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Journal articles on the topic 'Nursing care. Pre-hospital care. Chest trauma'

Author: Grafiati

Published: 5 June 2025

Last updated: 2 August 2025

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1

Ullah, Shakir, Najma Naz, Saeed Ullah, Nasir Khan, Shakir Rahman, and Amir Sultan. "Assessment of Nurse’s Knowledge Regarding Management of Chest Tube Drainage at a Public Tertiary Care Hospital." Pakistan Journal of Medical and Health Sciences 16, no. 10 (2022): 31–34. http://dx.doi.org/10.53350/pjmhs22161031.

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Background: Chest tube insertion is a commonly performed surgical procedure in hospital practice, which is indicated in chest trauma, pneumothorax, or for use for draining of air, blood, or pus. Nurses play a role in the care of patients, like dealing with critical patients and resuscitation, so they should know about the management of chest tube drainage. Aim: To evaluate the knowledge, nursing role, and intervention of chest tube drainage. Methodology: The study design of a cross-sectional analytical study conducted in a saidu group of teaching hospitals from May 2021 to September 2021 had a

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Morais, Amanda Carina Coelho de, Maurício Medeiros Lemos, Vlaudimir Dias Marques, and César Orlando Peralta Bandeira. "Institutional protocol to standardize the chest drainage system management, from surgery to nursing care, at a regional hospital in northern Paraná." Acta Scientiarum. Health Sciences 38, no. 2 (2016): 173. http://dx.doi.org/10.4025/actascihealthsci.v38i2.26972.

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The purpose of chest drainage is to allow lung re-expansion and the reestablishment of the subatmospheric pressure in the pleural space. Properly managing the drainage system minimizes procedure-related complications. This prospective observational study evaluated adult patients undergoing water-seal chest drainage, admitted to our hospital and accompanied by residents and tutors, aiming to check their care. One hundred chest drainages were monitored. The average age was 38.8 years old. The average drainage time was 6.7 days. Trauma was the prevalent cause (72%) for the indication of pleural d

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Malvestio, Marisa Aparecida Amaro, and Regina Marcia Cardoso de Sousa. "Predetermining value analysis of the prehospital phase procedures in trauma victims survival." Revista Latino-Americana de Enfermagem 16, no. 3 (2008): 432–38. http://dx.doi.org/10.1590/s0104-11692008000300016.

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The aim of this study was to analyze the determining value of the procedures carried out during prehospital care in the survival time of traffic accident victims. Data of 175 victims with Revised Trauma Score £ 11, cared for and transported by advanced life support to tertiary referral hospitals, were submitted to Kaplan-Meier Survival Analysis and to Cox proportional hazards model. Four procedure groups associated with survival were identified: basic circulatory; advanced respiratory; volume replaced and medication. Until hospital discharge, the victims who underwent orotracheal intubation an

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Sangeetha, R., and Guruva Reddy D. "A Clinico-Etiological Profile of Spleen Injuries in a Tertiary Care Hospital." International Journal of Toxicological and Pharmacological Research 13, no. 4 (2023): 357–64. https://doi.org/10.5281/zenodo.11222069.

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<strong>Background: </strong>Most splenic injuries result from motor vehicle accidents. Despite being shielded by the bony ribcage, the spleen continues to be the organ most frequently injured in cases of blunt abdominal injuries. It occurs in almost all age groups. The current study aimed to assess the prevalence, etiology of blunt abdominal trauma, clinical manifestations, mortality, and morbidity in all the cases of trauma spleen reporting to our tertiary care teaching Hospital in south India. <strong>Methods: </strong>Successive cases with suspected spleen injuries were init

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Antônia, Diana Rocha Cavalcante; Bruna Vieira Costa; Carolina Barros Gouvea Miranda; Ilceli Sheridan Costa; Kelly Wanessa da Silva França; Maria Luziene Brito Pinheiro; Maria Marrone Medeiros Lima; Mayara de Nazaré Moreira Rodrigues; Silvana Paiva Galvão Tocantins; Thaís Caldas de Sousa Cardoso. "ASSISTÊNCIA DE ENFERMAGEM PRÉ HOSPITALAR A VÍTIMA COM TRAUMA TORÁCICO." Revistaft 28, no. 136 (2024): 77. https://doi.org/10.5281/zenodo.12666877.

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O trauma torácico é uma das causas mais comuns de morte, correspondendo a 20 a 25% dos casos. Pode ser trauma contuso ou penetrante. Portanto este trabalho apresenta a seguinte pergunta norteadora: “Qual a atuação de enfermagem no atendimento em pacientes submetidos a utilização de dreno de tórax? Objetivo geral: identificar a atuação de enfermagem em pacientes submetidos a drenagem de tórax. Método: Esta pesquisa consiste de uma revisão integrativa da literatura. Resultados: Nas buscas de artigos nas bas

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Afidah, Tanwirotul, Murtaqib Murtaqib, and Suheriyono Suheriyono. "Analisis Asuhan Keperawatan pada Pasien Terpasang Canul Trakeostomi dengan Masalah Keperawatan Bersihan Jalan Napas Tidak Efektif dengan Intervensi Fisioterapi Dada di Ruang Mawar RSD dr. Soebandi Jember: Studi Kasus." Jurnal Keperawatan Klinis dan Komunitas (Clinical and Community Nursing Journal) 7, no. 2 (2023): 104. http://dx.doi.org/10.22146/jkkk.82213.

