Journal of Emergency Medicine, Trauma and Acute Care - Current Issue

Introduction: Traumatic brain injury (TBI) is one of the primary reasons for hospitalization and has a significant relationship with mortality. Identifying elements affecting the analysis of patients is essential. The intention of this takes a look at became to research the prognostic position of ECG adjustments in trauma patients admitted to Sabzevar Relief Hospital in 2020. TBI is a significant contributor to mortality rates in young adults and children. Despite its prevalence and implications, research on TBI remains sparse compared to other medical conditions, necessitating greater focus on this area for better healthcare outcomes.

Materials and Methods: This study was a cross-sectional study performed on 134 patients with head trauma. After recording demographic information and clinical points, ECG changes were also recorded. Chi-square and Mann-Whitney tests were used to compare data.

Results: The results showed that the prevalence of mortality in patients with head trauma was 16.4%. Mortality was statistically significantly related to age, Glasgow Coma Scale, low systolic and diastolic blood pressure, and ST-segment changes. No significant relationship was observed with gender, T-wave changes, arrhythmias upon arrival, or all ECG adjustments 24 hours after admission.

Conclusion: The findings endorse that ECG adjustments can play a significant role in predicting consequences for TBI patients. The observation aligns with previous research, indicating that monitoring those adjustments can improve person management strategies. The specific ECG adjustments are related to increased mortality in head trauma patients, highlighting the need for recurring cardiac monitoring in this population.

Background: Blunt thoracic aorta injury (BTAI) is often associated with multiple systemic injuries, which increase the risk of mortality. While thoracic endovascular aortic repair (TEVAR) is the intervention of choice in such cases, systemic stabilization is just as important for patient survival and reduction of post-operative complications. Thus, a delayed TEVAR may be a viable option in cases of hemodynamic instability and multisystemic injuries with BTAI.

Case Presentation: We present the case of a young individual with a history of a fall with polytrauma with BTAI with multiple episodes of cardiopulmonary arrest, acute kidney injury, and sepsis who successfully underwent delayed TEVAR.

Conclusion: This report suggests focusing holistically on systemic components along with BTAI in cases of polytrauma, especially with hemodynamic instability. TEVAR may be delayed in such patients after a risk-benefit assessment.

Background: Management of infected nonunion of tibia shaft fractures presents a significant challenge in orthopedic surgery. This condition requires a multifaceted approach to eradicate infection, stabilize the fracture, and promote bone healing.

Case Presentation: This report presents a case where an antibiotic-coated nail, followed by a Limb Reconstruction System (LRS), was used to successfully manage an infected nonunion of a tibial shaft fracture. The patient, a 35-year-old male, presented with a persistent infection and nonunion following a tibial shaft fracture. Initial treatment with debridement and insertion of an antibiotic-coated nail was employed to control the infection. Subsequently, the fracture was stabilized and bone healing was promoted using an LRS.

Conclusion: The use of an antibiotic-coated nail followed by an LRS is an effective strategy for managing infected nonunion of tibial shaft fractures. This approach aligns with current clinical practices and provides a viable option for orthopedic surgeons facing similar complex cases. A detailed review of the literature supports the efficacy of this combined treatment protocol in achieving favorable outcomes.