Download Print this page

TONWERK T-LINE?eco2 Operating Instructions Manual

Storage heating stove

Hide thumbs Also See for T-LINE?eco2:

Operating instructions manual (14 pages)

,

Operating instructions manual (14 pages)

page of 238

/ 238
Bookmarks

Advertisement

Quick Links

Download this manual

See discussions, stats, and author profiles for this publication at: https://www.researchgate.net/publication/301202467

SERUM TROPONIN IN PATIENTS WITH

TRAUMATIC BRAIN INJURIES: IMPLICATIONS

AND OUTCOMES

Article in European Journal of Trauma and Emergency Surgery · April 2016

DOI: 10.1007/s00068-016-0658-5

CITATION

1

5 authors, including:

Ayman El-Menyar

Weill Cornell Medicine in Qatar

306

PUBLICATIONS

SEE PROFILE

Ruben Peralta

Hamad Medical Corporation

294

PUBLICATIONS

SEE PROFILE

Some of the authors of this publication are also working on these related projects:

IN-HOSPITAL CARDIAC ARREST FOR TRAUMA [IHCAT] IN QATAR

A Unified Registry for Workplace Injury Prevention in Qatar [WUR-Q]. An international competitive

research grant awarded by the Qatar National Research Fund -QNRFP: NPRP No. 7-1120-3-288.

project

All content following this page was uploaded by Ayman El-Menyar on 25 May 2016.

The user has requested enhancement of the downloaded file.

1,373

CITATIONS

300

CITATIONS

READS

60

Hassan Althani

Hamad Medical Corporation

213

PUBLICATIONS

SEE PROFILE

View project

436

CITATIONS

View

Advertisement

Need help?

Need help?

Do you have a question about the T-LINE?eco2 and is the answer not in the manual?

