Traumatology

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News • Analytics of patient outcomes

Hospital uses AI platform to achieve ‘extreme transparency’

Karolinska University Hospital is among the most transparent hospitals worldwide. Using AI, the hospital can accurately demonstrate where lives have been saved, and harm avoided for patients.

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News • DTI for concussion patients

Advanced brain MRI to reveal ‘hidden disease’

Just a concussion? Head injury can lead to persistent symptoms, yet CT scans often fail to identify these cases. Researchers explore the potential of diffusion tensor imaging for better diagnostics.

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News • 3D printed device

Finding paraplegia treatments with spinal cord organoids

A new research project focuses on creating a 3D printed device to grow a human spinal cord organoid for the study of spinal cord injury and subsequent drug testing.

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News • Guidance for instrumentation

Robot assistance shows its mettle in spine surgery

Surgeons in Hong Kong have successfully introduced robotic assistance into their spinal surgery portfolio. After the first 20 procedures with the new technique, they report on the benefits.

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News • Axon vulnerability to damage

Male and female brains are different – and so are the effects of concussions

Structural differences in male and female brains might explain why women are more prone to concussions and experience longer recovery from the injury than men, according to a new preclinical study.

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Article • Point-of-care ultrasound in trauma

Returning e-FAST ‘to its roots’

Stagnation, under-use, unfulfilled potential: At the EUSEM congress in Barcelona, leading emergency physician Dr Joseph Osterwalder describes how e-FAST (Extended Focused Assessment with Sonography…

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Article • Healthcare in a conflict zone

Wound care in wars

War wounds sustained by frontline soldiers or civilians usually need urgent, specialist, trauma surgery. Over the last two decades much has been learned from injuries sustained during conflicts in, for example, Afghanistan and Iraq. In early June, during a Catastrophe and War Wound key session at the European Wound Management Association conference in Gothenburg, specific remedial approaches to…

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Article • Infection control

Local antibiotics improve results

Hip and knee joint surgeries are among the most common procedures in orthopaedics and trauma surgery and complications can occur. Rare, but serious, among these is periprosthetic joint infection (PJI), which causes high costs in healthcare and stress for patients. PJI is caused by microorganisms that form a biofilm on the surface of the implant and, in this sessile state, they are difficult to…

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News • Research support

Stem cell therapy for traumatic injury on the horizon

The University of Texas Health Science Center at Houston (UTHealth) has received funding through a public/private partnership for the first-ever clinical trial investigating a stem cell therapy for early treatment and prevention of complications after severe traumatic injury. The proposed Phase 2 trial is underwritten with $2 million from the Medical Technology Consortium (MTEC) and $1.5 million…

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Interview • Challenging, but rewarding

Emergency radiology advances – despite shortages and low recognition

Emergency radiology is no longer a babbling field; professionalisation will bring more recognition to this young subspecialty, according to Elizabeth Dick, a London-based consultant, who will coordinate part of the new European Diploma in Emergency Radiology (EDER), the European Society of Radiology’s new tool. We interviewed the radiologist, who spoke of her daily practice and why she loves…

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News • TV vs reality

Grey’s Anatomy may be distorting public expectations of trauma care

The television drama, Grey’s Anatomy, may be giving viewers a false impression of the realities of trauma care, including the speed at which patients recover after sustaining serious injuries, finds research published in the online journal Trauma Surgery & Acute Care Open. Unrealistic expectations of healthcare may be important in an era in which patient satisfaction is a key component of…

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Article • Emergency

Resuscitation: E-FAST or CT?

Ultrasound examinations are considered cost-efficient, fast and effective. The E-FAST (Extended-Focused Assessment with Sonography for Trauma) is a standardised examination used in accident & emergency medicine worldwide. The procedure helps to diagnose internal bleeding and organ damage in severely injured patients in the resuscitation room and, in some regions, even during emergency…

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Article • Flatpanel

Clinica Mobile’s DRX-1 delivers high-speed care

Exuding the aroma of hi-octane fuel, the glamour of multi-coloured racing leathers, flashy sponsored brands and the glitz of the circuits, motorcycle racing can be an irresistible fast-action sport. Amid the roar of engines, the world’s leading motorcycle aces, such as Marc Marquez, Valentino Rossi or Jonathan Rea, hit around 300kmh on tracks across the globe. High-speed duels thrill the…

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Article • Microsurgery

Lower limb trauma – reconstruction or amputation?

‘Amputation v. reconstruction’ – a vital issue – was debated by two leading surgeons during the Microsurgical Lower Limb Reconstruction session at the Advances and Controversies in Reconstructive Microsurgery (ACRM) 2016 conference, held in the United Kingdom this May. Consultant Plastic Surgeon Umraz Khan, from North Bristol NHS Trust presented a plastic surgeon’s view, while Ben…

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Article • Human Resources

Physicians will learn assertiveness

Most accidents result from ‘the human factor’ – long acknowledged in aviation. Thus all crew members receive regular safety training to help prevent errors on board and on the ground. Now experts at the German Society for Orthopaedics and Trauma (DGOU) with those from Lufthansa Flight Training have developed a similar training programme for physicians. This Interpersonal Competence Training…

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News • Implants

Using 'Pacemakers' in spinal cord injuries

Researchers from Charité – Universitätsmedizin Berlin and EPFL, Lausanne have succeeded in restoring motor function following spinal cord injury. The researchers were able to show that coordinated muscle movement is the result of alternating activation patterns emanating from the spinal cord. Newly-developed implants, which use electrical stimulation to mimic these signals, were used to…

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News • Burnout

Trauma team members face risk of 'compassion fatigue'

Trauma team members are at risk of compassion fatigue and burnout syndrome, as supported by the new research by Gina M. Berg, PhD, MBA, of University of Kansas School of Medicine–Wichita and colleagues. They identify some "stress triggers" contributing to these risks, and make recommendations to help trauma teams cope with secondary traumatic stress.

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