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Successful Management of Battlefield Traumatic Cardiac Arrest Using the Abdominal Aortic and Junctional Tourniquet (AAJT): A Case Series.
J Spec Oper Med
March 2025
Ukrainian Military Medical Service.
The Russo-Ukrainian war's prolonged warfare, resource constraints, and extended evacuation times have forced significant adaptations in Ukraine's medical system - including technological advancements and strategic resource placement. This study examined if the Abdominal Aortic and Junctional Tourniquet - Stabilized (AAJT-S) could manage traumatic cardiac arrest (TCA) at forward surgical stabilization sites (FSSS) as an adjunct to damage control surgery. Six patients in severe hypovolemic shock presented at an FSSS during fighting in Bakhmut (July 2022) and Slovyansk (May 2023).
View Article and Find Full Text PDFFatal Seatbelt Syndrome in an Elderly Wheelchair User: A Case Report.
Cureus
March 2025
Department of Legal Medicine, Shiga University of Medical Science, Otsu, JPN.
Elderly wheelchair users face unique challenges in traffic collisions due to physiological fragility and the limitations of standard vehicle seatbelt systems. Seatbelt syndrome, a pattern of abdominal organ and spinal injuries, can be severe when seatbelts do not properly align with an individual's body configuration. Moreover, geriatric out-of-hospital cardiac arrest (OHCA) has a low survival rate, even with advanced prehospital care.
View Article and Find Full Text PDFPrehospital Resuscitative Thoracotomy for Traumatic Cardiac Arrest.
JAMA Surg
February 2025
London's Air Ambulance, London, United Kingdom.
Importance: Traumatic cardiac arrest (TCA) presents a critical challenge in trauma care, often occurring rapidly after injury before effective interventions are available.
Objective: To evaluate the association of prehospital resuscitative thoracotomy with survival outcomes for TCA.
Design, Setting, And Participants: This retrospective cohort study examined all cases of prehospital resuscitative thoracotomy for TCA in London from January 1999 to December 2019.
From Prone to Prepared: Airway Management in a Patient With Penetrating Thoracic Trauma.
Cureus
December 2024
Anesthesiology, Unidade Local de Saúde de São José, Lisbon, PRT.
Perioperative and critical care management following penetrating thoracic trauma represents a complex challenge. Those who survive the early trauma approach and reach the hospital alive often remain in critical condition, with cardiocirculatory complications and major pulmonary injuries. Additional difficulty arises from the presence of a weapon , particularly in a dorsal location, which limits patient positioning, and the safe manipulation of both the weapon and the patient.
View Article and Find Full Text PDFAvailable equipment for traumatic haemorrhage management in Austrian prehospital physician response units: a nationwide survey and analysis of guideline adherence.
BMC Emerg Med
December 2024
Department of Anaesthesiology and Intensive Care Medicine 1, Medical University of Graz, Auenbruggerplatz 5, 8036, Graz, Austria.
Background: Traumatic injuries, particularly those involving massive bleeding, remain a leading cause of preventable deaths in prehospital settings. The availability of appropriate emergency equipment is crucial for effectively managing these injuries, but the variability in equipment across different response units can impact the quality of trauma care. This prospective survey study evaluated the availability of prehospital equipment for managing bleeding trauma patients in Austria.
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