Pediatric craniomaxillofacial injuries after road traffic crashes: characteristics of injuries and protective equipment use Siti Salmiah Mohd Yunus, Wei Cheong Ngeow, Roszalina Ramli
DOI: http://dx.doi.org/10.1016/j.ajem.2015.05.009
The American Journal of Emergency Medicine , Vol. 33 , Issue 9 ,
Published online: May 15 2015
x A cross-sectional study to determine the pattern of craniomaxillofacial (CMF) injuries among children involved in road traffic crashes was performed. The association of protective equipment use with the CMF injuries was evaluated.
Susceptibility-weighted imaging in patient with consciousness disturbance after traffic accident Ling-Chun Huang, Meng-Ni Wu, Chun-Hung Chen, Poyin Huang
DOI: http://dx.doi.org/10.1016/j.ajem.2012.03.020
The American Journal of Emergency Medicine , Vol. 31 , Issue 1 ,
Published online: May 4 2012
x Both diffuse axonal injury (DAI) and fat embolism syndrome could be the cause of altered consciousness in patients who suffered from traffic accident. In some situations, distinguishing DAI from fat embolism syndrome may be difficult because routine brain imaging could not detect the lesions. Susceptibility weighted imaging is sensitive to detect petechial hemorrhages in cerebral fat embolism and DAI. The areas most vulnerable to DAI are the cerebral gray-white matter junction, splenium of the corpus callosum, and dorsolateral brainstem.
Inpatient admissions from the ED for adults with injuries: the role of clinical and nonclinical factors William D. Spector, Rhona Limcangco, Ryan L. Mutter, Jesse M. Pines, Pamela Owens
DOI: http://dx.doi.org/10.1016/j.ajem.2015.02.045
The American Journal of Emergency Medicine , Vol. 33 , Issue 6 ,
Published online: March 6 2015
x Inpatient hospital costs represent nearly a third of heath care spending. The proportion of inpatients visits that originate in the emergency department (ED) has been growing, approaching half of all inpatient admissions. Injury is the most common reason for adult ED visits, representing nearly one-quarter of all ED visits.
Subject Index
DOI: http://dx.doi.org/10.1016/S0735-6757(15)00997-3
The American Journal of Emergency Medicine , Vol. 33 , Issue 12 ,
Published in issue: December 2015
Determination of radiography requirement in wrist trauma Suha Turkmen, Aysegul Cansu, Yunus Karaca, Mehmet Emre Baki, Oguz Eroglu, Ozgur Tatli, Mucahit Gunaydin, Ercument Beyhun, and others
DOI: http://dx.doi.org/10.1016/j.ajem.2015.06.011
The American Journal of Emergency Medicine , Vol. 33 , Issue 9 ,
Published online: June 13 2015
x The purpose of this study was to evaluate predetermined physical examination and function tests recommended to identify severe injury among patients presenting with wrist injury to the emergency department and to establish a reliable clinical decision rule capable of determining the need for radiography in wrist injuries.
The accuracy of ultrasound evaluation in foot and ankle trauma Salih Ekinci, Onur Polat, Müge Günalp, Arda Demirkan, Ayça Koca
DOI: http://dx.doi.org/10.1016/j.ajem.2013.06.008
The American Journal of Emergency Medicine , Vol. 31 , Issue 11 ,
Published online: August 30 2013
x Foot and ankle injuries that result in sprains or fractures are commonly encountered at the emergency department. The purpose of the present study is to find out the accuracy of ultrasound (US) scanning in injuries in the aforementioned areas.
Prospective evaluation of an ED observation unit protocol for trauma activation patients Jessica Holly, Joseph Bledsoe, Kathryn Black, Riann Robbins, Virgil Davis, Philip Bossart, Erik Barton, Troy Madsen
DOI: http://dx.doi.org/10.1016/j.ajem.2011.10.012
The American Journal of Emergency Medicine , Vol. 30 , Issue 8 ,
Published online: December 28 2011
x The University of Utah emergency department (ED) observation unit (EDOU) cares for over 2500 patients each year, with a significant portion of these patients being trauma activation patients. We evaluated the safety and efficacy of our EDOU trauma protocol and described patient characteristics and outcomes of trauma patients managed in an EDOU.
Comparing diagnostic accuracy of bedside ultrasound and radiography for bone fracture screening in multiple trauma patients at the ED Shahram Bolandparvaz, Payman Moharamzadeh, Kazem Jamali, Mahboob Pouraghaei, Maryam Fadaie, Sepideh Sefidbakht, Kavous Shahsavari
DOI: http://dx.doi.org/10.1016/j.ajem.2013.08.005
The American Journal of Emergency Medicine , Vol. 31 , Issue 11 ,
Published online: September 23 2013
x Long bone fractures are currently diagnosed using radiography, but radiography has some disadvantages (radiation and being time consuming). The present study compared the diagnostic accuracy of bedside ultrasound and radiography in multiple trauma patients at the emergency department (ED).
