Publications by authors named "S Imach"

: The insertion of chest drains (CD) in trauma patients is a lifesaving, albeit high-risk intervention. Safe insertion of CD in settings where aids like ultrasound are not available relies on a landmark technique defining the so-called triangle of safety. The inferior margin of this triangle is identified by nipple height, which is thought to correspond to the fifth intercostal space (ICS).

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  • * These registers are particularly useful during significant trauma incidents, such as natural disasters and mass casualty events, by offering data-driven recommendations for effective resource management.
  • * The complexity of maintaining these registers has increased due to tighter regulations, like the EU GDPR, and future legislation in Germany aims to simplify the documentation process for routine data.
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  • Nonoperative management (NOM) is increasingly used for blunt splenic injuries (BSIs) in Germany, showing high success rates even in severe cases, with guidelines supporting this practice.
  • A study analyzed data from 2,782 patients with BSIs, revealing that 57.5% received NOM while angioembolization (ANGIO) was used in only 1.0% of cases, mainly for less severe injuries.
  • The findings suggest a disconnect between clinical practice and guidelines, as more severe injuries typically led to splenectomy instead of ANGIO, highlighting the potential need for improved local treatment protocols.
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Thromboelastometry like ROTEM is a point-of-care method used to assess the coagulation status of patients in a rapid manner being particularly useful in critical care settings, such as trauma, where quick and accurate assessment of coagulation can guide timely and appropriate treatment. Currently, this method is not yet comprehensively available with sparse data on its effectiveness in resuscitation rooms. The aim of this study was to assess the effect of early thromboelastometry on the probability of mass transfusions and mortality of severely injured patients.

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