and its publication Guidelines for essential Trauma Care, has addressed the need and value of early coordinated, standardized care of the trauma patient2. Both stress the ABC’s, and primary/secondary survey. Tension pneumothorax, cardiac tamponade, and massive hemothorax warrant an early response in the primary survey. This requires ready availability of chest tube thoracostomy, subxyphid peric...

A significant number of deaths in trauma occurs days to weeks after the initial injury, being caused by infection and organ failure related to hypercatabolism and consequent acute protein malnutrition. Nutritional therapy should be planned and included with other routines of resuscitation for patients with multiple trauma and severe burns. The rapid acquisition of a route for nutritional suppor...

This paper provides improved confidence assessment for detection of word-level speech recognition errors and out-ofdomain user requests using language model features. We consider a combined measure of confidence that utilizes the language model back-off sequence, language model score, and phonetic length of recognized words as indicators of speech recognition confidence. The paper investigates ...

Background: Computed tomography (CT) scanning has become essential in the early diagnostic phase of trauma care because of its high diagnostic accuracy. The introduction of multi-slice CT scanners and infrastructural improvements made total-body CT scanning technically feasible and its usage is currently becoming common practice in several trauma centers. However, literature provides limited ev...

BACKGROUND In November 2008, a surgical team from the Red Cross Hospital Beverwijk, the Netherlands, was deployed in Afghanistan for three months to attend in the army hospital of Kandahar.During their stay, four incidents of armored personnel carriers encountering an improvised explosive device were assessed. In each incident, two soldiers were involved, whose injuries were strikingly similar....

This paper presents a new approach to an on-chip asynchronous transmission system suitable for next generation asynchronous on-chip networks. It implements multivalued logic to reduce the number of wires and a low-voltage swing for lower dynamic power dissipation. Furthermore, the transmission system described here enjoys fully static design and has zero static power consumption. Two versions o...

Abstract Introduction Secondary survey is a key aspect of the ATLS guidelines in avoiding missed injuries polytrauma patients. Aim: Evaluate documentation secondary cases admitted to RIE A+E department. Method Standard audit protocol, retrospective data collection. Polytrauma patients and requiring Trauma CT were identified from local trauma database. Primary outcome was successful completion s...

Traumatic injury strikes unexpectedly among the healthiest members of the human population, and has been an inevitable companion of exploration throughout history. In space flight beyond the Earth's orbit, NASA considers trauma to be the highest level of concern regarding the probable incidence versus impact on mission and health. Because of limited resources, medical care will have to focus on...