion [for SGA and ETI only]). Results. We included 99 studies (22 randomized controlled trials and 77 observational studies) involving 630,397 patients. Overall, we found few differences in primary outcomes when airway management approaches were compared. • For survival, there was moderate SOE for findings of no difference for BVM versus ETI in adult and mixed-age cardiac arrest patients. There was low SOE for no difference in these patients for BVM versus SGA and SGA versus ETI. There was low SOE for all three comparisons in pediatric cardiac arrest patients, and low SOE in adult trauma patients when BVM was compared with ETI. • For neurological function, there was moderate SOE for no difference for BVM compared with ETI in adults with cardiac arrest. There was low SOE for no difference in pediatric cardiac arrest for BVM versus ETI and SGA versus ETI. In adults with cardiac arrest, neurological function was better for BVM and ETI compared with SGA (both low SOE). • ROSC was applicable only in cardiac arrest. For adults, there was low SOE that ROSC was more frequent with SGA compared with ETI, and no difference for BVM versus SGA or BVM versus ETI. In pediatric patients there was low SOE of no difference for BVM versus ETI and SGA versus ETI. • For successful advanced airway insertion, low SOE supported better first-pass success with SGA in adult and pediatric cardiac arrest patients and adult patients in studies that mixed emergency types. Low SOE also supported no difference for first-pass success in adult medical patients. For overall success, there was moderate SOE of no difference for adults with cardiac arrest, medical, and mixed emergency types. • While harms were not always measured or reported, moderate SOE supported all available findings. There were no differences in harms for BVM versus SGA or ETI. When SGA was compared with ETI, there were no differences for aspiration, oral/airway trauma, and regurgitation; SGA was better for multiple insertion attempts; and ETI was better for inadequate ventilation. Conclusions. The most common findings, across emergency types and age groups, were of no differences in primary outcomes when prehospital airway management approaches were compared. As most of the included studies were observational, these findings may reflect study design and methodological limitations. Due to the dynamic nature of the prehospital environment, the results are susceptible to indication and survival biases as well as confounding; however, the current evidence does not favor more invasive airway approaches. No conclusion was supported by high SOE for any comparison and patient group. This supports the need for high-quality randomized controlled trials designed to account for the variability and dynamic nature of prehospital airway management to advance and inform clinical practice as well as emergency medical services education and policy, and to improve patient-centered outcomes.
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