management of traumatized patients after road accidents is in many countries still a serious challenge. apart from technical problems in management of car accidents, the recovery and rescue of the patients and their transport to hospital need exact planning and efficient strategy. present lecture compares the trauma management in an industrial country like germany with this in iran. present wor...

BACKGROUND Although extensive research for the optimal treatment of clavicle fractures has been performed, comparative studies between monotrauma and polytrauma patients are lacking. OBJECTIVE To compare fracture distribution and treatment in monotrauma and polytrauma patients with a clavicle fracture. METHODS Single center retrospective cohort study. Fractures were classified by the Robins...

The study involved 240 patients with skeletal polytrauma. aim of the was to improve results treatment victims polytrauma by substantiating methods for predicting and preventing various complications after interhospital transportation in intensive care unit. We found that patients, following were detected: fatty embolism (11.6%), anemic syndrome (51.7%), acute respiratory failure (20.3%), pneumo...

BACKGROUND This observational study describes the "Polytrauma System of Care" used by the Veterans Health Administration to guide medical care and rehabilitation of injured military personnel serving in Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF) and reports the visual function of patients with polytrauma and/or traumatic brain injury (TBI) at the Hines, Illinois, Polytra...

Background: Polytrauma patients are expected to have a higher risk of mortality than that obtained by the summation of expected mortality owing to their individual injuries. This study was designed to investigate the outcome of patients with polytrauma, which was defined using the new Berlin definition, as cases with an Abbreviated Injury Scale (AIS) ≥ 3 for two or more different body regions a...

OBJECTIVE To identify the risk factors correlated with the initial treatment performed. METHODS This is a retrospective study involving a total of 272 patients diagnosed with femoral shaft fractures. Of the patients, 14% were kept at rest until the surgical treatment, 52% underwent external fixation, 10% received immediate definitive treatment, and 23% remained in skeletal traction (23%) unti...

BACKGROUND Trauma is a leading cause of mortality and morbidity, with traumatic brain injury (TBI) and uncontrolled hemorrhage responsible for the majority of these deaths. Recombinant activated factor VIIa (rFVIIa) is being investigated as an adjunctive hemostatic treatment for bleeding refractory to conventional replacement therapy in trauma patients. TBI is a common component of polytrauma i...

First of all, I thank the author of the Letter to the Editor for the comments made. The article referred to is no more and no less than a glimpse of the current situation of polytrauma patient care in Spain, which is not up to par with that of other countries, such as the United States. The ATLS method is likewise applicable to prehospital treatment (PHTLS), with certain nuances, but the method...

INTRODUCTION TRAUMA AS A RISK FACTOR FOR PSYCHIATRIC DISORDERS TRADITIONAL RESPONSES TO COMBAT AND INJURY CONCERNS OF THE SERVICE MEMBER WITH POLYTRAUMA AND LIMB LOSS FACTORS INTERFERING WITH RECOVERY A PSYCHIATRIC APPROACH TO SERVICE MEMBERS WHO HAVE SUSTAINED TRAUMA OR COMBAT-RELATED INJURIES THERAPEUTIC INTERVENTION FOR PREVENTING PSYCHIATRIC STRESS DISORDERS PHARMACOLOGY AND OTHER TREATMENT...