Respiratory depression in the intoxicated trauma patient: are opioids to blame? Eleni Shenk, Cassie A. Barton, Nathan D. Mah, Ran Ran, Robert G. Hendrickson, Jennifer Watters
DOI: http://dx.doi.org/10.1016/j.ajem.2015.10.053
The American Journal of Emergency Medicine , Vol. 34 , Issue 2 ,
Published online: November 3 2015
x Providing effective pain management to acutely intoxicated trauma patients represents a challenge of balancing appropriate pain management with the risk of potential respiratory depression from opioid administration. The objective of this study was to quantify the incidence of respiratory depression in trauma patients acutely intoxicated with ethanol who received opioids as compared with those who did not and identify potential risk factors for respiratory depression in this population. Retrospective medical record review was conducted for subjects identified via the trauma registry who were admitted as a trauma activation and had a detectable serum ethanol level upon admission.
Characteristics of intentional fall injuries in the ED Jae Hoon Choi, Sun Hyu Kim, Sun Pyo Kim, Koo Young Jung, Ji Yeong Ryu, Sang Cheon Choi, In Cheol Park
DOI: http://dx.doi.org/10.1016/j.ajem.2014.01.053
The American Journal of Emergency Medicine , Vol. 32 , Issue 6 ,
Published online: February 6 2014
x This study was conducted to examine the characteristics of intentional fall injuries and the factors associated with their prognosis.
Neck collar used in treatment of victims of urban motorcycle accidents: over- or underprotection? Hsing-Lin Lin, Wei-Che Lee, Chao-Wen Chen, Tsung-Ying Lin, Yuan-Chia Cheng, Yung-Sung Yeh, Yen-Ko Lin, Liang-Chi Kuo
DOI: http://dx.doi.org/10.1016/j.ajem.2010.06.003
The American Journal of Emergency Medicine , Vol. 29 , Issue 9 ,
Published online: October 18 2010
x Cervical collar brace protection of the cervical spine at the scene of the incident is the first priority for emergency medical technicians treating patients who have sustained trauma. However, there is still controversy between over- or underprotection. The objective of this study was to survey the cervical spine injury of lightweight motorcycle accident victims and further evaluate the neck collar protection policy.
Dyslipidemia and sternum fracture Cagdas Can, Umut Gulactı, Aydin Sarıhan, Hakan Topacoglu
DOI: http://dx.doi.org/10.1016/j.ajem.2013.01.036
The American Journal of Emergency Medicine , Vol. 31 , Issue 6 ,
Published online: March 13 2013
x Tenderness over the sternum is a clue for possible sternal fracture. Sternal fractures usually occur at the body or manubrium. Lateral chest radiography could detect a sternum fracture, but the diagnosis is usually made by chest tomography. Traumatic sternum fracture considered as a marker of seriously life-threatening, high-energy injury. In hyperlipidemia, oxidized lipids accumulate in vascular tissues and trigger atherosclerosis. Such lipids also deposit in bone tissues where they may promote osteoporosis.
Prevalence of facial trauma and associated factors in victims of road traffic accidents Lorena Marques Nóbrega, Gigliana M.S. Cavalcante, Monalyza M.S.M. Lima, Renata C.R. Madruga, Maria Letícia Ramos-Jorge, Sérgio d'Avila
DOI: http://dx.doi.org/10.1016/j.ajem.2014.08.054
The American Journal of Emergency Medicine , Vol. 32 , Issue 11 ,
Published online: August 26 2014
x The aim of this study was to determine the prevalence of facial trauma among victims of road traffic accidents and investigate factors associated with it.
Performance of the 4-way range of motion test for radiographic injuries after blunt elbow trauma David R. Vinson, Gregory S. Kann, Samuel D. Gaona, Edward A. Panacek
DOI: http://dx.doi.org/10.1016/j.ajem.2015.10.031
The American Journal of Emergency Medicine , Vol. 34 , Issue 2 ,
Published online: October 23 2015
x Acute elbow injuries are common in the acute care setting. A previous study observed that limited active range of motion (ROM) was highly sensitive for radiographic injuries after blunt trauma. Our aim was to validate these findings in patients ≥
Communication with patients with trauma who were in spinal immobilization Catherine A. Marco, Steven Nelson, Matthew Jolly, Stephanie Ritter, Andrew Rudawsky
DOI: http://dx.doi.org/10.1016/j.ajem.2013.10.041
The American Journal of Emergency Medicine , Vol. 32 , Issue 2 ,
Published online: November 27 2013
x Motor vehicle accidents comprise approximately 1.3% of emergency department (ED) visits annually in the United States [1]. A previous study demonstrated that successful communication with patients regarding reasons for hospital admission was correlated with increased patient satisfaction [2]. Emergency department patients have reported a perceived need for improved communication with health care providers [3]. Another recent study demonstrated that the satisfaction of patients with trauma is improved when health care providers provide both instrumental and attentive care [4].
