Traumatology

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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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News • Critical care study

Blood "combo bags" could save lives after major trauma injury

A new blood product combining red blood cells and plasma in one bag is associated with a better survival from a penetrating major trauma injury, a new study has found.

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News • Research on traumatic brain injuries

Concussions: "Three strikes" for brain health

Experiencing three or more concussions is linked with worsened brain function in later life, according to new research. However, negative effects may already appear after the first injury.

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News • AI-GUIDE system

Handheld robot can help stem fatal blood loss

The AI-Guided Ultrasound Intervention Device is a lifesaving technology that helps a range of users deliver complex medical interventions at the point of injury.

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News • In different medical fields

Women and men are each underrepresented in clinical trials

A study showed that women are underrepresented in oncology, neurology, immunology, cardiology, hematology; whereas men underrepresented in trials related to mental health, musculoskeletal disease and…

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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,…

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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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Article • Cardiology I

Chest pain units in Germany

The German care system for patients with acute and unspecific chest pain is unique in Europe. The closely knit and countrywide network of accredited Chest Pain Units (CPUs) ensures fast and targeted diagnosis of acute cardiac events. The German CPUs may soon serve as a blueprint for other European countries. The German Cardiac Society (DGK) has already accredited the first institutions – others…

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Article • Non-invasive Ventilation

Two in one

The recently launched Respironics V680 ventilator, from Philips Healthcare EMEA, was guided onto the market by Arne Cohrs, its Sales and Marketing Director of Therapeutic Care in Patient Care and Monitoring. We asked him about his department and the merits of non-invasive and invasive ventilators. Report: Chrissanthi Nikolakudi

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Article • Education in surgery

Suffering permanent stress

‘There are still only 24 hours in a day – even for surgeons,’ said Professor Vogt MD during our interview. The Director of the clinic for plastic, hand and reconstructive surgery at Hanover Medical School and President of the DGCH (German Society of Surgery) is calling for solutions to the dilemma trainee surgeons face: undergoing high-quality specialist medical training while completing…

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