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Foreign body ingestion in children: Clinical features and complications.
Tunis Med
December 2024
Department of Pediatric Medicine B, Béchir Hamza Children's Hospital, Faculty of Medicine of Tunis, Tunis el Manar University, Tunis, Tunisia.
Introduction: The ingestion of foreign body (FB) is a common problem in paediatrics. Children are curious by nature and tend to explore environment by inserting objects into their mouths.
Aim: To update our epidemiological and clinical data and adapt clinical management in order to limit morbidity associated with this fairly frequent accidental pathology.
High flow nasal cannula and low level continuous positive airway pressure have different physiological effects during de novo acute hypoxemic respiratory failure.
Ann Intensive Care
November 2024
Groupe de Recherche Clinique CARMAS, Faculté de Santé, Université Paris Est-Créteil, Créteil Cedex, 94010, France.
Background: Large tidal volumes during de novo acute hypoxemic respiratory failure (AHRF) may promote patient self-inflicted lung injury. Tidal volume assessment under high flow nasal cannula (HFNC) is not routinely feasible at the bedside. Our objective was to determine whether tidal volume during low-level continuous positive airway pressure (CPAP) could predict tidal volume during HFNC and to compare the physiological effects of HFNC and low-level CPAP.
View Article and Find Full Text PDFImplementation of a Comprehensive Endovascular Aortic Programme and Maintenance of Clinical Excellence during Fenestrated Branched Endovascular Aortic Repair in Two Centres.
Eur J Vasc Endovasc Surg
November 2024
Advanced Aortic Research Program, Department of Cardiothoracic and Vascular Surgery, University of Texas Health Science Centre at Houston, John P. and Kathrine G. McGovern Medical School, Houston, TX, USA. Electronic address:
Objective: Comprehensive endovascular aortic programmes need optimal infrastructure and multidisciplinary teams to manage complex aortic aneurysms. This study assessed the implementation of such a programme in two centres and its impact on fenestrated or branched endovascular aortic repair (FB-EVAR) outcomes.
Methods: A retrospective review of patients treated for complex abdominal and thoraco-abdominal aortic aneurysms (TAAAs) by FB-EVAR between 2013 and 2023 was undertaken.
Management and Outcomes of Anterior Hip Dislocation with Multiple Comminuted Fractures from a Vehicular Crush Injury in a 44-Year-Old Woman.
Am J Case Rep
November 2024
Department of Traumatic Orthopaedics, Ningbo No. 6 Hospital, Ningbo, Zhejiang, China.
BACKGROUND Anterior hip dislocation is a rare injury that often occurs following high-energy road traffic accidents and accounts for approximately 7% to 13% of all hip dislocations. This report describes the presentation, diagnosis, and treatment of a 44-year-old woman with anterior hip dislocation and multiple comminuted fractures due to a vehicular crush injury. A PubMed search showed no similar cases have been reported in the English literature.
View Article and Find Full Text PDFPrehospital Trauma Compendium: Traumatic Pneumothorax Care: Position Statement and Resource Document of NAEMSP.
Prehosp Emerg Care
December 2024
LA County EMS Agency, Santa Fe Springs, California.
Article Synopsis
- EMS clinicians handle traumatic pneumothoraxes, including simple ones that are less severe and tension pneumothoraxes that can lead to serious complications like shock.
- The most common treatment for tension pneumothorax in EMS is needle thoracostomy, but its frequent misapplication and low success rates have raised concerns about its effectiveness.
- The National Association of EMS Physicians conducted a literature review to create evidence-based recommendations for managing traumatic pneumothoraxes, addressing the need for proper decompression techniques and clarifying procedures for open pneumothoraxes.
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