scholarly journals Pelvic Fractures and Associated Injuries in Patients Admitted to and Treated at Emergency Department of Tibebe Ghion Specialized Hospital, Bahir Dar University, Ethiopia

2021 ◽  
Vol Volume 13 ◽  
pp. 73-80
Author(s):  
Biruk Ferede ◽  
Asteray Ayenew ◽  
Worku Belay
Keyword(s):  
Emergency Department ◽  
Pelvic Fractures ◽  
Bahir Dar ◽  
Associated Injuries ◽  
Specialized Hospital ◽  
Bahir Dar University

scholarly journals Application of Pelvic Circumferential Compression Devices in Pelvic Ring Fractures—Are Guidelines Followed in Daily Practice?

2021 ◽  
Vol 10 (6) ◽  
pp. 1297
Author(s):  
Valerie Kuner ◽  
Nicole van Veelen ◽  
Stephanie Studer ◽  
Bryan Van de Wall ◽  
Jürgen Fornaro ◽  
...  
Keyword(s):  
Clinical Education ◽  
Trauma Center ◽  
Pelvic Ring ◽  
Daily Practice ◽  
Pelvic Trauma ◽  
Fracture Pattern ◽  
Pelvic Fractures ◽  
Unstable Fracture ◽  
Associated Injuries ◽  
Resuscitation Room

Early administration of a pelvic circumferential compression device (PCCD) is recommended for suspected pelvic trauma. This study was conducted to evaluate the prevalence of PCCD in patients with pelvic fractures assigned to the resuscitation room (RR) of a Level I trauma center. Furthermore, correct application of the PCCD as well as associated injuries with potential clinical sequelae were assessed. All patients with pelvic fractures assigned to the RR of a level one trauma center between 2016 and 2017 were evaluated retrospectively. Presence and position of the PCCD on the initial trauma scan were assessed and rated. Associated injuries with potential adverse effects on clinical outcome were analysed. Seventy-seven patients were included, of which 26 (34%) had a PCCD in place. Eighteen (23%) patients had an unstable fracture pattern of whom ten (56%) had received a PCCD. The PCCD was correctly placed in four (15%) cases, acceptable in 12 (46%) and incorrectly in ten (39%). Of all patients with pelvic fractures (n = 77, 100%) treated in the RR, only one third (n = 26, 34%) had a PCCD. In addition, 39% of PCCDs were positioned incorrectly. Of the patients with unstable pelvic fractures (n = 18, 100%), more than half either did not receive any PCCD (n = 8, 44%) or had one which was inadequately positioned (n = 2, 11 %). These results underline that preclinical and clinical education programs on PCCD indication and application should be critically reassessed.

scholarly journals Assessment of Acute Pain Management and Associated Factors among Emergency Surgical Patients in Gondar University Specialized Hospital Emergency Department, Northwest Ethiopia, 2018: Institutional Based Cross-Sectional Study

2018 ◽  
Vol 2018 ◽  
pp. 1-8 ◽  
Author(s):  
Amare Agmas Andualem ◽  
Girmay Fitiwi Lema ◽  
Yonas Addisu Nigatu ◽  
Seid Adem Ahmed
Keyword(s):  
Emergency Department ◽  
Pain Management ◽  
Pain Assessment ◽  
Associated Factors ◽  
Pain Severity ◽  
Surgical Patients ◽  
Hospital Emergency Department ◽  
Hospital Emergency ◽  
Cross Sectional ◽  
Specialized Hospital

