Volume 1 Issue 1
The Next Paradigm Shifts in Japan: “Trauma Surgery” and “Acute Care Surgery”
The field of trauma surgery has shifted from invasive trauma surgery to non-operative management, which has been represented by “trauma incision” [1, 2, 3] Compared with other countries, there are few trauma surgeries in Japan; therefore, maintaining the necessary techniques and skills is our current, biggest problem. We rarely encounter serious trauma cases that necessitate surgeries because there are no large trauma centers. Furthermore, according to the Japanese Trauma Data Bank (JTDB), penetrating types of trauma are uncommon, and gunshot wounds accounted for only 33 patients (0.04% of overall trauma patients) in five years (2008–2012). Most trauma surgeons in Japan have not treated a patient with a gunshot wound. Notably, the JTDB reported that the incidence of preventable trauma death reached approximately 20.5% in the studied period.
Incorporation of C - Reactive Protein Measurement into Alvarado Score Improves Model Performance
Jiunn-Yih Wu, Chien-Chang Lee*, Meng-Huan Wu, Hang-Cheng Chen, Meng-Shu Wu, Chih-Jung Shen, Shy-Shin Chang, Si-Huei Lee, Rai-Chi Chan, Jia-Chi Wang, and Hung-Wen Chen
The aim of this study was to assess whether incorporation of C-reactive protein (CRP) measurement into Alvarado Score may improve the appendicitis diagnosis performance. A prospective observational study was carried out in the emergency department (ED) of a university hospital between July 2006 and June 2007. Adult patients presented to the ED with a provisional diagnosis of appendicitis were enrolled.
Utility of Point-of-Care Blood Testing During Cardiac Arrest: A Survey of Advanced Cardiac Life Support Team Leaders
Sumedh S. Hoskote, MBBS*, Shihab H. Sugeir, MD; Elizabeth C. Hassebroek, MD, Keith M. Rose, MD, Jeffrey B. Jensen, MD, James A. Onigkeit, MD
Point-of-care blood testing for multiple parameters (POCT) during cardiac arrests is routinely practiced at many hospitals, though it is not included in Advanced Cardiac Life Support (ACLS) guidelines.
Homeless Frequent Flyers: The Impact of Homelessness on Frequent Use of the Emergency Department
Michael Bouton*, Larry A. Nathanson, Jonathan Fisher, Alden Landry
Frequent users of the emergency department (ED) are a diverse group of patients with a wide variation in demographics and socioeconomic status. Three point six percent of Medicaid enrollees account for 48.8% of total program spending and each “frequent flyer” has an average cost of above $25,000 per patient per year.
Lymphocytes with “Tailed” Nuclei (LTN) in Blood Smears as the Easiest Biomarker of Radiation Exposure That is Acceptable in Emergencies
V.Yu. Kravtsov, R.F. Fedortseva,A.N. Grebenyuk, Ye.V. Starkova
Lymphocytes with “tailed” nuclei (LTN) which are easily observed in routine smears of peripheral blood are a biological response to radiation. In this article, we describe LTN as a biomarker that has the same origin as dicentric chromosome. In emergency situations, we recommend to use this simple biomarker in conjunction with hematological tests of the blood smears of the exposed persons.
Pediatric Traumatic Spigelian Hernia Treated in a War Setting
Roberto Manfredi, Paolo Bertoli, Dario Piazzalunga, Giulia Montori, Luca Ansaloni, Federico Coccolini*
Spigelian hernia is a rare clinical entity. It is difficult to diagnose due to its location and no definitive agreement has been reached about the best technique to repair it.