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Background: Maxillofacial fracture is a fracture that refers to the facial skeletal, dentoalveolar bone and related parts within the head and neck area due to external trauma. Severe fractures in the facial bones hinder client’s airway. Tracheostomy is one of the procedures for persistent airway obstruction.Objective: To analyze nursing care for clients with tracheostomy for indications of maxillofacial fracture with nursing problems in ineffective airway clearance using chest clapping physiotherapy interventions in the Mawar Room, RSD dr. Soebandi Jember.Case report: The client was admitted t

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Hartmann, Elizabeth H., Nathan Creel, Jacob Lepard, and Robert A. Maxwell. "Mass Casualty following Unprecedented Tornadic Events in the Southeast: Natural Disaster Outcomes at a Level I Trauma Center." American Surgeon 78, no. 7 (2012): 770–73. http://dx.doi.org/10.1177/000313481207800716.

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On April 27, 2011, an EF4 (enhanced Fujita scale) tornado struck a 48-mile path across northwest Georgia and southeast Tennessee. Traumatic injuries sustained during this tornado and others in one of the largest tornado outbreaks in history presented to the regional Level I trauma center, Erlanger Health System, in Chattanooga, TN. Patients were triaged per mass casualty protocols through an incident command center and triage officer. Medical staffing was increased to anticipate a large patient load. Records of patients admitted as a result of tornado-related injury were retrospectively review

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Frank, Mark, Jörg Braun, Laura Haelke, and Katja Petrowski. "Traumatic Cardiac Arrest in Polytrauma–There are Survivors: A 10-Year Analysis from a German Helicopter Base." Prehospital and Disaster Medicine 38, S1 (2023): s45. http://dx.doi.org/10.1017/s1049023x23001541.

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Introduction:In Germany, emergency care is provided by ambulances and rescue helicopters. Emergency physicians are part of prehospital care. The rescue helicopter in Dresden covers the city with 540.000 inhabitants and surrounding areas. The goal of the study was to evaluate cases of traumatic cardiac arrest (TCA) and to describe factors that affect the primary success of prehospital cardiopulmonary resuscitation (CPR) in trauma.Method:Data of all emergencies from the German Air Rescue (DRF-Luftrettung®) Helicopter Base Dresden were recorded on a standardized protocol and transferred to a cent

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Dickinson, M. W. "Pre-hospital trauma management." Accident and Emergency Nursing 2, no. 1 (1994): 2–6. http://dx.doi.org/10.1016/0965-2302(94)90123-6.

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Jodie, Pritchard, and Hogg Kerstin. "BET 2: Pre-hospital finger thoracostomy in patients with chest trauma." Emergency Medicine Journal 34, no. 6 (2017): 419.1–419. http://dx.doi.org/10.1136/emermed-2017-206808.2.

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Ferreira, João Costa, Samuel Lopes dos Santos, Maria Idalina Rodrigues, et al. "Understanding the Nurses' Role in Pre-Hospital Care for Patients with Limb Fractures: An Integrative Literature Review." International Journal of Advanced Engineering Research and Science 9, no. 11 (2022): 409–23. http://dx.doi.org/10.22161/ijaers.911.50.

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Trauma can be understood as a disease that involves the exchange of energy between the environment and the body, resulting in injuries of varying extent and intensity, which affect different systems and organs. Its occurrence requires that victims in clinical or traumatic situations receive emergency care in the extra-hospital environment. In assessing the victim to identify a possible hemorrhage or fracture, the professional requires prior knowledge of human anatomy and physiology. Thus, this study aims to identify, in the literary bases, the main actions and care adopted by nurses for client

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Harrell, Kevin N., Dylan E. Brooks, Preston H. Palm, Jonathan T. Cowart, Robert Maxwell, and Donald Barker. "A Comparison of Prehospital Nonphysician and Hospital Physician Placed Tube Thoracostomy." American Surgeon 86, no. 7 (2020): 841–47. http://dx.doi.org/10.1177/0003134820940238.

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Background Prehospital chest decompression can be a lifesaving procedure in severe chest trauma. Studies investigating prehospital chest decompression are mostly European where physicians are assigned to prehospital care units. This report is one of the first to compare demographics and outcomes in patients undergoing prehospital chest decompression by trained aeromedical nonphysician personnel to hospital chest decompression by physicians. Methods Prehospital tube thoracostomy (PTT) patients were identified from January 2014 to January 2019 and were matched in a 1:2 ratio based on age, Injury

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Homeier, Jil-Madeline, Katrin Bundkirchen, Marcel Winkelmann, et al. "Selective Inhibition of IL-6 Trans-Signaling Has No Beneficial Effect on the Posttraumatic Cytokine Release after Multiple Trauma in Mice." Life 11, no. 11 (2021): 1252. http://dx.doi.org/10.3390/life11111252.

