摘要 :
A number of armed assaults on public officials occurred in the early 1970s, which prompted the Lightweight Soft Body Armor Program to develop modern, concealable, soft body armor. Methodology needed to be developed to (1) determin...
展开
A number of armed assaults on public officials occurred in the early 1970s, which prompted the Lightweight Soft Body Armor Program to develop modern, concealable, soft body armor. Methodology needed to be developed to (1) determine the effectiveness of the soft body armor to stop bullet penetration and (2) assess the potential injury from nonpenetrating blunt impacts to the body. Extensive research was performed under the program to develop methodologies to assess soft body armor, including behind-armor blunt trauma (BABT) evaluation. This methodology is still used today, and it has been applied extensively beyond the original intent. However, the origin of this methodology is not well understood by many researchers in the various fields in which it is being applied because the original documentation is difficult to obtain. Therefore, the purpose of this report is to provide a comprehensive review of the BABT to offer researchers information about its history and limitations.
收起
摘要 :
This study examines the use of Selective Serotonin Reuptake Inhibitors (SSRIs) as a risk factor for blood transfusion utilization in Emergency Department trauma activation patients. A retrospective cohort control study at Arrowhea...
展开
This study examines the use of Selective Serotonin Reuptake Inhibitors (SSRIs) as a risk factor for blood transfusion utilization in Emergency Department trauma activation patients. A retrospective cohort control study at Arrowhead Regional Medical Center was conducted in the Emergency Department reviewing computer profiles for adult patients with trauma activation status from January 2012 to December 2014. Patients using SSRIs were compared to all trauma activation patients that met inclusion and exclusion criteria using a likelihood ratio analysis. After the exclusion of 710 patients, as consistent with study criteria, 40 trauma activation patients using SSRIs were compared with 1126 trauma activation patients not taking SSRIs. There was no demonstrated evidence of an association or significant difference in the likelihood ratio between SSRI use and blood transfusions. For Hispanics, four of 17 (23.5%) SSRI users received a blood transfusion while 63 of 552 (11.4%) non-SSRI users received a blood transfusion. A possible association (P-Value 0.127) and difference in the likelihood ratio (P-Value 0.169) was demonstrated. Also, for patients above 50 years old four of ten (40%) SSRI users received a blood transfusion while 36 of 182 (19.8%) non-SSRI users received a blood transfusion. A possible association (P-Value 0.125) and difference in likelihood ratio (P-Value 0.156) was demonstrated. No statistically significant association was shown between SSRI users and blood transfusion utilization. An association may exist between SSRI usage and blood transfusions for Hispanic trauma activation patients and trauma activation patients greater than 50 years of age.
收起
摘要 :
Background: Trauma systems reduce mortality and improve functional outcomes. The aim of this study was to analyse the demographic and geospatial characteristics of pediatric trauma patients in Scotland, and determine the level of ...
展开
Background: Trauma systems reduce mortality and improve functional outcomes. The aim of this study was to analyse the demographic and geospatial characteristics of pediatric trauma patients in Scotland, and determine the level of destination healthcare facility which injured children are taken to, to determine the need for, and general feasibility, of developing a pediatric trauma system for Scotland. Methods: Retrospective analysis of incidents involving children aged 1 14 attended to by the Scottish Ambulance Service between 1 November 2008 and 31 October 2010. A subgroup with physiological derangement was defined. Incident location postcode was used to determine incident location by health board region, rurality and social deprivation. Destination healthcare facility was classified into one of six categories. Results: Of 10,759 incidents, 72.3%occurred in urban areas and 5.8%in remote areas. Incident location was associated with socioeconomic deprivation. Of the patients, 11.6% were taken to a pediatric hospital with pediatric intensive care facilities, 21.8% to a pediatric hospital without pediatric intensive care service, and 50.2% to an adult large general hospital without pediatric surgical service. Conclusions: The majority of incidents involving children with injuries occurred in urban areas. Half were taken to a hospital without pediatric surgical service. There was no difference between children with normal and deranged physiology.
收起
摘要 :
The primary objective of this study was to review the incidence of hypothermia, and its effect on surgical management, resource utilization, and survival at the 31st Combat Support Hospital (CSH).
摘要 :
Afghanistan is in the midst of a profound humanitarian crisis resulting primarily from long-standing armed conflict, a devastating drought, and massive population migration. The economy, government, and health care system are in s...
展开
Afghanistan is in the midst of a profound humanitarian crisis resulting primarily from long-standing armed conflict, a devastating drought, and massive population migration. The economy, government, and health care system are in shambles. Currently, as many as 5 million Afghans are in camps either as refugees in neighboring countries or as internally displaced persons within Afghanistan. Much of the rest of the population is in dire need of basic essentials such as food, water, shelter, and basic medical care. Those attempting to carry out humanitarian relief face many daunting challenges, such as reaching remote locations, coping with a dangerous security situation, and working with limited resources. However, there are opportunities in the short run to save many lives and substantially improve the plight of Afghans by carrying out appropriate and effective emergency relief programs. Over the long term, effective medical and public health relief efforts will be an essential part of rehabilitating and rebuilding this devastated country.
收起
