[Secondary prevention of alcohol and/or drug abuse in trauma patients: results of a national survey in Spain].

Objective: To determine the degree of activity in the field of secondary prevention of alcohol and/or drug abuse in trauma patients in Spain.

Material And Methods: We surveyed 76 hospitals located in all the autonomous regions of Spain. We collected information about the number of severe trauma patients admitted to the ICU per year, the detection of alcohol and drugs in these patients, and the activity for secondary prevention through motivational intervention among other approaches.

Influence of continuous hemofiltration on the hemodynamics of trauma patients.

Background: The aim of this prospective randomized controlled study was to investigate the effects of continuous venovenous hemofiltration on the hemodynamics and respiratory function of critically ill trauma patients with multiple organ dysfunction syndrome.

Methods: Thirty consecutive critically ill, mechanically ventilated, trauma patients with multiple organ dysfunction syndrome (without kidney failure) who had invasive hemodynamic monitoring for management of hypotension or hypoxemia were randomized to treatment with or without continuous venovenous hemofiltration. Hemodynamics profile was recorded immediately before and at 6, 12, 24, and 48 hours after the hemofiltration was started (mean of three set data each time).

Case report: wandering intravascular bullet with aortic pseudoaneurysm.

A 26-year-old man received a gunshot wound to the left flank. No exit wound was seen. A plain abdominal film, computed tomography (CT) and angiography were performed.