KaydedilenlerDerginizi ekleyin

Dergiler / Ulusal Travma ve Acil Cerrahi Dergisi / 2020 / Cilt: 26 - Sayı: 2

Assessment of firearm injuries undergoing advanced airway management: Role II hospital experience

İleri hava yolu yönetimi uygulanan ateşli silah yaralanmalarının değerlendirilmesi: Role II hastane deneyimi

Sami EKSERT
Mehmet Burak AŞIK
Murtaza KAYA
Sayfa
301–305
DOI
—
🏛️Bu makalenin bibliyografik verileri ve tam metin bağlantısı DergiPark üzerinden sağlanmıştır.
DergiPark Kaydı ↗
✨

Yapay Zeka Hızlı Bakış & Çıkarımlar

AI Insight
⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

This may be due to direct airway or organ damage in bullet gunshot wounds.

📌 3 Maddede Bu Makale

🎯
Amaç & Hipotez:ABSTRACT BACKGROUND: Airway problems are one of the most important factors affecting mortality in firearm injuries.
📊
Temel Bulgular & Veri:METHODS: Ninety three patients who underwent advanced airway support due to gunshot wounds in a Role II hospital between January 2015 and September 2016 were included in this study.
💡
Sonuç & Katkı:This may be due to direct airway or organ damage in bullet gunshot wounds.
🔬Tür:Araştırma Makalesi
📍Kapsam:2015 Verileri
⚙️Değişkenler:Alan Parametreleri

Özet

ABSTRACT BACKGROUND: Airway problems are one of the most important factors affecting mortality in firearm injuries. The present study aims to examine the data of patients who underwent advanced airway support due to explosion and bullet injuries in a Role II hospital. METHODS: Ninety three patients who underwent advanced airway support due to gunshot wounds in a Role II hospital between January 2015 and September 2016 were included in this study. The patients were divided into two groups as blast (Group A) (handmade explosives, rocket, and mine) and bullet (Group B) (rifle and pistol bullet) trauma injuries. The groups were compared regarding pre-hospital intubation, NISS (New Injury Severity Score), cardio-pulmonary resuscitation (CPR), emergency surgical intervention and mortality rates. RESULTS: There was no difference between the patient groups concerning demographic and clinical features. Thirty-six patients were included in group A, and 57 patients were included in group B. There was no statistically significant difference between the groups about emergency surgical intervention rates (p=0.42). However, a statistically significant difference was observed between the groups in terms of pre-hospital intubation (p=0.001), CPR application (p=0.001), mortality (p=0.001) rates and NISS (p=0.002) scores. CONCLUSION: Bullet injuries that require advanced airway are more destructive and more deadly than explosion injuries. This may be due to direct airway or organ damage in bullet gunshot wounds.

Abstract

AMAÇ: Havayolu sorunları, ateşli silah yaralanmalarında mortaliteyi etkileyen en önemli faktörlerden biridir. Bu çalışmanın amacı, bir Rol II hastanesinde patlama ve mermi yaralanmaları nedeniyle ileri hava yolu desteği uygulanan hastaların verilerini incelemektir. GEREÇ VE YÖNTEM: Çalışmaya, Ocak 2015 ile Eylül 2016 tarihleri arasında bir Role II hastanesinde ileri hava yolu desteği uygulanan 93 hasta dahil edildi. Hastalar patlayıcı (Grup A) (el yapımı patlayıcılar, roket ve mayın) ve mermi (Grup B) yaralanmaları olarak iki gruba ayrıldı (tüfek ve tabanca mermi) travma yaralanmaları. Gruplar hastane öncesi entübasyon, NISS (Yeni Yaralanma Şiddeti Skoru), kardiyopulmoner resüsitasyon (CPR), acil cerrahi müdahale ve mortalite oranları açısından karşılaştırıldı. BULGULAR: Hasta grupları arasında demografik ve klinik özellikler açısından fark yoktu. Otuz altı hasta A grubuna, 57 hasta B grubuna alındı. Acil cerrahi müdahale oranları açısından gruplar arasında istatistiksel olarak anlamlı fark yoktu (p=0.42). Ancak gruplar arasında hastane öncesi entübasyon (p=0.001), CPR uygulaması (p=0.001), mortalite (p=0.001) oranları ve NISS (p=0.002) skorları arasında istatistiksel olarak anlamlı bir fark gözlendi. TARTIŞMA: İleri hava yolu gerektiren mermi yaralanmaları, patlama yaralanmalarından daha yıkıcı ve daha ölümcüldür. Bunun nedeni, mermi ile ateşli silah yaralarında doğrudan hava yolu veya organ hasarı oluşması olabilir

