Comparison of the lethal triad and the lethal diamond in severe trauma patients: a multicenter cohort.

Background: To reduce the number of deaths caused by exsanguination, the initial management of severe trauma aims to prevent, if not limit, the lethal triad, which consists of acidosis, coagulopathy, and hypothermia. Recently, several studies have suggested adding hypocalcemia to the lethal triad to form the lethal diamond, but the evidence supporting this change is limited. Therefore, the aim of this study was to compare the lethal triad and lethal diamond for their respective associations with 24-h mortality in severe trauma patients receiving transfusion.

20∗20∗60: A multilevel climate change analysis framework.

Cities worldwide have established plans and policies to achieve climate-neutral and climate-resilient objectives in recent decades. Researches have demonstrated that Climate Change Action Plans generally fail to include mitigation and adaptation approaches in their planning processes, despite their importance. A proposed multilevel assessment of Climate Change Action Plans, urban regeneration, and building projects was used to analyze the ten cities most sustainable in terms of developing environmental strategies, including local climate action to determine the degree of adaptation and mitigation integration in cutting-edge contexts and to identify measures that show synergies and co-benefits for urban design practices.

Potential impacts of optimised care pathways on carbon impact of anaesthesia consultation-A monocenter prospective study.

Background: Global warming presents major public health challenges, with healthcare transportation significantly contributing to carbon dioxide equivalent emissions (eCO). While the greenhouse effects of anaesthetic gases are well-documented, the eCO of pre-anaesthesia consultations remains underexplored. This study aims to evaluate and propose strategies to reduce the carbon impact of these consultations at a Tertiary University Hospital.