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While improvements in pre-hospital and in-hospital care allow more multiple trauma patients to advance to intensive care, the incidence of posttraumatic multiple organ dysfunction syndrome (MODS) is on the rise. Herein, the influence of a selective IL-6 trans-signaling inhibition on posttraumatic cytokine levels was investigated as an approach to prevent MODS caused by a dysbalanced posttraumatic immune reaction. Therefore, the artificial IL-6 trans-signaling inhibitor sgp130Fc was deployed in a murine multiple trauma model (femoral fracture plus bilateral chest trauma). The traumatized mice w

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Thomas, Martins O., and Ezekiel O. Ogunleye. "Penetrating Chest Trauma in Nigeria." Asian Cardiovascular and Thoracic Annals 13, no. 2 (2005): 103–6. http://dx.doi.org/10.1177/021849230501300202.

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Penetrating chest trauma occurs worldwide, and various accounts of it have been reported in the literature. 1 – 5 Blunt trauma is not usually associated with military or civilian violence, while penetrating chest trauma often is. Penetrating chest trauma is frequently caused by gunshots and non gunshot-related incidents such as stabs, traffic accidents, and impalements. This prospective study was conducted to determine a pattern of penetrating thoracic injuries, including their causes, the role of surgery, and intervention outcomes. In this study, we treated 168 patients (142 males and 26 fema

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Maria, I. Dalamagka. "Emergency Medicine." World Journal of Advanced Research and Reviews 23, no. 2 (2024): 394–401. https://doi.org/10.5281/zenodo.14837010.

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Emergency defines the potential provision of rapid and effective Medical Nursing Care, in situations where life is threatened. Emergency medicine is defined as the branch of Medicine that operates within an organized EMS. Emergency Medicine System (EMS) is defined as the organized set of provision of immediate pre-hospital, in-hospital and inter-hospital care. Objectives of Emergency Medicine are the provision of an integrated system of pre-hospital, in-hospital and inter-hospital emergency care; improving the quality of emergency medical care; reduction of mortality, morbidity and disability

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Nevins, Edward J., Parisa L. Moori, Jonathan Smith-Williams, Nicholas T. E. Bird, John V. Taylor, and Nikhil Misra. "Should pre-hospital resuscitative thoracotomy be reserved only for penetrating chest trauma?" European Journal of Trauma and Emergency Surgery 44, no. 6 (2018): 811–18. http://dx.doi.org/10.1007/s00068-018-0937-4.

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Robinson, Simon, and Jordan Kirton. "Tools to predict acute traumatic coagulopathy in the pre-hospital setting: a review of the literature." British Paramedic Journal 5, no. 3 (2020): 23–30. http://dx.doi.org/10.29045/14784726.2020.09.5.3.23.

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<sec id="s1">Introduction: Recognising acute traumatic coagulopathy (ATC) poses a significant challenge to improving survival in emergency care. Paramedics are in a prime position to identify ATC in pre-hospital major trauma and initiate appropriate coagulopathy management. </sec> <sec id="s2">Method: A database literature review was conducted using Scopus, CINAHL and MEDLINE. </sec> <sec id="s3">Results: Two themes were identified from four studies: prediction tools, and point-of-care testing. Prediction tools identified key common ATC markers in the pre-hospital

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Bruce, David, Trichur Ramakrishnan, and Pankaj (Peter) Patel. "Developing Prehospital Care in India–A Potential Model for Low- and Middle-income Countries." Prehospital and Disaster Medicine 38, S1 (2023): s41. http://dx.doi.org/10.1017/s1049023x23001449.

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Introduction:Road traffic accidents and natural disasters cause significant numbers of deaths and life-changing injuries in low & middle-income countries. Most of these countries have limited resources for pre-hospital care and training. In 2021, there were 155,622 deaths due to road accidents and >18,000 railway-related deaths. Natural and manmade disasters also contribute to high numbers of serious injuries and deaths in the region. India is the pilot for developing an international training course for prehospital trauma care.Method:A review of pre-hospital care training and ambulance

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Dogjani, Agron, Kastriot Haxhirexha, Arben Gjata, and Kastriot Subashi. "Optimizing Chest Trauma Management: Strategies and Guidelines." Albanian Journal of Trauma and Emergency Surgery 7, no. 2.7 (2023): 32–33. http://dx.doi.org/10.32391/ajtes.v7i2.7.370.

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Introduction; Chest trauma, resulting from both blunt and penetrating mechanisms, poses a significant health threat, and its management demands precise strategies and adherence to established guidelines. This presentation introduces a comprehensive presentation on optimizing chest trauma management, delving into essential strategies and guidelines for healthcare professionals. The presentation begins by outlining the various types and mechanisms of chest trauma, such as blunt and penetrating injuries, with a focus on their significance and prevalence in healthcare settings. Subsequ

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Kaim, Arielle, Moran Bodas, Dan Bieler, et al. "Severe Trauma in Germany and Israel– Are We Speaking the Same Language? A Trauma Registry Comparison." Prehospital and Disaster Medicine 38, S1 (2023): s208. http://dx.doi.org/10.1017/s1049023x23005320.

