Background. Post-traumatic coagulopathy develops in 40 % of trauma patients and is the most common cause death them. The objective was to study analyze changes indicators coagulation hemostasis, evaluate frequency minor bleedings with polytrauma. Materials methods. A prospective observational cohort conducted among 35 a diagnosis polytrauma who were treated at Municipal Non-Profit Enterprise “L...

The management of multiply injured or severely patients is a complex and dynamic process. Timely safe fracture fixation critical component the multidisciplinary care that these require. Effective patients, their orthopaedic injuries, requires strong understanding pathophysiology response to trauma indicators patient status, as well an appreciation for nature parameters. Substantial progress in ...

Military internists and internal medicine subspecialists are physicians who generally work in traditional internal medicine settings. However, when deployed to combat settings, they must prepare and adapt their skills for a wide spectrum of complex, polytrauma, and multinational patients. There are limitations in personnel, equipment, and technical resources that make the circumstances complex ...

A case series of five patients is described demonstrating the utility of the intubating laryngeal mask airway in the prehospital setting, both as a primary airway rescue device and as a bridge to tracheal intubation. All patients were hypoxaemic, had sustained severe polytrauma and were trapped in their vehicles following road traffic collisions. A probability of survival study showed better-th...

BACKGROUND The impact of orthopedic injuries in the elderly patient with multi-trauma and the effect of operative fixation on these injuries have not been thoroughly evaluated. METHODS We reviewed geriatric patients (aged 65 and older) between 2004 and 2010 at a level 1 trauma center who sustained high-energy polytrauma (injury and severity score [ISS] ≥ 16) with associated orthopedic injurie...

BACKGROUND The lactate is a product of anaerobic metabolism; it can be used as a marker on demand and availability of oxygen. Changes in lactate levels can be effectively used as a marker in resuscitation maneuvers, even in patients with stable vital signs. AIM To verify the lactate clearance as a predictor of mortality in trauma patients, in need of intensive care. METHOD A total of 851 pa...

In this editorial, we report on the development of a smart-home–based cognitive prosthetic that will deliver 24/7 rehabilitation at the James A. Haley Veterans’ Hospital Polytrauma Transitional Rehabilitation Program (PTRP) facility in Tampa, Florida. The Tampa Smart Home was designed to address two weaknesses identified by PTRP clinicians in the rehabilitation process for patients with traumat...