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Full-Text Articles in Medicine and Health Sciences
Introduction Of A Mobile Device Based Tertiary Survey Application Reduces Missed Injuries: A Multi-Center Prospective Study, Bradley S. Moffat
Introduction Of A Mobile Device Based Tertiary Survey Application Reduces Missed Injuries: A Multi-Center Prospective Study, Bradley S. Moffat
Electronic Thesis and Dissertation Repository
Missed injuries in trauma patients are a significant source of preventable morbidity. The tertiary survey is a head-to-toe physical exam performed within 24 hours of admission to identify any injuries which may have been missed during initial assessment and resuscitation. The Physician Assist Trauma Software (PATS) is an electronic program designed to guide users through a thorough tertiary survey and document the results. This thesis project was designed to study the impact of implementing this novel mobile device based electronic tertiary survey program on missed injuries. The first phase of this study involved quantifying and characterizing the missed injury rate …
Pathophysiology Of Compartment Syndrome, Abdel-Rahman Lawendy
Pathophysiology Of Compartment Syndrome, Abdel-Rahman Lawendy
Electronic Thesis and Dissertation Repository
Acute limb compartment syndrome (CS), a potentially devastating complication of musculoskeletal trauma, is characterized by increased pressure within a closed osseofascial compartment, resulting in muscle-threatening and ultimately limb-threatening ischemia. Urgent fasciotomy remains the only effective treatment and a current gold-standard surgical therapy. Despite a large body of literature dedicated to understanding the pathophysiology of CS, the mechanisms of CS-induced tissue damage are rather poorly understood. The established view is that increasing compartmental pressure compromises microcirculatory perfusion, restricting oxygen and nutrient delivery to vital tissues, resulting in cellular anoxia and severe tissue necrosis. However, unlike complete ischemia, CS causes myonecrosis in …