Questions and answers

Summary of Contents for TONWERK T-LINE?eco2

Page 1 See discussions, stats, and author profiles for this publication at: https://www.researchgate.net/publication/301202467 SERUM TROPONIN IN PATIENTS WITH TRAUMATIC BRAIN INJURIES: IMPLICATIONS AND OUTCOMES Article in European Journal of Trauma and Emergency Surgery · April 2016 DOI: 10.1007/s00068-016-0658-5 CITATION READS 5 authors, including: Ayman El-Menyar Hassan Althani Weill Cornell Medicine in Qatar Hamad Medical Corporation 1,373 PUBLICATIONS CITATIONS PUBLICATIONS CITATIONS SEE PROFILE SEE PROFILE Ruben Peralta Hamad Medical Corporation PUBLICATIONS CITATIONS SEE PROFILE Some of the authors of this publication are also working on these related projects: IN-HOSPITAL CARDIAC ARREST FOR TRAUMA [IHCAT] IN QATAR View project A Unified Registry for Workplace Injury Prevention in Qatar [WUR-Q]. An international competitive research grant awarded by the Qatar National Research Fund -QNRFP: NPRP No. 7-1120-3-288. View project All content following this page was uploaded by Ayman El-Menyar on 25 May 2016. The user has requested enhancement of the downloaded file.
Page 2 Eur J Trauma Emerg Surg (2016) 42 (Suppl 2):S9–S245 DOI 10.1007/s00068-016-0658-5 A B S T R A C T S Abstracts European Congress of Trauma and Emergency Surgery April 24–26, 2016 Vienna, Austria Congress President Prof. Dr. Richard Kdolsky Vienna, Austria...
Page 3 European Journal of Trauma and Emergency Surgery Ofﬁcial Publication of the European Society for Trauma and Emergency Surgery Abstracts for the 17 European Congress of Trauma and Emergency Surgery April, 24–26, 2016 Vienna, Austria Organized by European Society for Trauma & Emergency Surgery Austrian Trauma Society Contents 12 Oral Presentations...
Page 4 Dear Colleagues, dear Friends, It is a great honor to welcome you to the 17 European Congress of Trauma and Emergency Surgery from April 24–26, 2016 in Vienna, Austria. ‘‘Myths & Truths’’ is the leading theme of this congress. Colleagues of all national ESTES member societies in Europe as well as from other continents will share their knowledge and experience during these three days.
Page 5 Oral Presentations Traditionally, the displaced capsulolabral complex is restored and ﬁrmly attached to the glenoid by placing multiple suture anchors individually from a 5 to 3 o’clock position. Different techniques SPORTS MEDICINE – UPPER EXTREMITY utilizing different anchors and materials have been described. How- ever, these techniques result in a concentrated point load of the O001 reduced labrum to the glenoid at each suture anchor.
Page 6 SF-36 subscale ‘‘bodily pain’’ (p = 0.022) compared to preoperative long term better functional outcome. Nonoperative treatment is a levels. good option in many patients, whereas early operative treatment can Conclusion: Arthroscopic repair of isolated type II SLAP lesions offer advantages for patients who have physical demands shortly post- utilizing suture anchors leads to a satisfactory functional outcome and operative or have high pain scores.
Page 7 Introduction: During open reduction and internal ﬁxation of a mid- Results: The Pott group (face-to-face) all 10 received 100 % on shaft clavicle fracture it is not uncommon that the osteosynthesis plate initial assessment. The Blizzard group (virtual) 2/10 got 50 % and has to be bent perioperatively to ﬁt the curvature of the clavicle.
Page 8 References: DATASUS: Database of the Uniﬁed Health System. O010 Brasilia, Ministry of Health, Department of SUS Informatics (http://w3.datasus.gov.br/datasus/datasus.php, accessed 20th June THE NEED FOR A CONTINUOUS EDUCATIONAL 2014) Peden M, Oyegbite K, Ozanne-Smith J, Hyder A, Branche C, PROGRAM: THE RESULTS AFTER 1 YEAR OF CLINICAL PATHWAY ON ACUTE CALCULUS CHOLECYSTITIS Rahman, Rivara F, Bartolomeos K.
Page 9 Trauma and Orthopaedics, University Hospital North Midlands, Conclusion: We try to keep the survival rate of trauma patients Stoke On Trent, UK, Vascular Surgery, Worcestershire Acute (probability of survival under 0.5) over 0.5 based on PDCA cycle Hospitals NHS Trust, Worcester, UK every year, because it is the important benchmark for residents and our educational concept.
Page 10 We aim to report our recent experience in bedside teaching of EFAST scenarios. Some many scenarios have been selected according with a for undergraduate medical students. risk matrix produced by an internal group of experts. Suggestions Material and methods: 101 ﬁfth and sixth year medical students of how to increase the hospital protection will hopefully arrive from the the UAE University were trained on performing EFAST on trauma use of a set of tool to risk assess and simulate terrorist scenarios.
Page 11 Major Trauma Centre, St. Mary’s Hospital, Imperial College NHS searched, including sources of gray literature. Articles were selected Healthcare Trust, London, UK based on predeﬁned inclusion criteria by 2 reviewers and underwent qualitative analysis. Results: All scores identiﬁed are suboptimal for use in Pediatric Introduction: The introduction of the major trauma network in Eng- patients in low-resource settings based on various factors.
Page 12 So in the last 10 years much affords had been carried out in Europe to Orthopaedic Surgery, University of Texas Health Science Center at reduce the numbers of hand injuries. In Austria the Austrian Workers ´ San Antonio, San Antonio, TX, USA, Orthopaedic Surgery, Compensation Board has started in 2014 a prevention campaign to McMaster University, Hamilton, ON, Canada...
Page 13 GERIATRICS Material and methods: Our study includes all Dutch multitrauma (ISS C 16) patients between 2008-2012 extracted from the Dutch O023 trauma registry (LTR) and was completed with data from the UMCG. We compared the younger (Group A: 18-59 years) and elder (Group OUTCOME OF POLYTRAUMATIZED GERIATRIC B: C60 years) multitrauma patient.
Page 14 of older patients treated was higher in Level III (38.4 %) than in O027 higher ranked trauma centers. Injury severity (ISS 17.7 Level III vs. 23.4 Level I) and the rate of severe head injuries (AIS-Head C3: DIABETES AND MORTALITY IN ORTHOGERIATRIC 30.0 % in Level III vs.
Page 15 Especially in the subgroup of geriatric trauma victims, little is known Material and methods: 20 consecutive patients with proximal femur about the drivers for infectious complications. The objective of this fracture were included in the study. At the time of admission urine study was to characterize the burden of all-cause infections in the was taken for analysis.
Page 16 reperfusion. Blood samples were taken at baseline, end of resuscita- local pro-inﬂammatory mediators were observed compared to the tion (EOR), 24 and 48 h after shock and survival was followed for normothermic group. 28 days. Conclusion: Therapeutic hypothermia seems to affect long-term Results: APOSEC treatment modulated the immune response inﬂammatory response after trauma and thus might reduce the well- reﬂected in IL-10 (decrease by 26 % at EOR) compared to vehicle...
Page 17 real-time compensatory changes associated with acute blood loss Clinical Research, Trauma Surgery, Hamad General Hospital & from normovolemia to collapse. Weill Cornell Medical College, Doha, Qatar, Trauma Surgery, References: 1. VA Convertino, J Mulligan, GZ Grudic, SL Moulton. Hamad General Hospital, Doha, Qatar J Appl Phys 2013;115(8): 1196-1202.
Page 18 Systemic IL-6 levels during the ﬁrst 10 post-injury days were deter- O037 mined. P-value \ 0.05 was considered statistically signiﬁcant. Results: Eighty-six female and 257 male TP comparable in age and TARGETED ANTIOXIDANT TREATMENT WITH ISS were included. Abbreviated Injury Scale (AIS) C3 of chest and MITOCHONDRIAL ROS-SCAVENGERS SKQ1 AND MITOTEMPO IS DETRIMENTAL IN THE MOUSE abdominal body regions were signiﬁcantly more prevalent in male vs.
Page 19 Department of Surgery, North Estonia Medical Center, Tallinn, intervention. Study selection, qualitative assessment using GRADE Estonia, University of Tartu, Tartu/ESTONIA, Tartu University methodology [4] and extraction of relevant data were performed Hospital, Tartu, Estonia, Department of Pathological Anatomy and independently by the review authors, with disagreements resolved by Forensic Medicine, University of Tartu, Tartu, Estonia, Unfall-, an additional review author.
Page 20 (-14.6 %, 95 %CI [-22.2, -6.9], P \ 0.001). We found that number FA, Coimbra R, McIntyre RC Jr, Davis JW, Sperry J, Bifﬂ WL.J of REBOA use per institute per year was appropriate as an instru- Trauma Acute Care Surg. 2012 Dec;73(6):1359-63. mental variable.
Page 21 pain impulses and development of severe respiratory failure. Treat- perception of pain on discharge when compared to oral analgesia in ment of each injury is very difﬁcult due to multiple associated trauma. the context of thoracic trauma. Because of respiratory complications fractures are treated conserva- References: 1.
Page 22 Universitary General and Emergency Surgery, Azienda Ospedaliera used to assess patients ´ comorbidities. Complications were addressed Universitaria di Pisa, Pisa, Italy, General and Emergency Surgery, according to the Clavien-Dindo classiﬁcation. Azienda Ospedaliera Universitaria Pisana, Pisa, Italy, Azienda Results: Mean age was 73.9 years. The majority of patients were Ospedaliera Universitaria di Pisa, Pisa, Italy ASA scores II (57 %) and III (17 %).
Page 23 General Surgery, Istanbul Medical Faculty, Istanbul, Department. Abdominal pathology was the main diagnosis (62.8 %), Turkey, Pathology, Istanbul Medical Faculty, Istanbul, of those, 45.0 % with peritonitis, 18.3 % in occlusion and 12.7 % with incisional hernia. The most frequent reason for surgery was Turkey, Infectious Disease, Istanbul Medical Faculty, Istanbul, related to 30 day elective surgery complications (52.2 %).
Page 24 Material and methods: A comprehensive search in all literature of Conclusion: Our experience with microvascular transfer of ﬁbular the last 30 years was performed to identify described risk. Studies grafts has shown that, with negligible donor site morbidity, massive were included when infectious complications were assessed in light of autogenous bone grafting with an intact vascular pedicle can provide one or more risk factors.
Page 25 Serbia, Orthopaedic & Traumatology Clinic, Clinical Centre of Nis, classiﬁcation and postoperative x-rays were reviewed. Statistical Nis, Serbia, Orthopaedic & Traumatology Clinic, Clinical Center analysis was performed to reveal factors inﬂuencing patient outcome. Nis, Nis, Serbia Results: During a median follow-up of 12 months, 20 complications were encountered in 55 patients (36 %).
Page 26 O057 lead to a change in treatment protocol. Changes in treatment protocol were deﬁned as additional CT-imaging, reoperation or other changes EFFECT OF INFRAPATELLAR NERVE BLOCK ON as deﬁned in the postoperative orders. CHRONIC ANTERIOR KNEE PAIN AFTER TIBIAL Results: In 7.2 % (12/167) of the patients, a change in the treatment NAILING;...
Page 27 Unfall-, Hand- Und Wiederherstellungschirurgie, Uniklinik Frankfurt, infections. No correlation was found between complication rates and Frankfurt, Germany type of plate or surgeon experience. We observed signiﬁcantly more intraarticular fractures in the complication- than in the no-complica- tion group (p \ 0.01). Introduction: Delayed diagnosis of an injury of the intestine Conclusion: The reoperation rate was 12 %.
Page 28 parameters indicate a presence of hyperaemia in soft tissues after O064 haemorrhage. Moreover, the analysis of microcirculation after frac- ture ﬁxation has shown a signiﬁcant reduced circulation in STRUCTURAL VALIDITY OF THE SHORT musculature on a day 2 and 3 after fracture treatment with external MUSCULOSKELETAL FUNCTION ASSESSMENT IN TRAUMA PATIENTS ﬁxation.
Page 29 Material and methods: The study was carried out on porcine between the hospitals was veriﬁed by the Kruskal–Wallis one-way cadaver knees from large animals (50-60 kg). All the knee joints were analysis of variance test. dissected, and the ACL was the only ligament that we kept intact. Conclusion: The results of the present study revealed the consistency Furthermore bony structures were stabilized by the use of Technovit.
Page 30 O068 in the care of seriously injured patients later in their medical career. The current medical curriculum does not adequately teach the tech- HYPERCHLOREMIA IS ASSOCIATED WITH 30-DAY nical and non-technical skills necessary for an adequate patient care. MORTALITY IN MAJOR TRAUMA PATIENTS Material and methods: We developed a new ‘‘blended learning’’...
