Modern Surgeons: Still Masters of Their Trade or Just Operators of Medical Equipment?

No abstract available

http://ift.tt/2gxdYs9

Segmentation of Whole-Body Images into Two Compartments in Model for Bone Marrow Dosimetry Increases the Correlation with Hematological Response in 177Lu-DOTATATE Treatments

Cancer Biotherapy & Radiopharmaceuticals , Vol. 0, No. 0.


http://ift.tt/2zwY77r

Risk of Type 2 Diabetes Mellitus Development in the Native Population of Low- and High-Altitude Regions of Kyrgyzstan: Finnish Diabetes Risc Score Questionnaire Results

High Altitude Medicine & Biology , Vol. 0, No. 0.


http://ift.tt/2iNKIxQ

Seismology and Advances in Trauma Resuscitation

Trauma is a disease that imparts an almost unspeakable burden of illness on a global population of patients. Over the past decade, advances in the science of trauma resuscitation have changed the landscape of trauma resuscitation dramatically. Trauma is a team sport, and the science of teams has greatly advanced our ability to deliver rapid, effective multidisciplinary trauma care. Traumatic cardiac arrest, once believed to be a terminal event, is now believed to contain a population of patients with excellent survival, provided a thoughtful approach is followed.

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The Kids Are Alright

Pediatric patients with trauma pose unique challenges, both practical and cognitive, to front-line care providers. The combination of anatomic, physiologic, and metabolic factors leads to unique injury patterns with different approaches and responses to treatment compared with adults. A similar traumatic mechanism can lead to slightly different internal injuries with unique management and treatment strategies between the two groups. This article is intended for community, nonpediatric trauma centers, and emergency physicians who are frequently required to assess, resuscitate, and stabilize injured children before they can be safely transferred to a pediatric trauma center for ongoing definitive care and rehabilitation.

http://ift.tt/2hsHi6W

Secondary Gains

Neurotrauma is a leading cause of death and is associated with many secondary injuries. A balance of mean arterial pressure (MAP) and intracranial pressure (ICP) is required to ensure adequate cerebral blood flow and cerebral perfusion pressure. Evaluation and management in the emergency department entails initial stabilization and resuscitation while assessing neurologic status. ICP management follows a tiered approach. Intubation requires consideration of preoxygenation, head of bed elevation, first pass success, and adequate analgesia and sedation. Early consultation with neurosurgery is needed for definitive therapy. Focused evaluation and management play a significant role in optimizing patient outcomes.

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The Tragically Hip

Old age is a risk factor for poor outcome in trauma patients, as a result of undertriage and the presence of occult life-threatening injuries. The mechanisms of injury for geriatric trauma differ from those in younger patients, with a much higher incidence of low-impact trauma, especially falls from a low height. Frailty is a risk factor for severe injury after minor trauma, and caring for these patients require a multidisciplinary team with both trauma and geriatric expertise. With early recognition and aggressive management, severe injuries can still be associated with good outcomes, even in very elderly patients.

http://ift.tt/2hpmo8G