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Surgery
Published in Michael Stolberg, Gabrielle Falloppia, 1522/23–1562, 2023
The realm of surgery in the sixteenth century differed considerably from that today. In the practice of the overwhelming majority of surgeons, invasive operations played only a marginal role or indeed none at all. These interventions were essentially limited to the surgical treatment of cataracts, the removal of bladder stones, and the treatment of hernias. The latter two had a high lethality rate and were often performed by surgeons who specialized in this area. As indicated above, the focus of surgery in everyday practice was on two other areas, which we classify as separate disciplines today. One was traumatology, the treatment of wounds, injuries, and fractures, which is still a core area of surgery today. The other one were pathological changes in or underneath the skin and the mucous membranes, which today would usually be considered the domain of dermatology or, depending on the localization in the body, of stomatology, urology, gynecology, venereology, etc.
Postmortem Radiology and Digital Imaging
Published in Cristoforo Pomara, Vittorio Fineschi, Forensic and Clinical Forensic Autopsy, 2020
Giuseppe Bertozzi, Francesco Pio Cafarelli, Andrea Giovanni Musumeci, Giulio Zizzo, Giampaolo Grilli, Cristoforo Pomara
Although PMCT has shown its usefulness in a large number of cases, as previously reported, evident limits are in the visualization of soft tissues, but above all of the vascular system, limiting the diagnostic capacity of postmortem imaging in advance to traumatology.
Communication and Non-Technical Skills for Surgeons (NOTSS) in Major Trauma: The Role of Crew Resource Management (CRM)
Published in Kenneth D Boffard, Manual of Definitive Surgical Trauma Care: Incorporating Definitive Anaesthetic Trauma Care, 2019
Other high-risk industries subsequently followed suit and 30 years ago the medical community adopted CRM as a component in the training of critical clinical situations. The subsequent years have seen implementation of CRM in numerous surgical and medical subspecialties, of which the setting of traumatology has been no exception. Trauma team training based upon the principles of CRM has become an integral part of the daily practice in trauma centres all over the world.
Lessons Learned about the Need for Early Screening for Depression during the First Months of the COVID-19 Pandemic in the United States
Published in Issues in Mental Health Nursing, 2022
Akuekegbe Uwadiale, Millie Cordaro, Kaitlin Brunett, Mark Stern, Krista Howard
In December 2019, a novel coronavirus (SARS-CoV-2) caused a worldwide pandemic from COVID-19. Within weeks of the initial outbreak, the World Health Organization issued a global health emergency, restricting air travel and implementing stay-at-home orders; in turn, the implications sharply disrupted lives and daily routines across communities. Consequently, individuals in the U.S. experienced a myriad of traumatic stressors including job strain or loss, financial burden, household food insecurity, disrupted schooling and childcare, or reduced healthcare access (Golberstein et al., 2020; Raifman et al., 2020). By 2021, over one half-million Americans died from COVID-19 leaving a wake of bereaved, while an innumerable amount have witnessed or cared for those ill from COVID-19 disease, or even contracted COVID-19 themselves with the possibility of serious medical complications (Center for Disease Control and Prevention, 2021; Nalbandian et al., 2021). The traumatology research is long-standing on the implications of exposure to trauma or secondary traumatic stress and the heightened risk for maladaptive coping (Cordaro, 2020; Figley, 1999; Littleton et al., 2011; Vagni et al., 2020).
Posttraumatic hemorrhagic bladder rupture managed with transurethral foley catheter placement and bilateral transcatheter vesical artery embolization
Published in Acta Chirurgica Belgica, 2023
Ruben Vanheer, Liesbeth De Wever, Geert Maleux
The patient was admitted to the intensive care unit for one day and was discharged from the traumatology ward after six days. The patient developed cellulitis around the fixation pins after 16 days for which Cefadroxil two times 1 g daily was started during eight days. The transurethral catheter was left in place for 21 days, subsequent retrograde cystography showed no contrast leakage from the bladder (Figure 4). Seven weeks later, definitive plate-screw osteosynthesis of the symphysis pubis was performed. There were no complications noted related to the bilateral vesical artery bleeding, the bladder rupture nor the suspected urethral injury, over a follow-up period of six months.
Outcome at 1 year in patients with femoral shaft fractures treated with intramedullary nailing or skeletal traction in a low-income country: a prospective observational study of 187 patients in Malawi
Published in Acta Orthopaedica, 2020
Linda Chokotho, Hao-Hua Wu, David Shearer, Brian C Lau, Nyengo Mkandawire, Jan-Erik Gjertsen, Geir Hallan, Sven Young
The study was approved by the College of Medicine Research Ethics Committee, in Malawi, and the University of Bergen and University of California San Francisco Institutional Review Boards. Written informed consent was obtained from all patients in the study. The study was funded by the Institute of Global Orthopedics and Traumatology (IGOT), University of California San Francisco, James O. Johnston Research Grant, and a PhD grant through the Norhed Project, financed by Norad. Author DS is a non-paid member of the Board of Directors for SIGN Fracture Care International. The rest of the authors declare no conflict of interest.