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Introduction:Trauma registries are a crucial component of trauma systems, as they could be utilized to perform a benchmarking of quality of care and enable research in a critical but important area of health care. The aim of this study is to compare the performance of two national trauma systems: Germany (TraumaRegister DGU ®,TR-DGU) and Israel (Israeli National Trauma Registry,INTR) in a retrospective analysis.Method:Patients from both registries treated during 2015-2019 with an Injury Severity Score (ISS) ≥ 16 points were included. Patient demographics, pre-hospital care, hospital treatment,

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Prabhu, Sudhir Haladi, Anusha Rashmi, Rashmi Kundapur, and Shreyaswi M. Sathyanath. "Mapping of pathways of care, assessment of delays and gap analysis in provision of care following road traffic injury among patients in selected tertiary hospitals in urban Karnataka, South India." Indian Journal of Community Health 33, no. 4 (2021): 627–33. http://dx.doi.org/10.47203/ijch.2021.v33i04.015.

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Background: Evidence-based public health advocates decision making based on best available scientific evidence, hence it is important to gather evidence of current scenario of trauma care. Aim & Objective: To determine pathways of care and delays among Road Traffic Injury patients and assess gaps in resources. Settings and Design: This cross-sectional study was conducted in selected tertiary care hospitals in Mangaluru taluk, Karnataka. Methods and Material: Participants were administered validated proformas on prehospital and hospital care. WHO trauma care checklist was used for capacity

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DeLa'O, Connie M., Aurelio Rodriguez, Justin Boer, Thomas Simunich, and Russell Dumire. "From Trauma Quality Improvement Project to the Geriatric Trauma Institute: Developing an Innovative Care Model for the Coming Storm." Panamerican Journal of Trauma, Critical Care & Emergency Surgery 3, no. 3 (2014): 105–8. http://dx.doi.org/10.5005/jp-journals-10030-1100.

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ABSTRACT Background The US geriatric population is projected to steadily increase to approximately 20% by 2030, thereby significantly increasing the burden to trauma services. This study sought to transform the geriatric trauma care model into one more effective, efficient, financially sustainable, and capable of absorbing the anticipated increased demand. Study design The goals were to improve the geriatric trauma care process—for patient and hospital, detail its evolution, and provide a formative evaluation of the result. A multidisciplinary team, internal and external to the hospital, was a

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De Morais, Êmille M., Flávia C. P. A. D' Agostini, and Naila A. De Oliveira. "Role of aerospace care nursing in Brazil: Integrative review." Brazilian Journal of Health and Biomedical Sciences 20, no. 1 (2021): 63–72. http://dx.doi.org/10.12957/bjhbs.2021.59747.

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Introduction: With mandatory “Flight Nurses” during World War II, there was a need to improve aeromedical rescue. Currently, the use of aerospace removal is crucial to rapidly take away trauma patients in large urban centers. In Brazil, ABCDE system is adopted during pre-hospital care (PHC) so that nursing needs constant updating to meet the demand for care. Objective: To identify and describe role and challenges of nursing professionals in aerospace transport. Methodology: Integrative review of indexed articles in the last 10 years (2010 to 2020) with focus on pre-hospital care and nursing ro

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Donnelly, Nora-Ann, Louise Brent, Siobhan Masterson, et al. "Targeted Review and Amalgamation of Unmapped Major Trauma and Ambulance Data in Ireland: TRAUMA Study." Prehospital and Disaster Medicine 38, S1 (2023): s149—s150. http://dx.doi.org/10.1017/s1049023x23003916.

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Introduction:The trauma care system in Ireland is being re-configured to have major trauma centers for severe injuries and other sites for less severe injuries. This is to ensure patients are brought quickly to the most appropriate hospital to manage their injuries. The National Ambulance Service (NAS) electronic Patient Care Record (ePCR) records what happens to patients before they reach the hospital and the Major Trauma Audit (MTA) captures data on patients’ hospital treatment. These datasets are currently separate and if they could be joined, they would inform important decisions on which

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Hassan Ali Jabar and Afifa Radha Aziz. "Effectiveness of an Education Program on Nurses Knowledge toward Care of Chest Tube in Children at Pediatric Teaching Hospital Baghdad City." Indian Journal of Forensic Medicine & Toxicology 15, no. 3 (2021): 839–45. http://dx.doi.org/10.37506/ijfmt.v15i3.15414.

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Study background: A chest tube is a drain that is inserted into the pleural cavity space to extract air, fluid, or blood to restore negative pressure to the pleural space, re-expand a partially collapsed lungs, and prevent reflux or leakage back into the chest. Since the pleural cavity’s .Methodology :The study was designed as quiz-experiment design using test retest approach for study groups .The sample (30) nurses enrolled as a control group and (30) nurses enrolled as a study group participants were exposed to an educational program pre test1, post test1 post test 2 .Results: The results of

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Kayani, Ziyad Afzal, Irum Gilani, Shagufta Manzoor, Sarmud Lateef Awan, Syed Zakir Naqvi, and Shagufta Sabir Qureshi. "PATTEREN OF CHEST INJURIES DURING ROAD TRAFFIC ACCIDENT IN PATIENTS PRESENTED TO EMERGENCY DEPARTMENT OF AIMS MUZAFFRABAD." Pakistan Journal of Physiology 17, no. 3 (2021): 19–21. http://dx.doi.org/10.69656/pjp.v17i3.1382.

