conclusions according to our results, the infusion of one liter normal saline will cause a statistically significant decrease only in bd, after one hour, in patients with moderate to severe iss. the changes in sbp, pr, cvp and also ph, hco3 and hb were not statistically remarkable. background the management of trauma patients is often difficult. the american college of surgeons suggests using a...

objectives the aim of this study was to investigate the quality of pre-hospital circulatory management in patients with multiple trauma. patients and methods this was a cross-sectional study conducted in 2013. the study population consisted of all patients with multiple trauma who had been transferred by emergency medical services (ems) to the central trauma department in kashan shahid beheshti...

introduction: trauma has been recognized as one of the leading causes of death in many countries for decades. reduction in mortality and morbidity rate of trauma cases is one of the most important attitudes in this field. evaluation of different risk factors have been considered as the main goal of some studies. the purpose of this study was determining potential risk factors of death in trauma...

introduction: rapid acute physiology score (raps) and rapid emergency medicine score (rems) are two physiologic models for measuring injury severity in emergency settings. the present study was designed to compare the two models in outcome prediction of trauma patients presenting to emergency department (ed). methods: in this prospective cross-sectional study, the two models of raps and rems we...

background respiration management is an important and critical issue in prehospital transportation phase of multiple trauma patients. however, the quality of this important care has not been assessed in iran emergency medical services’ (ems). objectives this study was conducted to investigate the quality of prehospital respiration management in patients with multiple trauma, referred to the sha...

background: many of the multiple traumatized patients who refer to the hospital need transfusion. transfusion-related acute lung injury (trali) is a serious clinical syndrome associated with the transfusion of plasma-containing blood components. in the article, we present a case of trali following transfusion of packed red blood cells case presentation: a 24 year old male referred to shahid beh...

background: trauma is a major healthcare challenge worldwide. in developing countries, most road deaths happen during the pre-hospital phase; consequently, pre-hospital trauma care has received considerable attention during the past decades. objectives: the aim of this study was to investigate the quality of pre-hospital oxygen therapy in patients with multiple trauma. patients and methods: thi...

introduction: the administration of crystalloid fluids is considered as the first line treatment in management of trauma patients. infusion of intravenous fluids leads to various changes in hemodynamic, metabolic and coagulation profiles of these patients. the present study attempted to survey some of these changes in patients with mild severity trauma following normal saline infusion. methods:...