Page 31 With many plates the so called multiple axis ﬁxation does not allow Introduction: To present and analyse the long term clinical results more ﬁxation into the head due to a narrow plate design. We will after treatment of Pipkin fractures and dislocations. present a review of the popular plate designs and how they have Material and methods: For a period of 13 years we treated 18 changed over the last 10 years.
Page 32 stem replacement renders unnecessary. The current approach with Material and methods: A two step method applying ﬁrst an plating in stable stems and revision in loose ones can be replaced by external ﬁxateur and in a second operative stage the hindfoot the introduced approach in vast majority of cases.
Page 33 O077 Introduction: Septic risk after Open Fractures (OF) is unanimously recognised but the factors inﬂuencing its onset have not been yet DIRECT FASCIOTOMY CLOSURE ACHIEVED MORE clearly quantiﬁed. The authors intend to check in this paper the OFTEN WITH SHOELACE TECHNIQUE THAN WITHOUT hypothesis that time form trauma to initial complete surgical THEM IN TIBIA FRACTURES debridement inﬂuences the onset of infection after OF.
Page 34 Conclusion: The experience of treating patients with gunshot tissue diagnosed gastric adenocarcinoma while 14 patients were diagnosed loss of the upper extremities showed that free composite osteocuta- intra-operatively or postoperatively. The surgical procedures (15 neous ﬁbular ﬂap allows replace complex gunshot defects of the patients were treated radically), locations of perforation, and TNM upper extremities simultaneously with minimal functional and cos- stage (25 patients with stage III or more advanced) were all evaluated.
Page 35 O083 Results: From February 1988 to June 2015, 57 men and 15 women with a mean age of 35.51 ± 15.1 years were underwent ERCP at THE RISK FACTORS OF THE REQUIREMENT OF OPEN Wonju Serverance Christian Hospital for suspected pancreatic duct ABDOMEN IN THE PATIENTS RECEIVED THE DAMAGE injury.
Page 36 pseudoaneurysms. J Vasc Surg 2007; 45(2): 276-283 3. A.Garcı ´ a References: 1. Teng W, Sarfati MR, Mueller MT et al. A ruptured Marin, J.Martı ´ n Gil. Hepatic artery pseudoaneurysm following open pancreaticoduodenal artery aneurysm repaired combined endovascular and open techniques. Ann Vasc Surg 2006;20(6):792-5. cholecystectomy.
Page 37 Introduction: Diverticulitis is a common problem, and although the ﬁrst procedure greatly facilitated the SILS reversal operation most cases will respond to conservative measures, surgeons will facilitating the colorectal anastomosis: a colon-rectal mechanical frequently need to treat patients requiring emergency surgery. Sur- anastomosis (with EEA28) was performed.
Page 38 O091 Introduction: To date, laparoscopy is emerging as a feasible alter- native to the standard open procedures in several cases of complicated PATIENT-RELATED AND SURGERY-RELATED diverticulitis. We report our early experience with minimally invasive PROGNOSTIC FACTORS IN HINCHEY III AND IV ACUTE surgery for the treatment of complicated diverticulitis.
Page 39 Trauma & Surgery, Rambam Medical Center, Haifa, Israel, Cardiac Conclusion: Signiﬁcant difference in functional outcome and QoL Surgery, Rambam Medical Center, Haifa, Israel, General Surgery, between the two groups was not found. Specialized tactical evacua- tion and enroute care capability during strategic evacuation, Rambam medical center, Haifa, Israel developed and matured in Afghanistan.
Page 40 coping hospitals. These data were expanded on GIS using ARCGIS O098 software. Results: A water level of more than 30 cm, which prevents the INFECT DEFECT PSEUDARTHROSIS OF TIBIA AFTER movement of EMS vehicles, was found around 35 hospitals largely GUNSHOT WOUND - COMBINATED SOFT TISSUE AND BONE RECONSTRUCTION IN SEVERAL STEPS - CASE along the coast of Osaka Bay.
Page 41 MYTHS & TRUTHS: SURGICAL TREATMENT OF and is contraindicated in diabetes, heavy smokers etc. The authors present sinus tarsi approach and nailing of the calcaneal fractures. FRACTURES OF THE ANKLE AND Material and methods: The 176 patients with 196 fractures of the TALOCALCANEAL JOINT calcaneus was treated by sinus tarsi approach and nailing during last 3 years.
Page 42 Chiergatti R.: Primary stability of an intramedullary calcaneal nail Introduction: Calcaneal fracture is rare and difﬁcult to treat. His and an angular stable calcaneal plate in a biomechanical testing model treatment remains controversial, but the gold standard treatment is to of intraarticular calcaneal fracture.
Page 43 sympathetic dystrophy in 6 cases and deep infection in one case serve as a model for future ex-vivo testing of reconstructive which cleared up with antibiotics and metalwork removal following techniques. union of the fracture. Two patients who had late reconstruction Disclosure: No signiﬁcant relationships.
Page 44 Milan, Italy, Humanitas Research Hospital, Milan, Italy DPA feasibility, time to clinical decision (surgery, observation, new investigation), rate of decisions deﬁnitely changed by DPA. US-DPA was performed bedside, with 19/21 G needle, preferably by an in- Introduction: Acute Mesenteric Ischemia (AMI) has not changed plane technique.
Page 45 Conclusion: POCUS performed by ACS offers similar results than procedure results demands essentially a highly skilled exploring conventional radiologist-performed tests for surgical diagnosis and surgeon. This study is trying to minimize the skill difference factor decision making process. among trauma surgeons through proposing a methodology standard References: plan to apply in abdominal trauma exploration.
Page 46 operatively, 1 patient had anastomotic leak and 1 developed wound Introduction: In the evaluation of stab wounds of the anterior infection. Median HLOS was 10.5 (2-73) days and all LBV patients abdomen (ASW), CT has been said to be not helpful. survived.
Page 47 Results: Seventy-one, 7.5 % of all abdominal trauma recorded, were bleeding risk. Patients under anticoagulation by VKA who need coded having 89 HVI. The overall morbidity and mortality rates were arthroplasty due to femoral neck fractures could also beneﬁt from the 29.6 % (n = 21/71) and 19.7 % (n = 14/71) respectively.
Page 48 Trauma Surgery, University Medical Center Groningen, Groningen, Material and methods: We reviewed all patients operated with a The Netherlands, Orthopedic Surgery, University Medical Center DHS for intra-capsular fractures between January 2010 and December Groningen, Groningen, The Netherlands, Emergency Department, 2013. Minimal follow-up was 1 year. The participating hospitals were University Medical Center Groningen, Groningen, The Netherlands one academic and two teaching hospitals in the Netherlands.
Page 49 beneﬁt of various augmentation approaches and highlight promising O123 candidates for experimental evaluation. References: [1] Ryg et al. J Bone Miner Res, 2009. 24(7):1299-307. ASSOCIATED INJURIES AFTER HIP FRACTURE IN THE [2] Sobolev et al. Bone, 2015. 75:72-6. [3] Beckmann et al. J Orthop ELDERLY Res, 2011.
Page 50 immobilization in combination with stress-inducing events such as weekends were more severe than on weekdays, and when com- trauma and operative treatment may result in further loss of muscle pared to weekend all-cause trauma patients (injury score 1.66 vs. mass, possibly increasing the risk of adverse outcomes. However, it is 1.46 and 1.43, p \ 0.001).
Page 51 Introduction: The aim of the present paper was to present cases of Conclusion: The management of traumatic hip dislocation in the occipital condyle fractures treated at our Department, review the lit- pediatric population is divisive. Some advocate for reduction in the erature, and stress the importance of MRI studies in the diagnostic emergency room, while others for reduction in the operating room work-up of these injuries...
Page 52 References: 1. Sferopoulos NK Monteggia Type IV Equivalent Komatsu, S Role of percutaneous transhepatic gallbladder aspiration Injury Open Orthop. J. 2011; 5: 198–200. 2. Tompkins DG The in the early management of acute cholecystitis. J Dig Dis.-2014.-Vol. anterior Monteggia fracture… Bone Joint Surg.
Page 53 O132 failure in management of BLI for both low and high grade injuries vary from center to another. We aimed to assess the presentation, AN INNOVATIVE EMERGENCY LAPAROSCOPIC management and outcomes of BLIs CHOLECYSTECTOMY TECHNIQUE; EARLY RESULTS Material and methods: We conducted a retrospective analysis of TOWARDS COMPLICATION FREE SURGERY prospectively collected data for all patients with BLIs who were admitted to level 1 trauma center between 2011 and 2014...
Page 54 of death were mesenteric ischemia, severe sepsis and hemorrhagic References: 1. Kong Y, Zhang H, He X, Liu C, Piao L, Zhen Y, shock. Liver related post-operative complications underwent in 60 % (2014) Endoscopic management for pancreatic injuries due to blunt of cases with mainly bilomas, or biliary ﬁstulas.
Page 55 Madrazo-Gonza ´ lez Z, Ramos-Rubio E. Current treatment of hepatic Thoracic Surgery, Hospital Povisa, Vigo, Spain, Radiology, trauma. Cir Esp. 2008 May;83(5):227-34. Hospital Povisa, Vigo, Spain, Anesthesia, Hospital Povisa, Vigo, Disclosure: No signiﬁcant relationships. Spain, Phisiotherapy, Hospital Povisa, Vigo, Spain, Statistic, Hospital Povisa, Vigo, Spain O137...
Page 56 Trauma and Orthopaedics Trauma and Orthopaedics, Barts Health, Conclusion: We think that DIF allows the possibility of increasing London, UK, Trauma and Orthopaedics Trauma and Orthopaedics, fractur site compression when charging during the healing process. Furthermore, the possibility of a plate-sliding system discharges the Kings College Hospital, London, UK angular ﬂexion pressure (ﬂexing movement) becoming a sliding movement and thus an axial compression.
Page 57 Material and methods: Over 12 months, 16 consecutive fractures wedges. Cyclic axial loading was applied with 16° adduction, starting were treated with PRS (RX) medial ‘bird-foot’ plates (ITS) through at 500 N and with progressive peak force increase at 0.1 N/cycle until an anterior intra-pelvic (Stoppa) approach.
Page 58 Trauma Surgery, Medical University Vienna, Vienna, O145 Austria, Trauma Surgery, Medical University of Vienna, Vienna, RETROGRADE TIBIAL NAIL - A NEW Austria, Technical University Vienna, Vienna, Austria, Center For BIOMECHANICALLY SUPERIOR NAILING CONCEPT FOR Anatomy and Cell Biology, Medical University of Vienna, Vienna, THE TREATMENT OF DISTAL TIBIA FRACTURES Austria S.
Page 59 Results: 42 cases with displaced closed bony mallet injuries were O149 identiﬁed between January 2010 and June 2015 in a level II trauma center in the Netherlands. Surgery was done either under general REPLANTATION OF PARTIAL UPPER LIMB AMPUTATION anesthesia (50 %) or locoregional anesthesia (50 %). Average surgery AFTER SUICIDE ATTEMPT time was 27 minutes.
Page 60 these cases, we analyzed the correlation between ischemic time and Disclosure: No signiﬁcant relationships. the incidences of reperfusion injury requiring fasciotomy, post-oper- ative infection, and limb salvage. Results: Limb salvage succeeded in 37 and failed in 7 cases. Their O152 durations of ischemia were 486[356,554] (median[25,75 percentile]) and 614[488,652] minutes respectively, with no signiﬁcant difference LONG-TERM OUTCOME AFTER TOE-TO-HAND...
Page 61 management and outcome of PD in polytrauma in our level I trauma Conclusion: Pollicization and ray amputation result in a good cos- center. metic and functional outcome and are a good option when preserving Material and methods: All PD in polytrauma between 10/1994 and a functional digit is impossible.
Page 62 O156 vasculature of the human placenta chorion, blood vessels within a wide range of inner diameter can be obtained from this tissue. Vas- EXTERNAL SKELETAL FIXATION AS TEMPORARILY cular scaffolds in diverse sizes were utilized from this tissue for tissue METHOD IN DAMAGE CONTROL.
Page 63 Conclusion: The NPT is effective in the management of the open Introduction: Our Lady of Lourdes (OLOL) Hospital is a regional abdomen and in the case of traumatic pathology that inﬂammatory trauma centre with an established sepsis-screening pathway. If two or and infectious required is fully aware of the possible complications.
Page 64 Results: A total of 103 patients with a median age of 27 and a median combination of ﬁbrinogen and FXIII seems to be promising for ISS of 25 (iqr; 18-34) were included. A total of eight patients were increasing FIBTEM MCF, but only in high-dose ﬁbrinogen adjunct. diagnosed with sepsis.
