background in stable patients with blunt abdominal trauma, accurate diagnosis of visceral injuries is crucial. objectives to determine whether repeating ultrasound exam will increase the sensitivity of focused abdominal sonography for trauma (fast) through revealing additional free intraperitoneal fluid in patients with blunt abdominal trauma. patients and methods we performed a prospective obs...

introduction: more than 50 scoring systems have been published for classification of trauma patients in the field, emergency room, and intensive care settings, so far. the present study aimed to compare the ability of trauma injury severity score (triss) and acute physiology and chronic health evaluation (apache) iii in predicting mortality of intensive care unit (icu) admitted trauma patients....

conclusions according to the results of our study, neck collar fixation has no effect on ventilation in multiple trauma patients. results this study involved 163 multiple trauma patients. of these, 65% were male. the mean of end tidal carbon dioxide (etco2) of the patients without neck collars was 34.62 ± 4.46 and the mean etco2 of the patients with neck collars was 34.21 ± 2.31. there was no s...

introduction: nausea and vomiting are the most common complications after minor head trauma that increases the risk of intracranial pressure rising. therefore, the present study was aimed to compare the antiemetic effects of metoclopramide and ondansetron in the treatment of post-traumatic nausea and vomiting. methods: the study was a controlled, randomized, double blind clinical trial, which w...

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...