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Background: Road traffic accident injuries are an important cause of mortality and morbidity. It is the major public health problem in every country across the world and causing approximately 5.8 million deaths per year. The Chest trauma is a disease that has worsened long with growing urbanization and industrialization; due to worldwide increases in violence, constructions and vehicle number. Methods: This study was conducted at Abbas Institute of Medical Sciences (AIMS) Muzaffarabad AJ&K from August 2020 to December 2020. The study was approved by Ethical committee of AIMS hospital. Conv

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ALVAREZ, BRUNO DURANTE, DANILO MARDEGAM RAZENTE, DANIEL AUGUSTO MAUAD LACERDA, NICOLE SILVEIRA LOTHER, LUIZ CARLOS VON-BAHTEN, and CARLA MARTINEZ MENINI STAHLSCHMIDT. "Analysis of the Revised Trauma Score (RTS) in 200 victims of different trauma mechanisms." Revista do Colégio Brasileiro de Cirurgiões 43, no. 5 (2016): 334–40. http://dx.doi.org/10.1590/0100-69912016005010.

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ABSTRACT Objective: to analyze the epidemiological profile and mortality associated with the Revised Trauma Score (RTS) in trauma victims treated at a university hospital. Methods: we conducted a descriptive, cross-sectional study of trauma protocols (prospectively collected) from December 2013 to February 2014, including trauma victims admitted in the emergency room of the Cajuru University Hospital. We set up three groups: (G1) penetrating trauma to the abdomen and chest, (G2) blunt trauma to the abdomen and chest, and (G3) traumatic brain injury. The variables we analyzed were: gender, age,

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Miroshnichenko, A. G., V. M. Teplov, R. M. Rakhmanov, and M. A. Bolshakova. "Selecting and justifying prognostic criteria to assessing the severity of condition during traumatic illness in combined chest and abdominal trauma after acute traffic accidents." Medicо-Biological and Socio-Psychological Problems of Safety in Emergency Situations, no. 4 (January 30, 2024): 49–55. http://dx.doi.org/10.25016/2541-7487-2023-0-4-49-55.

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Relevance. Improving prognostic criteria to assess the severity of combined chest and abdominal trauma is urgently needed to justify the scope of intensive care in victims of road accidents during acute traumatic illness.Objective. The objective of the study is to improve the results of treatment during acute traumatic illness in combined chest and abdominal trauma after road accidents, as well as to enhance efficiency of prognostic criteria for severity assessment.Methods. A single-center retrospective and prospective controlled clinical study was conducted in 1400 victims who were treated at

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Kearns, Randy, Tracee Short, David Barrios, et al. "Developing a Statewide System for Prehospital Routing of Burn Injuries." Prehospital and Disaster Medicine 38, S1 (2023): s84. http://dx.doi.org/10.1017/s1049023x23002418.

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Introduction:In the USA, traumatic injuries are the leading cause of death before age 45 and have significantly lower mortality if treated in a verified trauma center. Burn injuries are included in trauma statistics and represent 1.1 million injured people annually seeking medical assistance. Routing of burn injuries to ABA-recognized burn centers has yet to be assessed as it has in trauma injury. Our goal was to examine the impact of prehospital routing of burn injuries on hospital length of stay, mortality, and potential costs-of-care through a statewide care coordination center.Method:Our s

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KC, Heera, Sharmila Shrestha, Ramananda Chaudhary, Tara Shah, and Surya B. Parajuli. "Inpatients nursing care provided in a tertiary hospital of Nepal." BIBECHANA 16 (November 22, 2018): 204–12. http://dx.doi.org/10.3126/bibechana.v16i0.21641.

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Introduction: Nursing care is necessary for every client seeking any type of healthcare such as health promotion, diagnosis, treatment and recovery. Despite these facts, nurses are given less importance and their works are even unrecognized. Objective: The objective of this study was to explore nursing care provided to inpatients of medical ward at B. P. Koirala Institute of Health Sciences, Dharan, Nepal. Methodology: Hospital based cross-sectional study was carried out in medical ward of B. P. Koirala Institute of Health Sciences, Dharan from Feb 2017 to Oct 2018. Data were retrieved from in

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Chartoff, Stanley, Robert Toth, David Young, et al. "Practical Trauma Training in Ukraine: An EMT Type 1 NGO’s Implementation of Trauma Training for Healthcare Providers and First Responders in Ukraine from March 2022-October 2022." Prehospital and Disaster Medicine 38, S1 (2023): s173—s174. http://dx.doi.org/10.1017/s1049023x23004508.

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Introduction:In March 2022, Team Rubicon deployed an EMT Type 1 mobile team to provide medical care for internally displaced people in Ukraine. Regional medical facilities and universities identified a need for training programs to prepare for the expected increase in wartime casualties.Method:Deployed medical teams researched and compiled initial course content. Presentations were prepared and conducted with the assistance of Ukrainian translators. The curriculum was expanded to include whole blood transfusion and point of care ultrasound. After the prioritization of needs by the MOH, Team Ru

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Kroeker, Jenna, Anas Wess, Yuwei Yang, et al. "Chest trauma clinical practice guideline protects against delirium in patients with rib fractures." Trauma Surgery & Acute Care Open 9, no. 1 (2024): e001323. http://dx.doi.org/10.1136/tsaco-2023-001323.