Page 65 O164 Introduction: Activation and migration of polymorphonuclear neu- trophils are key mechanisms in the development of severe INTRAOSSEOUS APPLICATION OF PROTHROMBIN complications such as ARDS and MODS. Recently, different neu- COMPLEX CONCENTRATE WITH/WITHOUT trophils phenotypes were identiﬁed in acute systemic inﬂammation. FIBRINOGEN CONCENTRATE IN A SWINE MODEL OF The spleen is the largest lymphoid organ and seems to play a modu- HAEMODILUTION...
Page 66 granulocytes (CD11b+ Ly6G+) MFI occurred (p \ 0.05). MHC-2 on References: BM cells decreased by 3-fold, while a contrasting trend occurred in Disclosure: Funding: Christian Doppler Research Association, Apo- circulation. Within 48 h of TSH, there was a relative decline of CD4+ science AG, Medical University of Vienna, LBG.
Page 67 osteoarthritic cartilage and tissue engineered constructs were Department of Surgery, Division of Thoracic Surgery, Medical embedded for parafﬁn- and resin-histology and stained with three University of Vienna, Vienna, Austria, Ludwig Boltzmann Institute different antibodies binding to speciﬁc regions of the collagen for Experimental Clinical Traumatology, Vienna, Austria molecule: the triple helix, C-termini of freshly cleaved collagen and cross linked C-telopeptides of degraded collagen.
Page 68 and BE). Full blood count detected early signs of organ damage and PELVIS & HIP necropsy revealed macroscopic and histopathologic signs of organ O173 injury. Posttraumatic immunologic deterioration was observed by increase of pro-inﬂammatory parameters (IL-6). THE DEVELOPMENT OF ACETABULAR FRACTURES Conclusion: The presented model successfully combines a relevant OVER A TREATMENT PERIOD OF 12 YEARS trauma severity and a long-term observation period of 72 h.
Page 69 Trauma and Emergency Surgery, Chang Gung Memorial Hospital, Results: Study group: 95 patients (p)–61 male (64 %) and 34 female Taoyuan, Taiwan (36 %), mean age 40 years. The car accidents were the most frequent trauma cause–53 %. The average ISS: 32 and the most frequent associated injuries were skeletal-58 % and thorax lesions-44 %.
Page 70 Division of Orthopedic Trauma, Sapporo Tokushukai Hospital, assessed by three-dimensional CT. Wilcoxon’s signed rank test for paired groups was used (level of signiﬁcance: p \ 0.05). Sapporo, Japan Results: Percentage (mean ± SD) of exposed bone accessible after utilizing the Pararectus approach was 42 ± 8 % versus 29 ± 6 % Introduction: Objectives: Magnetic resonance imaging (MRI) is one using the modiﬁed Stoppa (p = 0.011).
Page 71 site was debrided, reduced and ﬁxed with a LISS. The ﬁbular grafts O181 were compacted into a trough in the femoral neck. The Harris Hip score system was used to assess hip function and anteroposterior and DOES AN ADDITIONAL ANTIROTATION U-BLADE frog-lateral hip roentgenograms were used to evaluate bone healing.
Page 72 nowadays the role of surgery is debated with increasing evidences no signiﬁcant difference was observed in the duration of hospital stay toward the conservative treatment. The aim of our work was to (6.2 ± 3.6 vs 6.2 ± 4.0 days p = ns),of antibiotic therapy (3 ± 2.9 describe the epidemiology of acute appendicitis and its treatment in a vs 2.8 ±...
Page 73 Digestive Surgery, Hospital Omar Bongo, Libreville, O185 Gabon, Digestive Surgery, PERCY Military teaching Hospital, IS INTERVAL APPENDECTOMY MANDATORY IN Clamart, France CONSERVATIVE TREATMENT OF COMPLICATED APPENDICITIS WITH A PALPABLE MASS OR LOCALIZED Introduction: In France, an antibiotic therapy longer than 72 h is not ABSCESS? recommended after an appendectomy for acute appendicitis Ò...
Page 74 (20). The majority of participants were anesthesiologists (323), trauma: Assessment, management and outcomes. Surgeon. 2015 Aug alongside with trauma surgeons (232), emergency medicine special- 29. pii: S1479-666X(15)00081-5. doi: 10.1016/j.surge.2015.08.00. ists (82) and others (33). of 30 courses 20 were open ones with Disclosure: No signiﬁcant relationships.
Page 75 geometrical acquisition to model validation with radioss. Comput Material and methods: We reviewed 24 consecutive patients with Methods Biomech Biomed Engin. 2003; 6(4): 263-273. blunt splenic trauma admitted to our Unit who underwent SAE. All Disclosure: No signiﬁcant relationships. these patients were managed in according to a diagnostical-thera- peutic algorithm taken from international guidelines.
Page 76 East Midlands Major Trauma Centre, Nottingham University References: 1: El-Matbouly M, et al. Blunt splenic trauma: Assess- Hospitals, Nottingham, UK ment, management and outcomes. Surgeon. 2015 Aug 29. pii: S1479- 666X(15)00081-5. 2: Cirocchi R, et al. Is non-operative management safe and effective for all splenic blunt trauma? A systematic Introduction: Blunt splenic injury can be managed safely with non- review.
Page 77 Trafﬁc Medicine Center, Peking University, people’s hospital, team. No operative management was required in 47 % of ACS Peking, China admission and 81 % of in-patient consults. Bowel obstruction (21 %) was the most common reason for admission, followed by skin and soft tissue infections (14 %), appendiceal (13 %) and biliary (13 %) Introduction: Primary study showed that the application of stan- pathology.
Page 78 was a non-signiﬁcant decrease in mortality rate, 7 % vs 5 % O200 (p = 0.23). Conclusion: The advent of centralisation has changed the demogra- CURRENT STATE OF TRAUMA CARE SYSTEM IN phy of the trauma population to high volume, less severely injured SHANGHAI with different injury mechanisms, leading to increased interventions with no change in mortality.
Page 79 Assessment-Recommendation technique, in 2 % the Mechanism-In- Emergency Department, Maxima Medisch Centrum, veldhoven, The Netherlands, Surgery, Maxima Medisch Centrum, veldhoven, The juries-Signs -Treatment method was used. The other handovers were incomplete. Netherlands Conclusion: Prehospital communication between EMS on-scene and HEMS often entails little information. The cancellation model for Introduction: The purpose of this study was to evaluate the sensi- HEMS is frequently used and promotes adequate information transfer.
Page 80 Results: It was found, that (diameter) surface area of hamstring O206 tendons (ST, G) is related to age . The highest tendon transversal surface growth of the ST and G take place for ST at age of 12 yo, and TRAUMATOLOGICAL APPLICATION OF THREE- for G at age 13 yo.
Page 81 outcome [1-3]. In a separate submitted study, contemporary mea- by using state-of-art quantiﬁcation of three-dimensional computed surements of fracture displacement using quantiﬁcation of three- tomography (Q3DCT). dimensional computed tomography (Q3DCT) were introduced. This Material and methods: Twenty eight ankle rotational-type fractures study aims to correlate Q3DCT fracture displacement with clinical including a posterior malleolar fragment (AO/OTA type 44) were outcome.
Page 82 individual patient data meta-analysis (IPDMA) of included cases with SPORTS MEDICINE: KNEE focus on radiographic and functional outcomes of the procedure. O211 Results: Fourteen studies with a total of 65 participants were inclu- ded in the analysis. Improvement on volar tilt, radial inclination and THE DIAGNOSTIC VALUE OF THE ‘LEVER SIGN’...
Page 83 rehabilitation programme following meniscal repair remains uncer- Material and methods: Thirty-three mountain sheep underwent tain. As such, the present study aims to examine the post-operative ACL resection and randomization to two experimental groups: 1) outcomes, including failure rates, in patients undergoing aggressive ACL reconstruction with scaffold alone (SA), 2) ACL reconstruction post-operative rehabilitation following all-inside meniscal repair.
Page 84 O215 and October 2012 were reviewed and divided into two groups (group A: males and group B: females) that were equal according to the CLINICAL AND FUNCTIONAL OUTCOME OF ALL-INSIDE patients’ number and age. Functional outcome measurements inclu- ANTERIOR CRUCIATE LIGAMENT RECONSTRUCTION AT ded the Lysholm score, IKDC - score, VAS-score, Tegner Activity A MINIMUM OF 2-YEAR FOLLOW-UP Scale before surgery and at 3-, 6-, 12- and [24 months follow-up.
Page 85 O218 Material and methods: We have performed a literature research via PubMed/Medline database. The following search terms were used in KNEE JOINT STABILITY AFTER DYNAMIC different combinations: ‘‘multiple trauma’’, ‘‘epidemiology’’, ‘‘pat- INTRALIGAMENTARY STABILIZATION terns of mortality‘‘, ‘‘trauma deaths’’, and ‘‘autopsy’’. References from available studies were searched as well.
Page 86 References: Krug EG, Sharma GK, Lozano R: The global burden of Introduction: Trauma is the leading cause of death in the young injuries. American journal of public health 2000, 90(4):523-526. adults around the world. Since the majority of the victims are eco- Committee on Trauma (1999) Resources for optimal care of the nomically active, the social burden can be quite high.
Page 87 ISS \15. 10.4 % of patients scored signiﬁcantly abnormal on the Traumasurgery, Elisabeth-Tweesteden Hospital, Tilburg, The Netherlands, The Brabant Trauma Centre, Elisabeth-Tweesteden HADS, and there was a correlation with this and a high PTSD score, with a further 14 % scoring moderately abnormal. 63 % patients had Hospital, Tilburg, The Netherlands a tangible decrease in quality of life scores as deﬁned by EQ-5D, but there didn’t seem to be an association with high PTSD scores.
Page 88 2013-2014 with Injury Severity Score (ISS) [15 were identiﬁed. Data References: 1. American college of surgeons committee on trauma/ collection included demographics, injury severity variables, inter- ‘‘ACS NTDB NATIONAL TRAUMA DATA STANDARD: Data ventions, and in-hospital outcomes. Primary outcome was in-hospital Dictionary 2016 ADMISSIONS’’/NTDB National trauma databank mortality.
Page 89 • Eastern Mediterranean status report on road safety: call for action. Introduction: Emergency Departments in Israel are constantly WHO Regional ofﬁce for the Eastern Mediterranean, 2013. severely overcrowded. This situation has reportedly reached a crisis proportions. In mass casualty incidents EMS systems provide pre- Disclosure: No signiﬁcant relationships.
Page 90 Gastro Unit, Surgical Division, Copenhagen University Hospital, trauma, pre-hospital destination protocols, and no refusal policies had Hvidovre, Hvidovre, Denmark, Department of Anesthesiology and lower mean LOS than provinces without these trauma system com- ponents (p \ 0.05). Intensive Care Medicine, Copenhagen University Hospital, Hvidovre, Conclusion: We observed signiﬁcant variation in risk-adjusted mean Hvidovre, Denmark LOS across Canadian trauma centers and provinces and several rec-...
Page 91 compared prior to and following the presence of a on-site consultant O236 plastic surgeon. We also evaluated the effect of this on our elective care, in particular the foot and ankle, sarcoma and limb reconstruction DANISH TRAUMA TEAM COMPETENCIES- A NATIONAL services.
Page 92 were classiﬁed ‘‘polytraumatised’’ by at least one of 11 deﬁnitions Conclusion: Self-inﬂicted injuries, especially with a fall from height (McLain, Dick, Pape 2000, DGU, Blacker, Schalamon, Sikhand, mechanism, are correlated with high mortality risk; this relationship is Zelle, Pape 2006, Balogh and ‘‘Berlin deﬁnition’’) were included in likely to be due to a high ISS score and severe head injuries.
Page 93 S100 O240 head (57.8 %), upper extremity (50.0 %), abdomen (43.8 %), and spine (35.9 %). 36 patients (56.3 %) died, thus revealing a threefold MISSED INJURY IN POLYTRAUMA PATIENTS. THE higher mortality compared to the mortality of 18.8 % in the matched EFFECT OF TERTIARY TRAUMA SURVEY group.
Page 94 S101 O243 Introduction: Severe thorax injury is common with polytrauma patients with blunt trauma. Different methods and protocols have SURGICAL TREATMENT IS RARELY REQUIRED IN been introduced in treating these patients during last decade both in POLYTRAUMA PATIENTS WITH SEVERE CHEST INJURY prehospital setting and in hospital treatment.
Page 95 S102 combination of sternal fractures and concomitant injuries of the spine BLEEDING 1 are subdivided in cervical, thoracic and lumbar spine. The distribution O247 of level of vertebral fracture in combination with sternal fracture was analyzed in a statistical evaluation. A REVIEW OF 24 MONTHS OF TRAUMATIC MASSIVE Results: The highest incidence of a vertebral fracture at thoracic HAEMORRHAGE MANAGEMENT IN A UK LEVEL ONE...
Page 96 S103 Cologne-Merheim), Ko ¨ ln, Germany, O248 Department of Anaesthesiology & Intensive Care Medicine, Cologne-Merheim Medical Centre INCREASE IN HEART RATE VARIABILITY CAN BE AN (CMMC), Witten/Herdecke University (Campus Cologne-Merheim), Ko ¨ ln, Germany, INDEX FOR END POINT OF RESUSCITATION IN TRAUMA Department of Orthopaedic Surgery and PATIENTS Traumatology, Malteser Hospital Bonn, Bonn, Germany...
