Publications by authors named "Hen Ben-Lulu"
Background: Hemorrhage is a leading cause of death among children. Recent data from adult trauma suggests that early, transfusion-unrelated, hypocalcemia is common and that it is associated with an increased need for blood transfusion, mortality, and coagulopathy. The objectives of this study are to evaluate the prevalence of admission hypocalcemia in severely injured children and its correlation with urgent blood transfusion.
View Article and Find Full Text PDFBackground: Prehospital endotracheal intubation (PEI) of head injured children with impaired level of consciousness (LOC) aims to minimize secondary brain injury. However, PEI is controversial in otherwise stable children. We aimed to investigate the indications for PEI among pediatric trauma patients and the prevalence of clinically significant traumatic brain injury (csTBI) among those intubated solely due to impaired consciousness.
View Article and Find Full Text PDFObjective: Current guidelines advocate prehospital endotracheal intubation (ETI) in patients with suspected severe head injury and impaired level of consciousness. However, the ability to identify patients with traumatic brain injury (TBI) in the prehospital setting is limited and prehospital ETI carries a high complication rate. We investigated the prevalence of significant TBI among patients intubated in the field for that reason.
View Article and Find Full Text PDFArticle Synopsis
- The study explores the overlap and differences in symptoms between mild traumatic brain injury (mTBI) and whiplash associated disorder (WAD) in post-motor vehicle collision patients, aiming to clarify shared and unique contributing factors.
- Patients were assessed both clinically and psychologically shortly after their accident and again six months later, focusing on various pain and psychological factors affecting their conditions.
- Results revealed a significant correlation between neck disability and post-concussion symptoms, indicating both similarities and distinctions in symptomatology, with different contributing factors influencing neck pain and post-concussion symptoms.
Article Synopsis
- Chronic pain often follows collisions, and understanding acute pain can help prevent the transition to chronic pain, with the Pain Sensitivity Questionnaire (PSQ) potentially revealing deeper insights into pain perception.
- A study with 130 mild traumatic brain injury (mTBI) patients found that PSQ scores correlated significantly with various pain measures, suggesting it adds valuable information beyond traditional assessments.
- The research identified that psychological factors, such as cognitive representations of pain, significantly contribute to pain experiences after injury, highlighting the importance of a holistic approach in assessing acute pain.
Background: Non-intubated children frequently undergo emergent procedures in the trauma-bay. This study evaluates whether patients treated with procedural sedation have an increased risk for severe adverse events.
Methods: Retrospective analysis of 1182 children with an injury severity score (ISS) of greater than 15.
Objective: To characterize the pain-related somatosensory and psychological presentation of very early acute patients with a mild traumatic brain injury (mTBI).
Methods: Patients with an mTBI participated in a prospective observational study undergoing clinical, psychophysic, and psychological assessment within 72 hours after the accident. Healthy controls underwent similar protocol.