Publications by authors named "O Hibberd"

Article Synopsis
  • - The study focuses on the relationship between ionised hypocalcaemia (iHypoCa) and early hypotension in pediatric trauma patients, emphasizing the potential consequences of iHypoCa on cardiovascular stability and coagulopathy.
  • - Conducted as a retrospective analysis from 2016 to 2022, the research included patients under 16 and aimed to identify the incidence of iHypoCa and its correlation with treatment measures and adverse outcomes.
  • - Findings indicated that 17.8% of patients showed iHypoCa on admission, with those affected having nearly three times the risk of hypotension, highlighting the need for further research despite the pilot study's limitations.
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Introduction: Mild traumatic brain injury (mTBI) is a leading cause of morbidity and mortality, with approximately 1 out of 200 people each year sustaining an mTBI in Europe. There is a growing awareness that recovery may take months or years. However, the exact time frame of recovery remains ill-defined in the literature.

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Major trauma is a principal cause of morbidity and mortality in children. Severe haemorrhage is the second-leading cause of death in paediatric trauma, preceded by traumatic brain injury. Major haemorrhage protocols (MHPs), also known as 'code red' and 'massive transfusion protocols', are used to make large volumes of blood products rapidly available.

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Objectives: In adult major trauma patients admission hypocalcaemia occurs in approximately half of cases and is associated with increased mortality. However, data amongst paediatric patients are limited. The objectives of this review were to determine the incidence of admission ionised hypocalcaemia in paediatric major trauma patients and to explore whether hypocalcaemia is associated with adverse outcomes.

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Introduction: Intraosseous (IO) administration of medication, fluids and blood products is accepted practice for critically injured patients in whom intravenous access is not immediately available. However, there are concerns that high intramedullary pressures resulting from IO infusion may cause bone marrow intravasation and subsequent fat embolisation. The aim of this systematic review is to synthesise the existing evidence describing fat intravasation, fat embolism and fat embolism syndrome (FES) following IO infusion.

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