Page 97 S104 management of non-compressible hemorrhage. Recently, both a linear Results: Compared to the control group, stent implantation resulted and a ﬁxed-distance model have been proposed to predict the correct in an increase in the median (interquartile range) systolic velocity placement of a balloon during ﬂuoroscopy-free REBOA, in a male (SV, cm/sec) from 0 (0) to 31 (28–37) and 24 (21–29) in the BMS group and CS group, respectively (p \ 0.001).
Page 98 S105 O253 Material and methods: Our trauma database (TraumaSur) was used to conduct a retrospective cohort analysis. We identiﬁed patients SIXTY-MINUTES REBOA WORSENS OUTCOME IN AN admitted to the ICU from 2003 to 2014 suffering from hemody- OVINE MODEL OF SEVERE HEMORRHAGIC SHOCK namically unstable pelvic fractures.
Page 99 S106 required surgery. The median number of chest or abdomen x-rays for O257 each patient was comparable between the groups (7.0 vs. 7.5 respectively). The median HLOS was 3 days in the non-operative BENEFITS OF COMPUTED TOMOGRAPHY group and 3.5 days in the endoscopy group (p = 0.843). No gas- TRACTOGRAPHY IN EVALUATION OF ANTERIOR ABDOMINAL STAB WOUNDS trointestinal perforations were observed.
Page 100 S107 computed tomographic ﬁndings for hollow viscus and mesenteric BLEEDING 2 injuries (53.8 %). The rate of laparotomy for patients sustaining stab- O260 bing and blunt injuries was 3.5 % and 10.9 %, respectively. Conclusion: Laparoscopy is a feasible and safe tool for the diagnosis TRAUMA-INDUCED COAGULOPATHY: POTENTIAL ROLE and treatment of stabbing and blunt abdominal injuries.
Page 101 S108 Surgery, University of Colorao, Aurora, USA, Surgery, University O261 of Colorao, Aurora, CO, USA LOW-MOLECULAR-WEIGHT HEPARIN PROPHYLAXIS IN PATIENTS WITH BLUNT SOLID ORGAN INJURIES Introduction: The pathologic extremes of ﬁbrinolysis Hyperﬁbri- UNDERGOING NON-OPERATIVE TREATMENT nolysis (HF) and ﬁbrinolysis shutdown (SD)] are associated with increased morality following trauma.
Page 102 S109 General Surgery, Changi General Hospital, Singapore, Singapore admission compared to non-coagulopathic patients (n = 29). Statis- tically signiﬁcant correlations were found between the admission TAFIa level and the amount of packed red blood cells and fresh Introduction: Massive transfusion protocol (MTP) is increasingly frozen plasma transfused within the initial 24 hours (both p \ 0.05).
Page 103 S110 (Table 1). The proportion of survivors who did not meet standard EXPERIMENTAL RESEARCH IN FRACTURE COT criteria was signiﬁcantly higher in the survivors than the non- TREATMENT survivors. Conclusion: This initial study on coagulopathy and the survival of O268 ISTBI patients showed that a signiﬁcant percentage of non-survivors met standard criteria for COT and that ‘failing’...
Page 104 S111 during fracture healing in human exist so far. The aim of this study is Results: Our results demonstrate that reduction of enzyme concen- to analyze the local and systemic levels of Dkk-1 during physiological tration to 30 % and 10 % result in lower cell yields. In contrast, the fracture healing.
Page 105 S112 Clinic For Trauma Surgery, Orthopaedics, Hand- & Reconstructive chronic osteomyelitis: a series of 195 cases. Bone Joint J. 2014 Surgery, St. Vinzenz-Hospital, Ko ¨ ln, Germany, St. Vinzenz- Jun;96-B(6):829-36. Disclosure: Bone Support, Switzerland Hospital, Ko ¨ ln, Germany Introduction: Progress in oncological therapy leads to an increase of O272 pathological fractures.
Page 106 S113 healing assessed radiologically could be achieved in 88.5 % irre- O276 spective of location or underlying pathology. Superior results were seen in patients receiving ESWT within 1 year after the last surgical PRINCIPLE AND RESULTS OF EXTRAMEDULLARY NAIL intervention in comparison to later timepoints. APPLICATION IN DIAPHYSEAL FEMORAL FRACTURES TREATMENT Conclusion: Non-unions unresponsive to standard therapies could be...
Page 107 S114 Introduction: Hyperﬁbrinolysis (HF), as exhibited by an elevated Conclusion: Although a recent biomechanical data indicate that 2 lysis at 30 minutes (LY30) on thrombelastography (TEG) is a speciﬁc plates can create a stiffer construct than a single posterolateral plate predictor of hemorrhage in trauma.
Page 108 S115 Introduction: When regarding Lisfranc and Chopart dislocated increase in complications or number of revisions compared to rela- fractures, literature speaks of rare but severe diagnoses that are often tive-stability bridge plating. If absolute stability could not be achieved initially missed due to either polytraumatised patients or heterogenic percutaneously, a mini open approach did neither increase time to clinical appearance.
Page 109 S116 • Cheng J.C., Ng B.K., Ying S.Y., Lam P.K. (1999): A 10-year P007 study of the changes in the pattern and treatment of 6,493 fractures. - J Pediatr Orthop,19,344–350. A RARE DISLOCATION OF THE FOOT AFTER • Brown I.C., Zinar D.M. (1995): Traumatic and iatrogenic LOW-ENERGY TRAUMA neurological complications after supracondylar humerus fractures in children.
Page 110 S117 Material and methods: Surgical treatment consisted of immediate References: Compartment Syndromes of the Upper Extremity, John open reduction in the OR using a surgical spoon and a femoral head Gray Seiler III, MD, Patrick J. Casey, MD, Atlanta, Ga, Sandra Haas impactor.
Page 111 S118 Romania, Anesthesia and Intensive Care, Buftea Hospital, Buftea, Results: From the tests, hemoglobin level, CRP, ESR, ﬁbrinogen, as Romania well as IL (1 or/an 6) are to be thoroughly evaluated in polytrauma patients. This study, although limited, demonstrate that all these factors are inﬂuence by the pathology of polytrauma, There is a direct Introduction: Crushing trauma of the extremities, involving both correlation between ECR and hemoglobin level and the incidence of...
Page 112 S119 BLEEDING purpose of this study is to describe the nature of delayed massive hemothorax requiring a surgery and to identify the major cause. P014 Material and methods: From February 2011 through January 2015, 1278 consecutive patients after blunt thoracic trauma were admitted. FUNDAMENTAL EXPERIENCE OF DEVELOPING Delayed hemothorax was deﬁned as the normal upright chest radio- TEMPORARY PACKING MATERIAL USING POLYMER...
Page 113 S120 no size-up of the hematoma nor extravasation. Although hemody- P018 namics and blood test was satisfactory, the surgical removal of hematoma was performed on 8 days after IVR because the size of the DEVELOPMENT OF A LAPAROSCOPIC OVINE MODEL OF hematoma had increased for 8 days.
Page 114 S121 aim of this study were to investigate circulatory, metabolic and end- fractures, sternal fracture, T10 -11 fractures. Further laparotomies organ functional outcomes and relation to occlusion time in a non- were performed on post-operative days (POD) 1 and 4. On POD 3, he haemorrhagic pig model.
Page 115 S122 P023 haemorrhoids or diverticular disease, it may also reveal colorectal malignancy. Each year at our large central London teaching hospital, IATROGENIC CARDIAC INJURY [150 cases are managed by emergency general surgeons. On-site 24/7 interventional radiology allows rapid access to mesenteric D.W.
Page 116 S123 Results: There was a signiﬁcant rise in lactate, and a signiﬁcant P027 decrease in base excess and temperature after traumatic hemorrhage. Platelet count decreased from a median of 251 9 10 /L to 100 9 10 OCCULT GASTROINTESTINAL BLEEDING L (P = 0.004) and the mean platelet volume increased from 5.1 fL to A.
Page 117 S124 Introduction: Obscure gastrointestinal bleeding is deﬁned as an vascular injury at clipping, electrocautery erosions, bile leakage or haemorrhage that persists or recurs after a negative endoscopy. In postoperative infection. Pseudoaneurysms can cause abdominal pain patients who present with bleeding, the etiology may not be evident or jaundice, but their most frequent clinical manifestation is bleeding.
Page 118 S125 References: Am Surg 2014 Sep;80(9):910-3. Michael J Mackowski, P032 Rebecca E Barnett, Brian G Harbrecht, Keith R Miller, Glen A Franklin,Matthew V Benns. Damage control for thoracic trauma. THE USE OF VACUUM-ASSISTED CLOSURE SYSTEM FOR South Med J 2004 Jul;97(7):637-4. Manuel Caceres, Kennan J THERAPY OF EXTENSIVE RETROPERITONEAL HEMATOMA IN POLYTRAUMATIZED PATIENT Buechter, Areti Tillou, Donald Liu, Glenn Steeb.
Page 119 S126 The upper gastrointestinal endoscopies did not show relevant patho- Romania, General Surgery Department, Emergency Hospital Of Bucharest, Carol Davila University of Medicine and Pharmacy logical lesions. The abdominal ultrasonography showed an infrarenal aortic aneurysm. The Computed Tomography proved a 45/35 mm Bucharest, Bucharest, Romania, General Surgery Department, aortic aneurysm, in contact with a small bowel loop, and an aor-...
Page 120 S127 Okayama, Okayama Universal Hospital, Okayama, with an incision in the back. Case 2: 21 year old female who came to Japan, Okayama Universal Hospital, Okayama, Japan the hospital after aggression. Since the patient was hemodynamically normal, CT was performed, which showed abdominal free ﬂuid, without pneumoperitoneum associated with bladder lesion.
Page 121 S128 minute, p = 0.001) TO showed no signiﬁcant difference (238 minute Material and methods: Retrospective data analysis and assessment vs. 283 minute, p = 0.497). In patients with TTA, TD and TH took of the results obtained with different trauma scoring systems (ISS, statistically less time than those without TTA (TD: 168 min vs.
Page 122 S129 showed that the best pneumothorax volume that predicted chest tube P044 insertion was 30 milliliters. Conclusion: Chest tube was inserted in less than half of blunt trauma SURVIVAL/MORTALITY RATES FOLLOWING patients having pneumothorax detected by CT scan. Pneumothorax POLYTRAUMA DEVELOPMENT OVER LAST FEW DECADES volume should be included in the decision-making regarding chest tube insertion.
Page 123 S130 Introduction: Sternal fractures (SF) were rare but potentially dev- shoulder, but as ﬂoating shoulder girdle; 2 of the patients had brachial astating event if unrecognized in the treatment course of trauma plexus injury. patients. A sternal lateral plain ﬁlm was sufﬁcient to diagnose isolated Results: We had no cases of non-union or jatrogenic vascular and sternal fracture, however, because of frequent association with major neurologic trauma.
Page 124 S131 Conclusion: In politraumatized patients with this fractures is P049 mandatory to prioritize vital injuries, but without forgetting that a quick surgery of these fractures is also vital for the patient. During CHYLOTHORAX IN BLUNT CHEST TRAUMA surgery is important to avoid the consequences of unnoticed injuries K.I.
Page 125 S132 blunt injury, drowning, hanging). The leading etiology of TA patients References: was pedestrian TA (n = 48). Department of neurosurgery comprised Disclosure: No signiﬁcant relationships. the majority of admitted patients (n = 84, 55.2 %). The mean ISS was 15.0±11.9, and 58 patients (31.4 %) had an ISS of[15. Eighteen patients died, and the mean value of TRISS was 56.4 %.
Page 126 S133 P053 Introduction: Traumatic aortic injury is the second main cause of death from blunt injury. Motor vehicle crash (MVC) victims are likely DIAPHRAGMATIC RUPTURE AFTER BLUNT INJURY – to die at the scene due to rupture and exsanguinations to the chest. A CASE REPORT Material and methods: A 20-year-old woman driver at 16 weeks of gestation with twin pregnancy.
Page 127 S134 LDIs, whereas grade \3 was comparable in the 2 groups. Surgical References: Al-Thani H, et al. Risk Stratiﬁcation of Necrotizing repair was performed for 84 % LDIs vs 63 % RDIs cases. Damage Fasciitis Based on the Initial Procalcitonin Concentration: A Single control management was carried on in 30 % LDIs vs 10 % RDIs.
Page 128 S135 Introduction: A closed chest injury is an immediate cause of death in angioembolization for hepatic injury and open chest lobectomy and 25-50 % of cases among died patients with polytrauma with spinal rib ﬁxation were performed successfully. On the day 3, ventilation cord and thoracic injuries.
Page 129 S136 P061 with a suture (as it was done), but if there is a delay in diagnosis or signiﬁcant loss of tissue, an esophagostomy may be the option. FROZEN ALLOGRAFT IN IIIB OPEN FRACTURE OF References: - Mattox K, Moore E, Feliciano E. Trauma. 7th ed. DISTAL FOREARM McGraw-Hill;...
Page 130 S137 Introduction: The M-shaped trans-iliac plate is an anatomically performed and bilateral internal iliac arteries were embolized. Gauzes designed pre-bent plate for posterior pelvic ring ﬁxation and devel- were removed carefully again 48 hours after prior packing and active oped by Prof. Shirahama et al. Clinical results were reviewed with bleeding was not observed.
