early prediction of ongoing hemorrhage may reduce mortality via the earlier delivery of blood products, adequate orientation of the patient in a dedicated highly specialized and trained infrastructure, and by earlier correction of acute traumatic coagulopathy. we identified 14 scores or algorithms developed for the prediction of ongoing hemorrhage and the need for massive transfusion in severe ...

structures that lie between the right and left pleura between the thoracic inlet and the diaphragm. Mediastinitis can be divided into the acute and chronic forms according to the etiology and the clinical course. Acute suppurative mediastinitis is an uncommon and life threatening condition (1). The main causes of acute mediastinitis include esophageal perforation, post-operative complications a...

Acute gastric dilatation is a condition which, if not diagnosed and therefore not treated, carries a high mortalitv.' While it usually complicates abdominal operations it has been reported after minor operations. The widespread use of nasogastric suction after abdominal operations has led to a considerable fall in its incidence in recent years. Many young surgeons will therefore have no experie...

Complex trauma events have been defined as chronic, interpersonal traumas that begin early in life (Cook, Blaustein, Spinazzola, & van der Kolk, 2003). The complex trauma definition has been examined in adults, as indicated by the Diagnostic and Statistical Manual of Mental Disorders (4th ed.; DSM-IV) field trial; however, this research was lacking in child populations. The symptom presentation...

BACKGROUND There is increasing theoretical, clinical and research evidence for the role of trauma memory in the aetiology of acute pathological stress responses in adults. However, research into the phenomenology of trauma memories in young people is currently scarce. METHODS This study compared the nature of trauma narratives to narratives of unpleasant non-traumatic events in young people (...

SUMMARY: Acute trauma is often associated with the progressive deterioration of multiple organ systems in humans and is the leading cause of death in trauma care units. Previous studies have suggested that multiple organ failure is likely related to uncontrolled systemic inflammation. However the causal mechanisms remain unknown. Current methods of assessing trauma patient status and predicting...

BACKGROUND 10-22% of individuals sustaining whiplash trauma develop persistent symptoms resulting in reduced working ability and decreased quality of life, but it is poorly understood why some people do not recover. Various collision and post-collision risk factors have been studied, but little is known about pre-collision risk factors. In particular, the impact of sickness and socioeconomic fa...

We compared the impact of media vs. direct exposure on acute stress response to collective trauma. We conducted an Internet-based survey following the Boston Marathon bombings between April 29 and May 13, 2013, with representative samples of residents from Boston (n = 846), New York City (n = 941), and the remainder of the United States (n = 2,888). Acute stress symptom scores were comparable i...

OBJECTIVE Acute common iliac artery occlusion which results from blunt abdominal trauma is rare and potentially leads to a late diagnosis. METHODS We report a case of a 58-year-old patient who suffered a late diagnosed acute left common iliac artery occlusion secondary to abdominal trauma. An emergency exploratory laparotomy was performed to stop intra-abdominal bleeding, while his left limb ...

introduction treatment of severe hemorrhagic shock due to acute blood loss from traumatic injuries in a jehovah’s witness (jw) trauma patient is very challenging since hemostatic blood product resuscitation is limited by refusal of the transfusion of allogeneic blood products. case presentation we describe a multifaceted approach to the clinical care of a severely anemic jw trauma patient inclu...