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IntroductionTraumatic rib fractures present a considerable risk to patient well-being, contributing to morbidity and mortality in trauma patients. To address the risks associated with rib fractures, evidence-based interventions have been implemented, including effective pain management, pulmonary hygiene, and early walking. Vancouver General Hospital, a level 1 trauma center in British Columbia, Canada, developed a comprehensive multidisciplinary chest trauma clinical practice guideline (CTCPG) to optimize the management of patients with rib fractures. This prospective cohort study aimed to as

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Mitchell, Tammie L., Nancy M. Duvall, and Charles W. Martin. "Sequential Compression Device Compliance for Venous Thromboembolism in High-Risk Trauma: A Quality Improvement Study." Journal of Trauma Nursing 31, no. 1 (2024): 34–39. http://dx.doi.org/10.1097/jtn.0000000000000768.

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Background: Hospital-acquired, perioperative venous thromboembolism is a recognized patient safety indicator in the adult trauma patient population. Mechanical prophylaxis has been identified as a standard intervention to reduce the incidence of venous thromboembolism when prescribed along with anticoagulation or if anticoagulation is contraindicated in the surgical population. Adherence to consistent mechanical prophylaxis remains a nursing issue impacted by numerous factors in patient care. Objective: The purpose of this quality improvement project was to improve the compliance of sequential

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Ari S, Vivin, Laode Abdul Rahman, and Yuni Susiana Nur. "Optimalisasi Penyusunan Panduan Asuhan Keperawatan di Unit Hemato Onkologi." Jurnal Keperawatan Silampari 5, no. 2 (2022): 1140–50. http://dx.doi.org/10.31539/jks.v5i2.3759.

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This study aims to optimize the preparation of nursing care guidelines in the Hemato Oncology unit of RS X Bogor City. The method used in this research is a pilot project. The results showed that the majority of the ages were in the age range of 21-30 years, 85%, with the majority being female, as much as 80%. The competency level of nurses for pre-PK has the highest percentage at 40%. The length of work of nurses in the hemato-oncology unit is 2-5 years, as much as 60%. Respondents are implementing nurses as much as 95% and D3 education as much as 75%. The training qualification for implement

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Polan, Christina, Heinz-Lothar Meyer, Manuel Burggraf, et al. "Geriatric Proximal Femur Fractures During the Covid-19 Pandemic - Fewer Cases, But More Comorbidities." Geriatric Orthopaedic Surgery & Rehabilitation 12 (January 1, 2021): 215145932110096. http://dx.doi.org/10.1177/21514593211009657.

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Background: The COVID-19 pandemic is challenging healthcare systems worldwide. This study examines geriatric patients with proximal femur fractures during the COVID-19 pandemic, shifts in secondary disease profile, the impact of the pandemic on hospitalization and further treatment. Methods: In a retrospective monocentric study, geriatric proximal femur fractures treated in the first six months of 2020 were analyzed and compared with the same period of 2019. Pre-traumatic status (living in a care home, under supervision of a legal guardian), type of trauma, accident mechanism, geriatric risk f

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Cunningham, Tim, Dallas M. Ducar, and Jessica Keim-Malpass. "“The Pause”: A Delphi Methodology Examining an End-of-Life Practice." Western Journal of Nursing Research 41, no. 10 (2019): 1481–98. http://dx.doi.org/10.1177/0193945919826314.

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“The Pause” was first practiced by a nurse at a Level 1 trauma center to honor the death of a deceased patient. This practice has spread internationally and is used in emergency departments, intensive care, transplant, and oncology units, in addition to pre-hospital settings. There is a paucity of research published on the effects of The Pause for health care workers. We used a three-staged Delphi methodology to understand the barriers, benefits, and language used in The Pause. Analyses of email communication and interview transcripts suggest that The Pause poses minimal risk and has considera

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Moser, G. A. S., D. C. M. Aguiar, B. C. Franciscon, J. F. Lima, and F. B. Haag. "The rescue of the polytraumatized victims due to violence in transit in the city of Chapecó-SC: the “golden hour”." Scientific Electronic Archives 13, no. 7 (2020): 102. http://dx.doi.org/10.36560/1372020940.

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Trauma is considered the third cause of death, being understood as a disease with endemic character in modern society is not only affecting the field of public health, but also, the socio-political society. According to the Advanced Trauma Life Support - ATLS, in emergencies, the first hour, called the "Golden Hour" (Golden hour), this is the moment in which more deaths occur. However, this is also the time for more if you can avoid them. This study aimed to understand how the pre-hospital care and hospital conducted both by the Fire Department of the west of SC, and by nurses from the emergen

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Hernandez Torres, Sofia I., Austin Ruiz, Lawrence Holland, Ryan Ortiz, and Eric J. Snider. "Evaluation of Deep Learning Model Architectures for Point-of-Care Ultrasound Diagnostics." Bioengineering 11, no. 4 (2024): 392. http://dx.doi.org/10.3390/bioengineering11040392.