Page 131 S138 Disclosure: The Senior author has Consultant Agreement with Introduction: Describe the handling of complex abdominal wounds DePuySynthes. He also joins the Thoracic expert Group of the AO using the vacuum therapy. Foundation. The other authors are not involved in any COI. Material and methods: We describe 4 cases of ﬁnal handling of abdominal wall closure using the vacuum system VAC.
Page 132 S139 reduced a large percentage of the victims remain disabled. It is P072 therefore necessary to conduct early rehabilitation to prevent com- plications, as the effects of severe combined injuries are serious and DAMAGE CONTROL FOR PELVIC FRACTURES IN socially signiﬁcant problem they often disabling sick for a long time, POLYTRAUMA PATIENTS sometimes until the end of his life.
Page 133 S140 early hemorraghe management and massive blood transfusion. The Disclosure: The ﬁrst author has Consultant Agreement with objective of this study is to evaluate consequences of DCR on indi- DePuySynthes. He also joins the Thoracic expert Group of the AO cation for DCL, in patients sustaining abdominal hemorrhagic trauma.
Page 134 S141 Team and preperitoneal pelvic packing (PPP) were introduced in our cases, respectively. Myoglobin was consistently elevated with an Hospital. This is a retrospective review of our experience. average serum level of 846 ng/ml. Early debridement was performed Material and methods: Retrospective review of our database from in 2 thirds of cases.
Page 135 S142 P079 Conclusion: Varicella and invasive streptoccccus infection in pre- school children rare, but recognised complication. Case fatality are COMPUTED TOMOGRAPHY IN TRAUMA – DO SCOOP known a high index of suspicion is necessary to diagnosed this con- STRETCHERS INCREASE RADIATION EXPOSURE dition.
Page 136 S143 P082 evaluate the incidence, characteristics and management of a pro- longed air leak following this injury. CLASSIFICATION, DIAGNOSIS AND TREATMENT OF Material and methods: Data of 110 polytraumatized patients were FACIAL FRACTURES IN SEVERELY INJURED PATIENTS elaborated retrospectively. Fifty-four patients with a pneumothorax and initial treatment by chest tube placement were assigned into two C.
Page 137 S144 General Surgery, Sainte Anne Military Hospital, Toulon, References: Cytokines in Patients with Polytrauma. DeLong, Wil- France, General Surgery, PERCY Military Hospital, Clamart, liam G Jr MD; Born, Christopher T MD Clinical Orthopaedics and Related Research: May 2004 - Volume 422 - Issue - pp 57-65. France, Orthopedic Surgery, Sainte Anne Military Hospital, Toulon, Disclosure: No signiﬁcant relationships.
Page 138 S145 from operation. However, there was no evidence of hypovolemia P089 before arrest in that patient who died. Conclusion: Our experience illustrates the potential role of internal DEVELOPING A TIERED TRAUMA CALL SYSTEM AT A UK iliac artery ligation and preperitoneal pelvic packing for the MAJOR TRAUMA CENTRE treatment of exsanguinating pelvic hemorrhage.
Page 139 S146 Material and methods: From April 2011 through March 2015, due to the injured unstability. 8 patients had to be hospitalized and 4 patients were screened for BCVI if they met any one or more of the of them underwent a surgical operation up to 24 hours after entering institutional screening criteria and underwent multi-detector com- the clinic, through exploration laparotomy.
Page 140 S147 P093 Introduction: Among the conventional parameters for the assess- ment of polytrauma patients, those associated with the triad of death AXILAR BLUNT TRAUMA appear to be widely used. We assessed whether other parameters might be of use as well for identiﬁcation of patients at risk of C.S.
Page 141 S148 rectum displaced from their original site. Anal re-implantation was Introduction: Anterolateral approach is less invasive to the muscle performed, suturing the median raphe, with pelvic packing and then and advantageous to getting early gain-function, the pain after surgery inserting two pelvic drainage tubes, left colostomy and pelvic stabi- and the dislocation prevention as compared to the Posterolateral lization with a pelvic binding for bleeding control.
Page 142 S149 results at the end of follow-up showed an impaired function with a P100 mean of 15 degrees in 13 % of the patients. Impaired sensibility was found in less than 4 % of the cases. TOTAL ANKLE ARTHROPLASTY IN POSTTRAUMATIC Conclusion: This minimal invasive surgical technique appears to be a CONDITIONS quick and safe procedure for a wide variety of metacarpal bone...
Page 143 S150 Material and methods: Case 1; 61 year old male injured open lateral References: 1. Handoll HH, Ollivere BJ, Rollins KE. Interventions condyle fracture of femur by to be bitten by a pig. After 5 months for treating proximal humeral fractures in adults. Cochrane Database from initial debridement, I conﬁrmed the size of bone defect was Syst Rev 2012 Dec 12;12:CD000434.
Page 144 S151 Introduction: This poster presents some of the less common, but ﬁve patients achieved union, one exhibited delayed union, and two severe complications of humeral head fractures. required cut out. Although there was no avascular necrosis of the Material and methods: This case describes a skiing accident that femoral head, the cut out rate was high (25 %).
Page 145 S152 P107 occurring around the time of cementation, prosthesis insertion, reduction of the joint in a patient undergoing cemented bone surgery. OPEN REDUCTION AND INTERNAL FIXATION OF Our case studies describes a cardiac arrest in two patients undergoing ACETABULAR FRACTURES IN PATIENTS OLDER THAN 65 a cemented hemiarthroplasty.
Page 146 S153 shaft at about 53.02 mm from adductor tubercle, while the osteoar- P111 ticular branch ran along with the adductor magnus tendon. The nerve to vastus medialis was at the posterior border of this entering at an A COMBINED POSTERIOR REVERSED L-SHAPED AND average of 142.63 ±...
Page 147 S154 supracondylar fractures, and one sustained a transverse metadiaphy- reliability of the revised 3-column classiﬁcation approach was sig- seal distal humerus fracture. All patients were placed in a splint and niﬁcantly higher as compared to the Schatzker classiﬁcation taken to the operating room. Each patient was treated surgically by (0.531 vs.
Page 148 S155 Traumatological Centre, Faculty Hospital Kra ´ lovske ´ Vinohrady, successful surgical treatment can still be accomplished with return of Prague, Czech Republic the lung function after initial resuscitation and stabilization of the patient’s general condition. References: Introduction: Complications of chest trauma develop secondary to Disclosure: No signiﬁcant relationships.
Page 149 S156 department and is performed with ﬂuoroscopy for safety and adequate 12-C1. Our ﬁnal results after six months follow-up showed no cases balloon positioning, but that can become a cause of delayed resus- of wound infection, intra-articular screw penetration or avascular citation.
Page 150 S157 p = 0,015). Plate stiffness was in a comparable range (H: (468 N/ P121 mm ± 7), broad LCP (445 N/mm ± 6). Mean bone mineral density was 250 mgHA/ccm ± 47. REPAIR OF THE PRONATOR QUADRATUS AFTER VOLAR Conclusion: Additional plate ﬁxation in the greater trochanter at PLATE FIXATION IN DISTAL RADIUS FRACTURES: A SYSTEMATIC REVIEW...
Page 151 S158 Introduction: The system of the new proximal retrograde humeral Surgery, Cantonal Hospital Aarau, Aarau, Switzerland, Surgery, Cantonal Hospital Aarau, Aarau, Germany nail for the proximal humeral fracture should include the possibility of prevention of the humeral head, minor invasive operative proce- dure and protection of the rotator cuff.
Page 152 S159 percutaneously inserted through ulna and radius at an angle of 45 Results: The double plate construct showed a signiﬁcantly higher degrees to the radial insertion point, following the direction of the number of cycles and corresponding load to failure (D: 39627 distal oblique bundle.
Page 153 S160 P128 To present our early results from augmentation with allo- and auto- grafts for 3- and 4-part fractures of the proximal humerus, stabilized EFFECTIVENESS OF REGIONAL NERVE BLOCK ON with locking plates. CLAVICLE AND SHOULDER SURGERY Material and methods: 63 patients (47 female and 16 male mean age 69 years) were operated with angulary stable plates.
Page 154 S161 Results: Nine female patients with distal forearm fractures with an P132 average age of 77,6 years were treated from 09/2011-06/2014. 3/9 distal radial fractures were treated with the Polymer in a retrograde THE ANTERIOR INTRAPELVIC APPROACH FOR fashion in combination with a locking screw. 1/9 patients was oper- ACETABULUM FRACTURES ated with a Hybrid-Osteosynthesis consisting out of the polymer and an angle stable palmar plate.
Page 155 S162 References: Introduction: Traumatic rupture of quadriceps tendon is a debili- Disclosure: No signiﬁcant relationships. tating condition. This can result in intractable pain, limp, and instability of the knee. There have been various methods described for repairing or reconstruction of this quadriceps muscle complex including direct trans-osseous repair, muscle transfers, muscle and P134 tendon sling, bone tendon allograft reconstruction and endoscopic...
Page 156 S163 angle-stable screws demonstrated no statistically relevant advantages Introduction: Current methods of diagnosing peripheral nerve injury over TBW in a tested fracture model. Nevertheless, the higher sta- include clinical assessment and electrophysiological examinations. In bility offered by this new implant along with screw system that the past MR imaging and ultrasound have only played a role in reduces the backing out of screws may ﬁnd clinical usage.
Page 157 S164 those with access to online resources to have greater retention of skills distal lateral femoral locking plate. However, with this technique non- comapred to face-to-face teaching. More studies are needed. union rates of up to 20 % have been reported. One possible expla- Disclosure: No signiﬁcant relationships.
Page 158 S165 infections could be noted after the treatment with a gentamicin-coated Cardiothoracic Surgery and Traumatology, Oslo University Hospital, Oslo, Norway, Cardiothoracic Surgery, Oslo University Hospital, tibia nail. Nonunion was diagnosed in 4 patients (25.0 %), 1 of these was a revision case. Oslo, Norway, Traumatology, Oslo University Hospital, Oslo, Conclusion: The purpose of the study was to evaluate a gentamicin-...
Page 159 S166 Results: A 32-year-old man fell approximately two meters and lan- Conclusion: The team building training for OR nurses dramatically ded on tree branches. He impaled his left thigh on a branch that was improve time consumption and the quality. 2 cm in diameter.
Page 160 S167 evaluation techniques rely on reports from observers overviewing permits variable decision-making depending on the current condition elements of the exercise. Data from registration systems and obser- of the trauma patient and the pattern of injuries for immobilization in vational cameras can also be reviewed to judge the functioning of a general and for immobilization method in particular.
Page 161 S168 hospital to the MIH. The scenario again became reality when a (OR 0,93; CI 95 %[0,3;2,1]). The most expected event was «an ulcer neighbouring hospital had to evacuate in September 2015. This article bleeding in a workday», the most unexpected event was «a nonulcer evaluates and compares the exercise to the real events to further bleeding in a weekend».
Page 162 S169 A critical assessment of the current training contents on the subject of Introduction: Ligament injuries to the elbow are relatively common trauma care must, therefore, be demanded. and often underdiagnosed, with either insufﬁcient treatment or pro- References: longed cast immobilization as a consequence. Disclosure: No signiﬁcant relationships.
Page 163 S170 well as a laborious reduction of the intussusception and a hemigas- References: S Bajracharya, S Singh, G Singh, M Singh, T Bajra- trectomy. The pathology report revealed an IFP -Vanek’s tumor. charya. The Efﬁcacy Of The Hematoma Block For Fracture Results: IFPs are rare, benign, solitary lesions, most commonly found Reduction In The Distal Forearm Fractures: A Double Blind Ran- at the gastric antrum.
Page 164 S171 P159 Results: Only the 31,34 % of the total access are male (142) and the remaining are female. The length of stay of the patient in ED were, IONIZED CALCIUM VALUE VARIATION IN TRAUMA for the 95,60 % of the total, under 24 hours. The average time of wait PATIENTS SHOULD BE MANAGED IN LESS THAN 10 % on a stretcher for the patient was of 8 hours and 41 minutes.
