News • Brain bleeds
America's aging population will require more neurosurgeons
Researchers at NYU Langone Medical Center project a national influx of patients who will need immediate treatment.
Traumatology
Contrast enhanced ultrasound
In the USA, some patients have bled to death while in the CT scanner because this type of examination takes too long for blunt abdominal trauma diagnosis. Report: Chrissanthi Nikolakudi
Article • Emergency Medicine
POC ultrasound takes to the skies
Given their quality, small size, portability and robustness, SonoSite point-of-care ultrasound systems play vital roles in hectic A&E and surgical departments, and also in monitoring patients in transit.
Trauma care: the alpha and omega in emergency
Recently, ways to improve trauma care, particularly the care of acutely injured victims of traffic accidents, was discussed by international experts gathered at the World Trauma Congress (held in Frankfurt/Main, Germany).
'Treat first what kills first'
There is room for worldwide improvement of trauma care, as Congress President Professor Ingo Marzi, Frankfurt/Main (Germany), emphasised.
Evidence not heroism
Conflict and crisis situations pose specific challenges for medical care. The only way to cope with them is to apply scientific evidence from an exchange between academic surgeons and their colleagues active in the field. The EFORT Congress in London is a crucial hub at European level for this exchange.
Apps for disaster planning and flu forecasting
Johns Hopkins scientists have developed three new Web-based software tools designed to help hospital emergency departments, first responder organizations and others model and prepare for major disasters, including flu outbreaks.
Bootcare by Telemedicine
Mobile healthcare is a major buzzword nowadays: take the devices and the data to the patient, not the other way round. Mobility in this concept is not restricted to the hospital where devices and data flow freely from department to department, but encompasses follow-up care at home. Report: Anja Behringer
Ultrasound in trauma and orthopaedics
At October’s annual congress of trauma and orthopaedic surgeons in Berlin, the session Ultrasound beyond trauma and orthopaedic surgery – What can we learn from neighbouring disciplines? exposed the unexploited potential of ultrasound for trauma and orthopaedic surgery, EH correspondent Bettina Döbereiner reports.
International differences in total knee replacement
Countries vary considerably in the number of cases in which artificial knee joints are employed, according to researchers from the Medical University of Graz (Austria) reporting at the EFORT Congress in Istanbul.
UK hospital pioneers ‘direct to CT scans’ for A&E patients
A UK hospital is assessing trauma patients by taking them directly for CT scans rather than to the A&E department. Piloted at King’s College Hospital, this new approach to assessing patients with life-threatening injuries aims to speed up diagnosis by conducting CT simultaneously with patient resuscitation and stabilisation.
Esaote brings full ultrasound power to portable system
Rapid and accurate diagnosis using ultrasound has won increasing use by physicians and radiologists. The new MyLab Alpha delivers high-end performance in an easy-to-use, highly mobile system.
Sprayed on skin
Although scientists and medics have sought ways to grow artificial skin in laboratories since the 1970s, only now has it become possible to reproduce the top layer of skin, thanks to work at the Trauma Surgery and Orthopaedics Clinic in Berlin (ukb).
England creates multiple Major Trauma Centres
Around 20,000 people become major trauma victims every year in England. Studies have shown that Major Trauma Centres (MTCs) with dedicated personnel and specialist equipment save more lives and reduce the risk of serious disability. Thus, to offer such victims better chances of survival, a new network of 22 MTCs has been established across the country to provide centralised care, with experts…
The 129th Congress of the German Society of Surgery
Meeting with EH editor Brigitte Dinkloh, Congress Secretary Professor Alexis Ulrich MD (left), Assistant Medical Director at the Clinic for General, Visceral and Transplant Surgery at the University of Heidelberg, outlined the scientific programme, discussed some impressive advances in surgical procedures, and explained why the gathering bears the slogan Surgery in Partnership.
Imaging pregnant women
Figures suggest that imaging of pregnant women increased by 121% between 1997 and 2008, even though radiologists face several critical challenges when imaging these patients.
The fmCh Public Database
Swiss surgical patients can check on and correct their treatment data and thereby facilitate reliable hospital benchmarking. In 1995, surgeons in the Biel, Burgdorf and Zurich Limmattal hospitals founded the Working Group for Quality Assurance in Surgery (AQC) to collect and compare reatment data.
Emergency radiology
The injury was as spectacular as it was ruesome. Struck by a train a male patient was brought to the emergency department in Munich, his right foot hanging on only by muscle and bloody tendons, the bone shattered.
Interventional radiology in the trauma unit
Traumatic injuries result in 800,00 deaths per year in Europe, making this one of the leading causes of mortality and the primary cause of death in patients aged 45 years old or younger. Depending on the type and severity of injury, usually trauma patients are treated by a team of experts from different disciplines.
Combat Trauma Innovation 2012
Medical advances learned from treating military casualties severely injured on the battlefield are helping to enhance medicine for British civilians. Mark Nicholls reports on a conference to hasten advances into the public arena.
IT-assisted triage
The project consortium Alarm has developed new software to enable a computer-assisted triage-system for mass accidents and catastrophes. Torsten Schröder, emergency physician at the Charité Clinic for Anaesthesiology, with the focus on operative Intensive Care Medicine in Berlin, gave a mid-term review of the project and explained the advantages of the IT-supported triage-system for…
Modern radiological diagnostics for the evaluation of muscle diseases
Muscular diseases belong to a heterogeneous group with various causes like neurogenic, metabolic, dystrophic, or inflammatory mechanisms as well as channelopathies leading to disorders of the muscle cell membrane potential. In most progressive disease cases the result is a focal or general muscle weakness that, unfortunately, is a very unspecific symptom. Standard neuromuscular literature…
Aired at EFORT: Guidelines for Charcot Foot
When Swiss orthopaedic surgeon Dr Marino Delmi, Past-President of the Swiss Foot & Ankle Society, Member of the Council of the European Foot & Ankle Society, and of the Scientific Foot & Ankle Council of the European Federation of National Associations of Orthopaedics and Traumatology (EFORT), met with other experts in the field, three critical diabetes topics were explored.
Improved A&E Workflow with Carestream Health DRX Evolution
Worthing Hospital, on the south coast of England, has installed a CARESTREAM DRX-Evolution dual detector room in its busy Accident & Emergency (A&E) department. The new modular system, with its cassette-sized wireless detector, floor rail and full auto positioning, replaces the existing analogue room.