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Point-of-care ultrasound imaging is a critical tool for patient triage during trauma for diagnosing injuries and prioritizing limited medical evacuation resources. Specifically, an eFAST exam evaluates if there are free fluids in the chest or abdomen but this is only possible if ultrasound scans can be accurately interpreted, a challenge in the pre-hospital setting. In this effort, we evaluated the use of artificial intelligent eFAST image interpretation models. Widely used deep learning model architectures were evaluated as well as Bayesian models optimized for six different diagnostic models

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Nelson, Erica, Stephen Donnelly, Calley Bilgram, Alyssa Quaranta, and David Callaway. "The Integration of Point-of-Care Ultrasound into Practical Trauma Training in Ukraine: A Case Study Highlighting Feasibility, Satisfaction, and Pre- and Post-Training Comfort with the Technology." Prehospital and Disaster Medicine 38, S1 (2023): s8. http://dx.doi.org/10.1017/s1049023x23000687.

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Introduction:As of October 2022, the civilian casualty count of the invasion of Ukraine is reported to be 16,295, with actual figures believed to be considerably higher. As explosive trauma continues to terrorize populations, frontline medical personnel are faced with escalating resource constraints including transport, imaging modalities, and electricity. Point of care ultrasound (POCUS) is considered the gold standard in acute trauma evaluation, but very few hospitals or pre-hospital medics have access to or training in POCUS.Method:In collaboration with the Ukrainian Ministry of Health, the

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Waheed, Noor Hasan, and Musaab Majid Abdulwahhab. "Effectiveness of Interventional Program on Nurses’ Practices concerning Physiotherapy Protocol at Intensive Care Units in AL-Nasiriyah City." Pakistan Journal of Medical and Health Sciences 16, no. 4 (2022): 850–51. http://dx.doi.org/10.53350/pjmhs22164850.

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Background: Respiratory physiotherapy is a treatment option that addresses secretory elimination and promotes airway clearance, hence reducing breathing workload, promoting lung expansion, and preventing collapse. Most respiratory disorders benefit from chest physiotherapy as an adjuvant treatment, including COPD, bronchiectasis, and cystic fibrosis, as well as neuromuscular diseases and peri-operative care, particularly in upper abdominal procedures. The goal of the study is to see how effective the intervention program was in altering the nursing staff's practices of physiotherapy protocol i

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Naughton, C., H. Cummins, M. Foubert, et al. "207 IMPLEMENTATION OF A FRAILTY CARE BUNDLE (FCB) IN ACUTE AND REHABILITATION SETTINGS." Age and Ageing 50, Supplement_3 (2021): i1—i8. http://dx.doi.org/10.1093/ageing/afab216.207.

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Abstract Background During hospitalisation older adults are at greater risk of hospital associated decline (HAD), attributed to hospital processes that fail to prioritise fundamental care related to mobility, nutrition and cognitive health. The study aims to enable the nursing and multidisciplinary team to prioritise early mobilisation, optimise nutrition and cognitive engagement in patients aged 60 years and older. Methods Four wards were recruited, two orthopaedic trauma and two orthopaedic rehabilitation. Following situational analysis on each ward, we used behaviour change theory COM-B (ca

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Khalaf Mahran, Ghada Shalaby, Asmaa Ali Mahgoub, and Mostafa Samy Abass. "The effect of scenario based teaching for critical care nurses and physicians on their knowledge of fluid creep." Journal of Nursing Education and Practice 9, no. 4 (2018): 86. http://dx.doi.org/10.5430/jnep.v9n4p86.

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Introduction: Fluid resuscitation is a major component of the acute management of critically ill patients. The phenomenon of providing excessive fluid resuscitation volumes has been termed “fluid creep”. Today, the science of nursing becomes more complex. Accurate fluid balance assessment and recording is important component of nursing care that assures patient’s safety especially in critically ill patients. The aim of the work is to examine the effect of scenario based teaching for critical care nurses and physicians on their knowledge of fluid balance & fluid creep.Methods: The study des

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Flarity, Kathleen, Whitney C. Rhodes, Andrew J. Berson, et al. "Guideline-Driven Care Improves Outcomes in Patients with Traumatic Rib Fractures." American Surgeon 83, no. 9 (2017): 1012–17. http://dx.doi.org/10.1177/000313481708300940.

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There is no established national standard for rib fracture management. A clinical practice guideline (CPG) for rib fractures, including monitoring of pulmonary function, early initiation of aggressive loco-regional analgesia, and early identification of deteriorating respiratory function, was implemented in 2013. The objective of the study was to evaluate the effect of the CPG on hospital length of stay. Hospital length of stay (LOS) was compared for adult patients admitted to the hospital with rib fracture(s) two years before and two years after CPG implementation. A separate analysis was don

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Fitri, Anita, Hariyanti Tita, and Suharsono Tony. "Expectation of administering the first aid for traumatic victims during the absence of pre-hospital service." International Journal of Public Health Science (IJPHS) 10, no. 1 (2021): 41~47. https://doi.org/10.11591/ijphs.v10i1.20568.