Page 165 S172 be difﬁcult, as different specialists are involved, communications Cirurgia Geral, Centro Hospitalar Tra ´ s-os-Montes e Alto Douro, Vila often overlapped and a great synergy between team leader and Hospital de Vila Real, Centro Hospitalar Tra ´ s-os- Real, Portugal, members is required.
Page 166 S173 hospitals. Less than half of the hospital ERs had a ventilator available pelvic orthotic device both required cutting to access the femoral (34.8 % primary, 33.4 % secondary and 42.9 % tertiary). Blood vessels, which reduced efﬁcacy. products to treat severe trauma patients were available in less than Conclusion: Intra-pelvic pressure was signiﬁcantly increased through half of all ERs (30.4 % primary, 41.7 % secondary, and 42.9 % ter- bandaging the lower limbs alone, and this represents a simple measure...
Page 167 S174 P167 Material and methods: During the European Congress of Trauma and Emergency Surgery (ECTES) 2015 a 20-question multiple-choice ACUTE LOWER LIMB ISCHAEMIA CAN BE A SIGNAL OF survey was conducted among the attending surgeons and residents of AORTIC DISSECTION? the Hand and Wrist session.
Page 168 S175 article supports the use of collars. The other eight suggest their lim- 21 3.Akgul GG, et all - Conservative Management of Large Rec- itation because of adverse effects, or question their effectiveness. tosigmoid Perforation under Peritoneal Reﬂection: Case Report and Conclusion: Collars in current practice are used to prevent spinal Review of the Literature.Case Report Surg, 2015, mar 31.
Page 169 S176 Most of them are not dedicated for children. It is not allowed to Results: Some 133 patients were included from 282. Commonest develop standards approaches both for intensive care and surgery as indication of the laparotomies was intra-abdominal sepsis, with a well as rehabilitation.
Page 170 S177 3. Mitkovic ´ M, Bumbas ˇ irevic ´ M, Les ˇ ic ´ A, Golubovic ´ Z. Dynamic P176 external ﬁxation of comminuted intra- articular fractures of the distal tibia (Type C pilon fractures). Acta Orthop Belg 2002; HIGH MISSED INJURY RATE AFTER INTERHOSPITAL 68(5):508-514.
Page 171 S178 performed in a given Country. Emergency Surgeon accordingly, may References: Smits M, Dippel DWJ, de Hann GG, Dekker HM, Vos have different expertise related to their personal caseload. Spain has PE, Kool DR, et al. External validation of the Canadian CT Head low criminality, restrictive ﬁrearm legislations and an optimum access Rule and the New Orleans Criteria for CT scanning in patients with to public health system.
Page 172 S179 Introduction: Introduction The burden of trauma is large and Conclusion: .Local hematoma block is a good alternative to general neglected in low income developing countries as compare to dis- anaesthesia of early management and discharge of patient from cussion about communicable diseases. The socioeconomic impact of hospital.
Page 173 S180 hand or wrist injury were recruited. Patients were excluded if they P185 were unable to speak or read Dutch. Conﬁrmatory factor analyses were used to investigate the structural validity and Cronbach alpha’s TIME TO SCAN - FACTORS THAT AFFECT TIME TO CT and coefﬁcients omega are used to investigate internal consistency.
Page 174 S181 55 patients (37 in situ arthrodesis, 18 correction arthrodesis). Union P188 was observed in 86 % of all patients. For primary, secondary in situ and secondary correction these percentages were 93 %, 83 % and TRAUMATIC DUODENUM RUPTUR IN A JUNG 94 % respectively (NS).
Page 175 S182 dislocation of hip joint without any evident bone injury, indicating Song. J Bone Joint Surg Br. 2010;92(8):1148-51. Dendane et al. type 2A Epstein dislocation. Orthop Traumatol Surg Res. 2010;96(2):161-5. Flynn et al. JBJS Results: Closed reduction after sedation with Thiopental was tried, Br.
Page 176 S183 Recognition of patients with cryptic consequence of blunt trauma may compared. Primary outcome was patient reported implant-related be challenging. irritation. Secondary outcome parameters were complications. Material and methods: We describe the case of a 17 years-old male, Results: A total of 34 patients with end cap were matched to 68 admitted to the emergency department of a small countryside patients without an end cap.
Page 177 S184 Conclusion: Nonoperative treatment of dislocated distal radius P196 fractures with an acceptable closed reduction leads to good functional outcomes after 12 months. However, nonoperative treatment leads to PATTERN AND OUTCOME OF WATERCRAFT-RELATED a high percentage of secondary surgery (40 %). INJURIES References: Walenkamp MM, Aydin S, Mulders MA, Goslings JC, Schep NW, Predictors of unstable distal radius fractures: a systematic...
Page 178 S185 decreasing the risk of complications. Our objective was to evaluate (UCA) was already implanted. In all but one case, there was no the effectiveness of the use of one suture anchors to augment the marked degeneration of the medial compartment of the contralateral repair of CC ligament with temporary AC ﬁxation with two K-wires.
Page 179 S186 P200 Introduction: Anatomical attachment site of anterior taloﬁbular ligament (ATFL) and calcaneoﬁbular ligament (CFL) is located just A CASE REPORT OF A HIGH SCHOOL SOCCER PLAYER below the antero-inferior tip of the ﬁbula which can be arthroscopi- WHO WAS PERFORMED WITH HYBRID TECHNIQUE OF cally mis-identiﬁed as the distal end of the ﬁbula.
Page 180 S187 N, Connor S, Marsh E, Thompson GH, Cooperman DR, Blakemore Introduction: Horseback-riding is considered to have to the highest LC. Pelvic fractures in a pediatric level I trauma center. J Orthop mortality of all sports, but equestrian sports are associated with a Trauma.
Page 181 S188 analyzed, secondarily, a parametrical study of inﬂuence of inclination References: of ﬁxation belt on amount of forces acting on lumbar vertebrae was Disclosure: No signiﬁcant relationships. performed. Inclination of belts was modeled in range from +15° to -20°. Results: Without use of HANS a pressure force of almost 5500 N ORTHOGERIATRIC CO-MANAGEMENT acted on Th12-L1 region during model crash, distal areas were loaded with descending tendency.
Page 182 S189 associated with impairments, such as septic-aseptic loosening, prob- signiﬁcantly shorter preoperative waiting time than VKA patients treated with vitamin-K alone (5.1 vs. 74.5 hours, p \ .001). lems with hygiene and mobilisation. The complication rate sums up to 60 %. In the view of these drawbacks the subcutaneous ﬁxation Conclusion: Surgery for proximal femoral fractures can be per- techniques have been described.
Page 183 S190 demographic details and lengths of the gamma nail component parts. task force of the American society for bone and mineral research. Correlation between the component parts was assessed in SPSS, and J Bone Miner Res 2014; 29 : 1-23. 2) Odvina CV, Zerwekh JE, Rao its strength determined.
Page 184 S191 and S2 has clearly increased. Also, average standing APP tilt is -32.3 ° (21-43 °), that data is support the results of FEM. Orthopaedic Surgery, Okayama Saiseikai General Hospital, Okayama, Japan Conclusion: Than that the data from FEM and clinical data matches, pelvic posterior tilt appears to be one of the development factors of FFP.
Page 185 S192 Introduction: Osteoporosis is a common and potentially devastating treatment after delayed diagnosis increases the risk of mortality and disorder with a US prevalence of 3 % to 9 %. We report on 10 morbidity. patients who presented to our service over a 12-month period. We Material and methods: A 47-year-old man was referred to our also review the current literature on prevention and treatment, and emergency department having experienced blunt abdominal trauma...
Page 186 S193 triangular ligament were dissected, and the root of right hepatic vein P221 was ligated. After locating the liver to left side, injured inferior vena cava; the root of right inferior hepatic vein, was sutured. However, AN UNCOMMON CAUSE OF LIVER ABSCESS parenchymal resection could not be performed because of diffuse M.S.
Page 187 S194 10.1007/s00464-015-4308-5). Initially the procedure was applied on Conclusion: Non of the patients showed any of the systemic uncomplicated inguinal hernias and proved potentially safe in addi- inﬂammatory response criteria nor organ failure. The proposed con- tion of being time and effort saving. As a more advanced stage in the cept insures safe recovery after repair of any anatomical type application of DAH technique, the author has tried in this study on strangulated hernia.
Page 188 S195 A perforated diverticulum of the sigmoid colon found within a difﬁcult situations in its management. The aim of this study was to strangulated inguinal hernia. Hernia (2008) 12:421–423. evaluate our experience in controlling hemorrhage in severe liver Disclosure: No signiﬁcant relationships. trauma.
Page 189 S196 of the collateral circulation and a partial hepatectomy was performed P229 (VI and VII segments). Conclusion: Despite the growth of minimally invasive therapeutic PANCREATIC TRAUMA: A RARE CAUSE OF options for the treatment of such lesions many patients still need HEMOPERITONEUM anatomical resection of the liver.
Page 190 S197 the leading cause of trauma admission to the World [1]. Today, In addition, non-operative treatment may be a possible therapeutic trauma is a major problem for public health in some countries [2, 3]. option in patients with stable hemodynamic states. Material and methods: In our study are included, demographic data, References: 1.
Page 191 S198 Gung Memorial Hospital, Taoyuan, Taiwan, Trauma and Emergency Abdominal aorta: evidence of a posterior injury with image of Surgery, Chang Gung Memorial Hospital, Taoyuan, Taiwan endoluminal subtraction at the level of L1-L2. CT of vertebral col- umn-Chance fracture, with retrolisthesis of L1 over L2. Results: The patient was submitted to emergent surgery.
Page 192 S199 P236 Introduction: Patients with tumors of the large bowel that present with obstruction or perforation have a poor long term prognosis, HEPATIC TRAUMA - A 5 YEAR EXPERIENCE worse when compared to patients with similar staged tumors operated electively. The main objective of this study was to evaluate whether N.
Page 193 S200 PATI index, number of injured abdominal organs (NIAO), operative Conclusion: The esophageal injury was lethal injury with a dismal procedures, length of hospital stay, complications and mortality. The result. Early diagnosis was a key factor to prevent infection and organ injuries were graded according to Abbreviated Injury Scale reduce mortality.
Page 194 S201 Introduction: Renal angiomyolipoma is a rare benign tumor with an group) was performed in 76 patients, median age 61 (75-50) years. incidence of 0,3-3 %, occurring as isolated sporadic entity or in Demographic data, clinical presentation of disease, complication rate association with tuberous sclerosis.
Page 195 S202 south western Nigeria.African Health Sciences. 2013;13(4):907- P245 913. 2. Z ˇ a ´ c ˇ ek M, Va ´ n ˇ a J, Babis ˇ B. Laparoscopic closure of perforated MULTIPLE ISOLATED SMALL BOWEL PERFORATIONS gastro-duodenal ulcer: 15 years’ experience in our centre. FOLLOWING BLUNT ABDOMINAL TRAUMA - CASE Videosurgery and other Miniinvasive Techniques.
Page 196 S203 The aim of this presentation is to report a case of liver abscess due to 44-year-old woman with hysterectomy two months earlier that had intrahepatic gallbladder perforation. sudden and intense abdominal pain half an hour after sexual inter- Material and methods: We report a rare case of liver abscess due to course.
Page 197 S204 result shows necrotic pancreatitis. A follow-up of at least 3 months Cirurgia 1, Centro Hospitalar Tondela Viseu, EPE, Viseu, was available for all patients. Splenic vessel preservation was possi- Portugal, Cirurgia 1, Centro Hospitalar Tondela-Viseu, EPE, Viseu, ble. The hospital stay was 6 days. Portugal Conclusion: Laparoscopy proved especially beneﬁcial in patients with postoperative complications as they had a relatively short hos-...
Page 198 S205 P252 stay, theatre time and appendix histology were extracted from coding data and electronic patient records. The costs of negative appen- DISADVANTAGEOUS TO SEPARATE SURGERY FOR dicectomy were calculated using published ﬁgures for the length of EMERGENCY COMPLICATIONS OF BARIATRIC stay and operative time in the UK.
Page 199 S206 management of complex pancreaticoduodenal injuries. J Am Co - T. Santos , V. Castro , A. Magalha ˜ es , L. Terroso , S. Ferreira R. Moreira , J. Magalha ˜ es , J.M.P.C. Pinto Correia Ivatury RR, et al: Pancreatic injuries. Analysis of 103 cases. Am Surg 56(2):90-5,1990 - Leppaniemi AK- Pancreatic injuries with ductal involvement- EATES Congress Malmo 2006 - Peitzman AB, General Surgery, Hospital Senhora da Oliveira, Guimaraes,...