🔖

Bu Makaleye Atıf Yap

EKSERT, S., AŞIK, M. B., KAYA, M. (2020). Assessment of firearm injuries undergoing advanced airway management: Role II hospital experience. Ulusal Travma ve Acil Cerrahi Dergisi, Cilt: 26 - Sayı: 2, 301–305. https://ajindex.com/articles/323561

📄 Tam Metin PDF Okuyucu

📄

PDF görüntüleyici hazırlanıyor...

Kaynakça (14)

  1. Bellamy RF. The medical effects of conventional weapons. World J Surg 1992;16:888–92
  2. Dunn JC, Kusnezov N, Schoenfeld AJ, Orr JD, Cook PJ, Belmont PJ Jr. Vascular Injuries in Combat-Specific Soldiers during Operation Iraqi Freedom and Operation Enduring Freedom. Ann Vasc Surg 2016;35:30–7
  3. Eksert S, Sır E. Incidence of hypothermia and analgesic use in the postanesthesia care unit. Gulhane Med J 2019;61:69−72
  4. White JM, Stannard A, Burkhardt GE, Eastridge BJ, Blackbourne LH, Rasmussen TE. The epidemiology of vascular injury in the wars in Iraq and Afghanistan. Ann Surg 2011;253:1184–9
  5. Buckenmaier CC 3rd, Rupprecht C, McKnight G, McMillan B, White RL, Gallagher RM, et al. Pain following battlefield injury and evacuation: a survey of 110 casualties from the wars in Iraq and Afghanistan. Pain Med 2009;10:1487−96
  6. Eastridge BJ, Mabry RL, Seguin P, Cantrell J, Tops T, Uribe P, et al. Death on the battlefield (2001-2011): implications for the future of combat casualty care. J Trauma Acute Care Surg 2012;73:S431−7
  7. Borden Institute, USA. Emergency War Surgery. Fourth United States Revision. Fort Sam Houston; TX: US Army Medical Department Center and School, Borden Institute; 2013
  8. Ozer MT. Wound Ballistic of Gunshot Injuries with High Kinetic Energy and Reflections to the Surgical Treatment. Eur Arc Med Res 2017;33:40−7
  9. Güven HE, Bilge S, Aydın AA, Eryılmaz M. Comparison of the nonmortal gunshot and handmade explosive blast traumas during a low-intensity conflict on urban terrain. Turk J Surg 2018;34:221–4
  10. Walker JJ, Kelly JF, McCriskin BJ, Bader JO, Schoenfeld AJ. Combat-related gunshot wounds in the United States military: 2000-2009 (cohort study). Int J Surg 2012;10:140–3
  11. Hardy GB, Maddry JK, Ng PC, Savell SC, Arana AA, Kester A, et al. Impact of prehospital airway management on combat mortality. Am J Emerg Med 2018;36:1032−5
  12. Bossers SM, Schwarte LA, Loer SA, Twisk JW, Boer C, Schober P. Experience in Prehospital Endotracheal Intubation Significantly Influences Mortality of Patients with Severe Traumatic Brain Injury: A Systematic Review and Meta-Analysis. PLoS One 2015;10:e0141034
  13. Davis DP, Peay J, Sise MJ, Kennedy F, Simon F, Tominaga G, et al. Prehospital airway and ventilation management: a trauma score and injury severity score-based analysis. J Trauma 2010;69:294−301
  14. Adams BD, Cuniowski PA, Muck A, De Lorenzo RA. Registry of emergency airways arriving at combat hospitals. J Trauma 2008;64:1548–54. 15.