Complex fracture of the clivus after head trauma Ramazan Buyukkaya, Ayla Buyukkaya, Beyhan Ozturk, Ayhan Sarıtas
DOI: http://dx.doi.org/10.1016/j.ajem.2013.10.058
The American Journal of Emergency Medicine , Vol. 32 , Issue 5 ,
Published online: November 11 2013
x Clivus fracture (CF), which is usually reported to accompany with head trauma, has high mortality rates. Early diagnosis of CF is rare because of high mortality rates and inadequate urgent radiologic techniques; however, diagnosis rates are increasing with computed tomography images obtained in high resolution and thin sections. In this article, radiologic and clinical features of 2 patients who were detected to have longitudinal CF after head trauma are presented and accompanying pathologies and its importance for prognosis are discussed under the light of literature data composed of a small number of reports.
Hospital-based ocular emergencies: epidemiology, treatment, and visual outcomes Cindy A. Cheung, Melanie Rogers-Martel, Liliya Golas, Anna Chepurny, James B. Martel, Joseph R. Martel
DOI: http://dx.doi.org/10.1016/j.ajem.2013.11.015
The American Journal of Emergency Medicine , Vol. 32 , Issue 3 ,
Published online: November 18 2013
x Ocular trauma is recognized as the leading cause of unilateral blindness. However, few studies to date have focused on the clinical features of hospital-based ocular emergencies. Effectiveness of trauma centers in treating ocular emergencies was compared with treatment in traditional community hospital emergency departments. Demographics, causes, and nature of ocular emergencies, as well as visual outcome in community hospitals emergency departments and trauma centers, were also examined.
Lumbar Morel-Lavallee lesion after trauma: a report of 2 cases Ayla Buyukkaya, Harun Güneş, Mehmet Ali Özel, Ramazan Buyukkaya, Ömer Onbas, Ayhan Sarıtas
DOI: http://dx.doi.org/10.1016/j.ajem.2015.01.043
The American Journal of Emergency Medicine , Vol. 33 , Issue 8 ,
Published online: February 2 2015
x Morel-Lavallee syndrome is a posttraumatic soft tissue injury in which the subcutaneous tissue is broken off from the underlying fascia, creating a cavity filled with hematoma and liquefied fat. It commonly occurs over the greater trochanter and, rarely, may also occur in the lumbal region. Morel-Lavallee syndrome can be often diagnosed late because of ommitted diagnosis in emergency services. The emergency physician and radiologist must keep this syndrome in mind because early diagnosis can enable conservative management, whereas delayed diagnosis may lead to surgical exploration.
Evaluation of motor vehicle accident drivers for attention deficit hyperactivity disorder: Hyperactivity and ADHD in traffic accidents Murat Enis Ardıç, Sadiye Yolcu, Önder Tomruk, Burak Gün, Bülent Erdur, Vermi Değerli, Ismet Parlak
DOI: http://dx.doi.org/10.1016/j.ajem.2014.05.035
The American Journal of Emergency Medicine , Vol. 32 , Issue 9 ,
Published online: May 31 2014
x Attention deficit hyperactivity disorder (ADHD) is one of the most common childhood brain disorders and can continue through adolescence and adulthood. Symptoms include difficulty staying focused and paying attention, difficulty controlling behavior, and hyperactivity [1].
The motor component does not convey all the mortality prediction capacity of the Glasgow Coma Scale in trauma patients Benoît Vivien, Jean-Michel Yeguiayan, Yannick Le Manach, Claire Bonithon-Kopp, Sébastien Mirek, Delphine Garrigue, Marc Freysz, Bruno Riou
DOI: http://dx.doi.org/10.1016/j.ajem.2011.06.022
The American Journal of Emergency Medicine , Vol. 30 , Issue 7 ,
Published online: October 31 2011
x We tested the hypothesis that the motor component of the Glasgow Coma Scale (GCS) conveys most of the predictive information of triage scores (Triage Revised Trauma Score [T-RTS] and the Mechanism, GCS, Age, arterial Pressure score [MGAP]) in trauma patients.