Page 200 S207 Introduction: Encapsulated peritoneal sclerosis is a clinico-mor- Conclusion: Diaphragmatic rupture case are rare and difﬁcult to phological entity that signiﬁcantly inﬂuences survival in patients with diagnose. The high mortality rate is related to delayed intervention chronical kidney disease Even if is not characteristic for these patients and surgical complications.
Page 201 S208 rate, and mortality. J Vasc Surg 2015. 2. van Beek SC, Reimerink JJ, Introduction: Approaching a multiple trauma patient requires care Vahl AC, et al. External Validation of Models Predicting Survival and focus while still maintaining some speed of action. After Ruptured Abdominal Aortic Aneurysm Repair.
Page 202 S209 Kirkpatrick AW, Mitchell P. Surg Endosc. 2004 Jun;18(6):969- Gastroenterology Case Reports. Vol. 1 No. 3, 2014. 120-121 Welch C. and Jones C. Emphysematous Gastritis. NEJM Vol. 237 No. 26, 2. Laparoscopic versus open appendectomy: a prospective random- 1947, 984-985. ized comparison.Wei HB1, Huang JL, Zheng ZH, et al.
Page 203 S210 London, UK, Emergency General Surgery, Guys and St Thomas’ Results: The patient remained in a surgical care unit. A second Trust London, London, UK, Emergency Surgery, Guys and St operation took place two days later with sphincter reconstruction and Thomas’...
Page 204 S211 (4.4 % versus 4.1 %, P = 0.795). TACE signiﬁcantly related to lower General Surgery, Kayseri Training and Research Hospital, Kayseri, in-hospital mortality in comparison with OAS (3.3 % versus 9.5 %, Turkey, General Surgery, Kayseri Training and Research Hospital, P = 0.009), however did not signiﬁcantly affect length of hospital Kayseri, Turkey, Radiology, Kayseri Training and Research...
Page 205 S212 Results: A 65-year-old female patient who had previous appendec- General and Digestive Surgery, Rey Juan Carlos University Hospital, tomy for more than 40 years ago had right upper quadrant abdominal Mostoles (Madrid), Spain pain, right back pain and hematuria for 3 days. She was diagnosed pyelonephritis and went back to her home after she was prescribed the antibiotics.
Page 206 S213 Conclusion: We have identiﬁed several areas which need improve- J Endocrinol 2005 Oct; 153(4)507-14 -Provenzale JM, Ortel TL, ment. These need to be addressed and reaudited in order to strive to Nelson RC. Adrenal haemorrhage in patients with primary provide the appropriate acute surgical treatment and subsequent antiphospholipid syndrome: imaging ﬁndings.
Page 207 S214 P276 Material and methods: In the Bucharest Clinical Emergency Hospital there have been registered in the last ﬁve years a small number of such UNUSUAL PRESENTATION OF ACUTE RIGHT ILIAC cases of trauma. The patients presented penetrating thoraco-abdominal FOSSA PAINFUL SYNDROME: TWO CASE REPORTS injuries.
Page 208 S215 P279 peritoneal contamination and initial hemodynamic condition. Exten- sive surgery to remove all of the necrotic tissue prevents further ENDOSCOPE-ASSISTED SURGICAL TREATMENT OF progression of sepsis that might reduce the mortality. A PATIENT WHO SWALLOWED POLYURETHANE FOAM References: 1. Extensive Abdominal Surgery After Caustic Inges- BY SUICIDAL INTENTION) tion.
Page 209 S216 • Kashiwagi N, Suzuki S, Seto Y. Arthroscopic Treatment for P283 Traumatic Hip Dislocation with Avulsion Fracture of the Liga- mentum Teres. Arthro: J Arthro Rel Surg. 2001;17(1):67-69. THROMBIN-ANTITHROMBIN III COMPLEXES AS A USEFUL PREDICTOR OF VENOUS Disclosure: No signiﬁcant relationships. THROMBOEMBOLISM AFTER FRACTURE SURGERY S.Y.
Page 210 S217 and serious outcomes are reported following non bariatric surgeon Conclusion: Occult hemothorax occurs in a signiﬁcant proportion of intervention. blunt chest trauma patients. It is important to be aware of delayed Such complications are attributed to technical errors, suboptimal hemothorax and pleural decompression should be considered in clinical evaluation, failure of effective communication with bariatric multiple and severely injured patients.
Page 211 S218 P287 adjacent to the mesentery root, but no visible obstructive cause. Failure to improve after 48 hours of nonoperative management so we EXTRAORDINARY FINDING AFTER FALL ON WRIST opted for the surgical approach. Results: After an exploratory laparotomy, an internal hernia through S.C.
Page 212 S219 • Kuijper EJ et al – Emergence of Clostridium difﬁcile-associated P291 disease in North America and Europe - Clin Microbiol Infect 2006;12(Suppl.6):2-18. COMPLICATIONS IN TWO COLUMNS ACETABULAR • Loo VG et al – A predominantly clonal multi-institutional FRACTURES. USE OF MATTA’S NOMOGRAM AS outbreak of Clostridium difﬁcile-associated diarrhea with high PREDICTOR morbidity and mortality –...
Page 213 S220 Introduction: In this case report, we present a patient who had a anatomy of syndesmosis and the risk for malreduction is signiﬁcantly humeral shaft fracture, previously this patient had a nonunion fracture higher. In order to reduce the risk for syndesmosis malreduction and distal to the new fracture.
Page 214 S221 P295 and internal ﬁxation (ORIF). The objective of this study was to evaluate parameters that might be prognostic factors for the surgical SPLENIC TORSION AFTER SUCCESSFUL ENDOSCOPIC outcome that can be expected. RESTORATION OF SPLENIC FLEXURE VOLVULUS Material and methods: 167 consecutive patients with a mean age of 41.8 years and a mean follow-up period of 10 months were surgically G.
Page 215 S222 Conclusion: IHCAT is not a uniformly fatal event but it has a sig- References: 1) Weiss W, Bardana D, Yen D. Delayed presentation niﬁcant reduction in survival rate with every subsequent CPR event. of fat embolism syndrome after intramedullary nailing of a frac- Future research must be conducted on determinants of survival tured femur: a case report.
Page 216 S223 P300 Material and methods: A 53-year-old male working for the con- struction industry fell from the second ﬂoor of a house during his THE IMPACT OF SPLENECTOMY ON LEUCOCYTE work and sustained a left medial clavicle fracture. The patient was KINETICS IN THE PERIPHERAL BLOOD OF initially treated conservatively at another hospital.
Page 217 S224 fractures or patients with proximal DVT. Surgeons should pay P304 attention to the high incidence of PTE. References: EASY ANTIBIOTIC CEMENT COATING OF Disclosure: No signiﬁcant relationships. INTRAMEDULLARY NAILS FOR TREATMENT OF INFECTED NONUNIONS A. Fischinger, B. Sluga, M. Tomaz ˇ evic ˇ , A. Koren P303 CELECOXIB PREVENTS HETEROTOPIC OSSIFICATION Department of Traumatology, University Medical Centre Ljubljana,...
Page 218 S225 Introduction: Collatamp G is a system performing localized drug- intrahospitaly, secondarily at a rehabilitation institution and tertially delivery; based on type-1 collagen matrix obtained from bovine at home. 2 years after the injury the patient was fully rehabilitated Achilles tendon, it consists of a collagen sponge saturated with gen- with no pain and no limitations in daily activities.
Page 219 S226 P308 Material and methods: 16 children (11 boys and 5 girls) with Supracondylar humeral fractures. They included 2 open fractures. The THE IMMUNOLIGIC ROLE OF PLATELETS IN SEVERELY mean age was 7.8(4-13) years. 5 cases were Gaartland type II, 11 INJURED TRAUMA PATIENTS cases were Gaartland type III.
Page 220 S227 fracture even following minor trauma. Multisegmental fracture ﬁxa- Material and methods: We report the surgical treatment of 7 tion in combination with cortico- cancellous bone grafting is patients with sacral non-union. Age ranged from 20 to 52 years. important for the stabilization of cervical spine fractures in patients Six patients presented after failed conservative treatment and one with Bechterew-Disease.
Page 221 S228 Results: The cohort consisted of 360 patients. Among them, 214 Conclusion: Defensive medical practice represents a serious chal- were boys and 146 were girls. The main causes of PTBI were fall lenge in Austria. Our results indicate the urgent necessity for (63.9 %), followed by abusive head trauma (19.4 %) and motor confrontation with and solution for the increasing effort of self-pro- vehicle crash (16.7 %).
Page 222 S229 Introduction: Apart from the burden that road trafﬁc injuries impose education level were all signiﬁcant predictors of worst health status at to society in terms of death, between 20 and 50 million suffer non- 12 months. Female gender was the strongest predictor of worst health fatal injuries annually, mostly causing disability.
Page 223 S230 References: discharge letters: a longitudinal before-after study. BMJ Qual Saf. Disclosure: No signiﬁcant relationships. 2011;20:967–73. [2] Toccafondi G, Albolino S, Tartaglia R, et al. Deﬁcits in Communication and Information Transfer Between Hospital-Based and Primary interface between high-acuity and low- acuity care.
Page 224 S231 Author Index Andersson P. P252 Andrade Lima T.M. O047 Andreotti A. O185 Abayazeed S. O133 Andres T. O210 Abba J. O134 Andruszkow H. O219 Abbas I.M. O221 Angel Porras Moreno M. P048 Abd El Gawad A. O234 Ankersmit H.J. O030, O167, O169 Abdel Aziz H.
Page 225 S232 Barberio G. O158 Bottomley S.E. P253 Barbieri C. O183 Bouillon B. O025, O249 Barkalaia A. O088 Bountouris I. P088 Barthet M. O135 Bourgoin S. O135 Bartush K.C. O020 Bourgouin S. P086 Basaran S. O050 Bozhedomova E.R. O253 Bashir M.O. P042 Brambilla R.
Page 226 S233 Ceka S. P225 Cullmann J.L. O176 Cengeli I. O046, O159, O191 Culpan P. O071, O141, O142 Ceolin M. O108 Curran A. O223 Ceresoli M. O010, O182, O238, P078, P258 Curran R. O160 Cezillo M. O008 D’Auria M. O194 Cha Y. P022 D’Souza N.
Page 227 S234 Dubnitskiy V.Y. P152 Fiane A. P144 Duffus I.D.S. P024 Fidalgo P. P063 Duffy M. P089 Filipovic G. P252 Dumitrescu S. O037 Fischerauer S. P134 Dumitru C. O052 Fischinger A. O029, P304 Dunckley M. P024 Flannery O. P217 Dungel P. O260 Flaris A.N.
Page 228 S235 Geroldinger A. O117, P209 Hacobian A. O037 Geroni G. P188 Haffner N. O274 Ghasabyan A. O277 Haga Y. O066 Ghidirim G. P240 Hagen J. O106, O272 Gianardi D. O046 Hagiwara S. P026 Giannakopoulos G. O201 Haider A.A. P064 Giannella A. O089 Haider T.
Page 229 S236 Hiroe N. O252 Jahn A. O036 Hirons E.L.J. O027 Jain N. O247 Hoekstra H. O053, O122, P092, P111, P113 Janda R. P034 Hoencamp R. O093 Janko M.C. O168 Hofbauer M. O002, O003, O023, O126, O214, O215, O216 Jansson K. P019 Hofman M.
Page 230 S237 Kempenaers K. P113 Kotzlov A. O037 Kenny P. P217 Kou Y. O197 Keogh P. P217 Kouw I. O124 Kerkhoffs G.M. O207, O208 Kovarik J. O193 Kettner S. O117, P209 Koy T. O275 Keuchel T. O152, O154 Kramer I.F. O124 Kharchenko S.V.
Page 231 S238 Lefor A.T. P117 Maegele M. O162, O249 Magalha ˜ es A. O136, P145, P256 Leixnering M. O021, O022, O152, O154 Leliveld M.S. O057, P199 Magalha ˜ es J. O136, P145, P256 Leni D. O131 Magdalena P. O138 Lenz M. O106, P119, P126 Maggs S.
Page 232 S239 Mekkodathil A. P196 Moroder P. O140 Melo A. O192 Morris R. O155, P165, P211 Meluzinova ´ P. P205 Morrison J.J. O251, O253, P018 Menegozzo C.A.M. O047, O185, O222, P081, P224 Morton A.P. O277 Meneses Pardo J.C. P030 Morvan J.-B. P086 Merioja I.
Page 233 S240 Noditi G. O175 Papagiannakos K. O105 Noory G. P127, P137, P138 Papakoulas A. O227 Noory M.S. P127, P138 Pape H.-C. O028, O031, O062, O065, O067, O165, O171, O219, Notani N. O026 O224, O275, P057, P094, P204 Nowak T. P106, P136 Pappalardo R.A.
Page 234 S241 Porter K. O060, P079 Riu P. O085 Potamitis N. O105 Rocha M.C. O047, O185, O222 Pouli E. O159 Roche S. P171 Prada A. O240 Rochus I. O122 Prasil V. O193 Rodas E.B. O199 Prat N.J. O250 Rodrigues A. P244 Pretorius S.
Page 235 S242 Sato N. P146 Shoji S. P006, P065, P195, P200, P212, P298, P309 Sato T. P213, P215 Shroff J.B. O020 Savic M. O176 Siddiqui T.F. P297 Sawada Y. P026 Sidiropoulos T. P169 Sawano M. P260 Sillesen M. O236 Sazhin A. O130 Silliman C.C.
Page 236 S243 Stu ¨ rmer E. O162, O249 Thomas A. O268, O269 Subashi K. P225 Thomas C.F. P150 Sugiu K. O205, P290, P299 Thorninger R. O059 Sugiyama S. P016 Thorsen K. O082 Sul Y. P022 Tiefenboeck T.M. O003 Sulutaura L. P041 Tiefenbo ¨...
Page 237 S244 Van Heijl M. P193 Weihs V. O117, O153, P209 Van Helden S.H. O006 Weinberg A.M. P134 Van Helmond K. O203 Wenda K. O005 Van Lieshout E.M.M. P199 Wendt K.W. O024, O064, O119, P102, P176, P183 Van Loon L.B. O124 Wenger R.
Page 238 S245 Zimmermann P. P060 Zuoqin Y. O200, P320 Zipperle J. O037, O163, O166, O260 Zurzu M. P170, P250, P251, P257 C ˇ apek L. P205 Zocco G. O159 C ˇ ernohorsky ´ P. P205 Zorrilla J. O254 S ˇ vec M. P205 Zorrilla Sanchez De Neyra J.

This manual is also suitable for:

T-neo?eco2