Background. Adequate pain management has led to increased comfort in emergency patients, reducing morbidity and improving long term outcomes. Different pain management modalities have been applied in the emergency department among which systemic analgesia is commonly used by preceding a nerve block. Several factors have been associated with poor pain management in low resource setting areas. We aimed to determine pain management modalities and associated factors among emergency surgical patients. Patients and Methods. After obtaining ethical approval from Ethical Review Committee, 203 volunteer patients were enrolled. Institutional based cross-sectional prospective study was conducted from April to May 2018 in Gondar University Specialized Hospital Emergency Department. The severity of pain was measured through Numerical Rating Scale and statistical analysis was performed using SPSS statistical package version 23. Descriptive statistics cross-tab and binary logistics were performed to identify factors related to pain management in emergency department. Results. A total of 203 patients, 138 (68%) males and 65 (32%) females with response rate of 94%, participated in this study. Among them, 66% patients received analgesia within two hours of ED presentation with a mean ± SD of 61.0 ± 34.1 minutes. 70.4 % of patients complained of moderate and severe pain after receiving analgesia. There was a significant difference between trauma and nontrauma patients in mean time of analgesia receiving and residual pain severity (p < 0.001). Age, trauma, physician pain assessment, and severity of pain were the predicting factors for analgesia delivery. Conclusion. The overall practice of pain management in Gondar University Specialized Hospital Emergency Department was not adequate. Therefore, it is vital to implement an objective pain assessment method and documentation of the pain severity to improve pain management practice.

scholarly journals Nutcracker Cuboid Fracture: A Case Report and Review

2018 ◽  
Vol 2018 ◽  
pp. 1-3 ◽  
Author(s):  
Alan Lucerna ◽  
James Espinosa ◽  
Nicholas Butler ◽  
Ashley Wenke ◽  
Nicole Caltabiano
Keyword(s):  
Emergency Department ◽  
Case Report ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Associated Injuries ◽  
Vehicle Accident ◽  
Isolated Fracture ◽  
Principles Of Treatment

Here we report the case of a 20-year-old female restrained driver who presented to the emergency department (ED) after a motor vehicle accident. She sustained an isolated fracture of her left cuboid, consistent with a nutcracker cuboid fracture. A cuboid fracture is considered rare. It is even more uncommon for a cuboid fracture to occur in isolation, without other associated injuries to the foot. We discuss the mechanism, relevant anatomy, diagnosis, and principles of treatment of the nutcracker cuboid fracture.

A tracer study on employability of business and economics graduates at Bahir Dar University

2018 ◽  
Vol 2 (1) ◽  
pp. 45 ◽  
Author(s):  
Zeleke Siraye ◽  
Tiruneh Abebe ◽  
Mandefro Melese ◽  
Teramaj Wale
Keyword(s):  
Bahir Dar ◽  
Tracer Study ◽  
Bahir Dar University

scholarly journals The use of external fixation in the emergency department: applications, common errors, complications and their treatment

2020 ◽  
Vol 5 (4) ◽  
pp. 204-214 ◽  
Author(s):  
Carlos A. Encinas-Ullán ◽  
José M. Martínez-Diez ◽  
E. Carlos Rodríguez-Merchán
Keyword(s):  
Magnetic Resonance Imaging ◽  
Emergency Department ◽  
External Fixation ◽  
Pelvic Fractures ◽  
Resonance Imaging ◽  
Life Saving ◽  
Magnetic Resonance Imaging Mri ◽  
Free Placement ◽  
Pelvic Lesions ◽  
Anterior Posterior

The use of an external fixator (EF) in the emergency department (ED) or the emergency theatre in the ED is reserved for critically ill patients in a life-saving attempt. Hence, usually only fixation/stabilization of the pelvis, tibia, femur and humerus are performed. All other external fixation methods are not indicated in an ED and thus should be performed in the operating room with a sterile environment. Anterior EF is used in unstable pelvic lesions due to anterior-posterior compression, and in stable pelvic fractures in haemodynamically unstable patients. Patients with multiple trauma should be stabilized quickly with EF. The C-clamp has been designed to be used in the ED to stabilize fractures of the sacrum or alterations of the sacroiliac joint in patients with circulatory instability. Choose a modular EF that allows for the free placement of the pins, is radiolucent and is compatible with magnetic resonance imaging (MRI). Planning the type of framework to be used is crucial. Avoid mistakes in the placement of EF. Cite this article: EFORT Open Rev 2020;5:204-214. DOI: 10.1302/2058-5241.5.190029

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