Mechanism, glasgow coma scale, age, and arterial pressure (MGAP): a new simple prehospital triage score to predict mortality in trauma patients.

Objectives: Prehospital triage of trauma patients is of paramount importance because adequate trauma center referral improves survival. We developed a simple score that is easy to calculate in the prehospital phase.

Design: Multicenter prospective observational study.

Neonatal repair of cleft lip: a decision-making protocol.

Purpose: Treatment of clefts lip during the neonatal period remains a controversial subject. Those who are in favor of delayed closure argue a higher-risk general anesthesia when it was performed in neonatal period. The purpose of this study was to evaluate the complications and the feasibility of this surgery during the neonatal period.

Management of severe acute pain in emergency settings: ketamine reduces morphine consumption.

Objective: The aim of the study was to compare in emergency settings 2 analgesic regimens, morphine with ketamine (K group) or morphine with placebo (P group), for severe acute pain in trauma patients.

Methods: This was a prospective, multicenter, randomized, double-blind, clinical trial. Seventy-three trauma patients with a severe acute pain defined as a visual analog scale (VAS) score of at least 60/100 were enrolled.

Prehospital diagnosis of massive ethylene glycol poisoning and use of an early antidote.

We report the case of a patient suspected of voluntary massive poisoning by ethylene glycol. Prehospital diagnosis was established by portable blood analyser and an early antidote with 4 MP treatment initiated in out-of-hospital setting. Use of portable blood analyser in prehospital care should be considered in case of suspected massive poisoning by ethylene glycol.

Stroke output variations calculated by esophageal Doppler is a reliable predictor of fluid response.

Objective: Esophageal Doppler allows continuous monitoring of stroke volume index (SVI) and corrected flow time (FTc). We hypothesized that variations in stroke output index SOI (SVI/FTc) during volume expansion can predict the hemodynamic response to subsequent fluid loading better than the static values.

Design And Setting: Prospective study in the intensive care unit of a university hospital.

Early embolization and vasopressor administration for management of life-threatening hemorrhage from pelvic fracture.

Background: In this retrospective study, we reviewed our protocol for management of hemodynamically unstable patients with pelvic injury.

Methods: We managed the patients with the same predetermined plan including controlled hemodynamic resuscitation with early use of vasopressors and pelvic angiography as a first-line treatment.

Results: Of 311 patients with pelvic fracture, 32 hemodynamically unstable patients (10.