background: our aim was to evaluate the effect of intravenous intralipid administration as an antidote on the poisoned patients' glasgow coma scale (gcs), hemodynamic parameters, arterial blood gas analysis, and routine metabolic profile tests (i.e. urea, glucose, sodium, and potassium) in the setting of non-local anesthetic drug overdose. methods: in this randomized controlled trial, a to...

OBJECTIVES To determine the prevalence of helmet use in children involved in all-terrain vehicles (ATV) accidents. STUDY DESIGN Retrospective chart review. SETTING Tertiary Academic Medical Center. SUBJECTS AND METHODS Retrospective review was performed using the trauma registry of an academic tertiary medical center identifying ATV injured patients under 13 years of age between 2003-2008...

background traumatic brain injury (tbi) is an important public health problem throughout the world. objectives the aim of this study was to assess repeated glasgow coma scale (gcs) scores in predicting the severity of tbi and patients’ survival. patients and methods in this longitudinal study used a total sample of 239 patients, all of whom were hospitalized with traumatic brain injuries. subje...

OBJECTIVE Investigate and confirm the association between sympathoadrenal activation, endotheliopathy and poor outcome in trauma patients. BACKGROUND The association between sympathoadrenal activation, endotheliopathy, and poor outcome in trauma has only been demonstrated in smaller patient cohorts and animal models but needs confirmation in a large independent patient cohort. METHODS Prosp...

Impaired depth perception (astereopsis) has been observed in a variety of cerebral pathologies affecting the posterior parietal lobe. In the current study of 93 consecutive head trauma admissions, 24% had complete astereopsis and 41% performed more than 2 SDs below the orthopedic control group mean. Degree of impairment was related to Glascow Coma Scale score, length of posttraumatic amnesia, r...

To determine the factors affecting the outcome of patients with traumatic acute subdural hematoma, we reviewed the records of7 4 consecutive comatose patients with a Glascow coma scale Score (GCS) of less than 8 who had been admitted to Imam Hosein Medical Center from 1990 to 1996 and had undergone a uniform treatment protocol. The overall mortality rate was 73% and 23% had functional reco...

Methods A retrospective analysis of 150 cases admitted to Intensive Care Unit (ICU) diagnosed with different TBI who developed hyponatremia during their ICU stay, from January 2010 till October 2013. Neurological outcome was defined on the basis of initial Glascow Coma Scale (GCS) on admission to hospital and at the time of discharge from ICU. Good neurological outcome was defined if GCS improv...

BACKGROUND Herpes simplex encephalitis is associated with substantial morbidity and mortality and may be related to timely diagnosis and treatment. While awaiting the results of testing, hospitalization and empiric treatment with acyclovir is recommended, though the direct and indirect costs associated with this management are substantial. We sought to examine children hospitalized for possible...

normal 0 false false false en-us x-none ar-sa microsoftinternetexplorer4 background : traumatic brain injury (tbi) is known as one of the most important causes of mortality in middle-aged population. the aim of this study was to evaluate the effects of gabapentin in improvement of consciousness level in these patients. methods : this randomized clinical trial was performed in march 2008 to sept...

injuries, especially traffic accidents are so important causes of death, disability, hospital expenses, economic damages to the society which world health organization selected them as the main subjects for investigation and research. we have done an epidemiologic study about trauma in guilan, a province in north of iran. this is   a descriptive study carried out on patients with traumatic inju...