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Traffic incidents become typical cases of trauma outside of hospitals. The integrated-emergency nursing system outside of hospitals becomes an important component to minimize any worsening condition of the traumatic victims. However, this pre-hospitalized service system has not been formally established in several cities or municipalities. This research aims to explore various hopes of the trauma-victim aid process in a region that has not applied pre-hospitalized emergency service formally. This research was carried out by implementing a qualitative research method and a case study approach t

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Cayre, Anais, Virginie Sangay, Pascal Dionnet, Benoit Viault, Vincent Bounes, and Laurent Schmitt. "Psychological Emergency Cell and Prehospital Emergency Medical Service Integration into the Care Pathway for Victims." Prehospital and Disaster Medicine 38, S1 (2023): s179. http://dx.doi.org/10.1017/s1049023x23004636.

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Introduction:The Medical-Psychological Emergency Cells (CUMP) are integrated in France into the pre-hospital Medical Emergency Services (SAMU). The objective of this study aims to show an integrated course of care and the major interest of the inclusion of the Psychological Cells in the structures of the SAMU.Method:The CUMP of the Toulouse Area is made up of Psychologists, Nurses, Psychiatrists, professionals or volunteers sent or put on alert. Interventions take place immediately under the aegis of the prehospital medical care department or in a deferred manner within the first 48 hours. All

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Cline, Justin, Jack Nolte, Gregory Mendez, et al. "Creating and Implementing a Protocol for the Management of Patients in Skeletal Traction: A Quality Improvement Project." Kansas Journal of Medicine 14 (October 14, 2021): 240–42. http://dx.doi.org/10.17161/kjm.vol14.15179.

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Introduction.Skeletal traction use generally has decreased over generations and is used most often for temporary fracture stabilization. Proper nursing management of patients in skeletal traction is crucial. A hospital protocol was created and implemented to educate and direct registered nurses (RNs) in the care of patients requiring skeletal traction. Method.A skeletal traction management protocol was drafted and implemented as hospital policy. Twenty-nine RNs from an orthopaedic unit at a level 1 trauma center attended a financially compensated, 45-minute, in-person, off-shift educational se

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Anita, Fitri, Tita Hariyanti, and Tony Suharsono. "Expectation of administering the first aid for traumatic victims during the absence of pre-hospital service." International Journal of Public Health Science (IJPHS) 10, no. 1 (2021): 41. http://dx.doi.org/10.11591/ijphs.v10i1.20568.

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Traffic incidents become typical cases of trauma outside of hospitals. The integrated-emergency nursing system outside of hospitals becomes an important component to minimize any worsening condition of the traumatic victims. However, this pre-hospitalized<em> </em>service system has not been formally established in several cities or municipalities. This research aims to explore various hopes of the trauma-victim aid process in a region that has not applied pre-hospitalized<em> </em>emergency service formally. This research was carried out by implementing a qualitative r

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Nunn, Andrew, Peter Fischer, Ronald Sing, Megan Templin, Michael Avery, and A. Britton Christmas. "Improvement of Treatment Outcomes after Implementation of a Massive Transfusion Protocol: A Level I Trauma Center Experience." American Surgeon 83, no. 4 (2017): 394–98. http://dx.doi.org/10.1177/000313481708300429.

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We assessed the effectiveness of the implementation of an institutional massive transfusion protocol (MTP) for resuscitation with a 1:1:1 transfusion ratio of packed red blood cell (PRBC), fresh frozen plasma, and platelet units. In a Level I trauma center database, all trauma admissions (2004–2012) that received massive transfusions (≥10 units PRBCs in the first 24 hours) were reviewed retrospectively. Demographic data, transfusion ratios, and outcomes were compared before (PRE) and after (POST) MTP implementation in May 2008. Age, sex, and mechanism of injury were similar between 239 PRE and

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Bignucolo, A., C. Acton, R. Ohle, and S. Socransky. "P013: A new efficient and accurate scanning protocol for traumatic pneumothorax." CJEM 21, S1 (2019): S67. http://dx.doi.org/10.1017/cem.2019.204.

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Introduction: According to the International Evidence-Based Recommendations for Point-of-Care Lung Ultrasound published in 2012, the sonographic technique for evaluating a patient for a pneumothorax (PTX) “consists of exploration of the least gravitationally dependent areas progressing more laterally” in the supine patient. However, there is a wide variety of scanning protocols in the literature with varying accuracy and complexity. We sought to derive an efficient and accurate scanning protocol for diagnosing pneumothorax using point of care ultrasound in trauma. Methods: We performed a retro

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Petrushenko, Viktoriia V., Vita O. Ruzhanska, Roman V. Buriak, et al. "Closed Cardiac Trauma: Literature Review and Case Series of Combat Trauma." Ukrainian Journal of Cardiovascular Surgery 32, no. 4 (2024): 143–54. https://doi.org/10.30702/ujcvs/24.32(04)/pr055-143154.

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The aim. Analysis of the causes, diagnosis and treatment methods of closed heart injuries through the examples of literary sources and our own clinical cases. Russia’s full-scale invasion of Ukraine led to massive hostilities. This war not only changed the geopolitical situation in Europe, but also presented new challenges to the medical community, particularly in the field of military medicine. Among many types of combat injuries, heart injury, which can be both open and closed, requires special attention. Although both types of injuries are life-threatening, the closed heart injury becomes m

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