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A computer-based trauma simulator for teaching trauma management skills.

https://arctichealth.org/en/permalink/ahliterature198480
Source
Am J Surg. 2000 Mar;179(3):223-8
Publication Type
Article
Date
Mar-2000
Author
M K Gilbart
C R Hutchison
M D Cusimano
G. Regehr
Author Affiliation
Department of Surgery, Centre for Research in Education, University of Toronto, Toronto, Ontario, Canada.
Source
Am J Surg. 2000 Mar;179(3):223-8
Date
Mar-2000
Language
English
Publication Type
Article
Keywords
Analysis of Variance
Clinical Clerkship
Clinical Competence
Computer simulation
Computer-Assisted Instruction
Educational Measurement
Humans
Judgment
Leadership
Manikins
Multiple Trauma - surgery
Ontario
Personal Satisfaction
Self Concept
Students, Medical
Teaching - methods
Transfer (Psychology)
Traumatology - education
Abstract
The management of multiply injured trauma patients is a skill requiring broad knowledge, sound judgment, and leadership capabilities. The purpose of this study was to evaluate the effectiveness of a computer-based trauma simulator as a teaching tool for senior medical students.
All year-4 clinical clerks at the University of Toronto were approached to participate in a focused, 2-hour trauma management course. The volunteer rate for the course was 79%. Students were randomized to either computer-based simulator or seminar-based teaching groups. Outcome measures in this study were students' trauma objective structured clinical examination (OSCE) scores.
Both the trauma simulator and seminar teaching groups performed significantly better than the comparison group (no additional teaching) on the trauma OSCE patient encounter component, but not the written component of the examination. There was no significant difference in the performances of the trauma simulator and seminar teaching groups. Students overwhelmingly felt the trauma simulator was effective for their trauma teaching, and improved their overall confidence in clinical trauma scenarios.
There is a significant benefit associated with a focused, clinically based trauma management course for senior medical students. No additional improvement was noted with the use of a high fidelity computer-based trauma simulator.
PubMed ID
10827325 View in PubMed
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Epidemiology of meniscal lesions in the knee. 1,215 open operations in Copenhagen 1982-84.

https://arctichealth.org/en/permalink/ahliterature37538
Source
Acta Orthop Scand. 1990 Oct;61(5):435-7
Publication Type
Article
Date
Oct-1990
Author
A. Hede
D B Jensen
P. Blyme
S. Sonne-Holm
Author Affiliation
University of Copenhagen Department of Orthopedics, Gentofte Hospital, Denmark.
Source
Acta Orthop Scand. 1990 Oct;61(5):435-7
Date
Oct-1990
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Aged
Aged, 80 and over
Athletic Injuries - epidemiology - surgery
Child
Child, Preschool
Denmark - epidemiology
Female
Humans
Incidence
Knee Injuries - epidemiology - surgery
Ligaments, Articular - injuries - surgery
Male
Menisci, Tibial - injuries - surgery
Middle Aged
Multiple Trauma - surgery
Research Support, Non-U.S. Gov't
Retrospective Studies
Abstract
In a suburban area of Copenhagen with approximately 620,000 inhabitants, all the openly operated on meniscal lesions of the knee joint between 1982 and 1984 inclusive were reviewed. The mean annual incidence of meniscal lesions per 10,000 inhabitants was 9.0 in males and 4.2 in females. The highest incidences were seen in the 3rd, 4th, and 5th decades of life. A higher frequency of trauma related to onset of symptoms was found among males (77 percent) than among females (64 percent). The bucket-handle lesion was the most frequent type of meniscal lesion in males (35 percent), whereas peripheral detachment was the most frequent in females (41 percent). A variable frequency of trauma inducing the lesions in males and females did not explain differences in type of meniscal lesion. Nineteen percent of our 1,215 patients had a partial meniscectomy, whereas 0.7 percent had meniscal repair.
PubMed ID
2239168 View in PubMed
Less detail

[Experience in delivering specialized surgical care in a large hospital].

https://arctichealth.org/en/permalink/ahliterature212016
Source
Voen Med Zh. 1996 May;317(5):15-8, 80
Publication Type
Article
Date
May-1996
Author
G Iu Sharaevskii
A E Tkachev
V I Kovalev
V D Gurich
A L Levchuk
E Kh Umerov
Source
Voen Med Zh. 1996 May;317(5):15-8, 80
Date
May-1996
Language
Russian
Publication Type
Article
Keywords
Delivery of Health Care - statistics & numerical data
Hospitals, Military - statistics & numerical data
Humans
Multiple Trauma - surgery
Russia
Surgical Procedures, Operative - statistics & numerical data
War
Wounds, Gunshot - surgery
Abstract
Medical troops supply in local armed conflicts demonstrated advantages of fast evacuation of wounded personnel by aviation from the seat of combat actions to the stage of specialized surgical care. Wounded in head, breast, abdomen (particularly in case of multiple and combined character of wounds) are evacuated for treatment to central military hospitals equipped with modern diagnostic and medical equipment, completed with qualified specialists and having the opportunity of prolonged treatment. Surgical care in the zone of combat actions is confined to hemostasis, intensive therapy -to supporting of main vital functions. The article contains the data about terminations of wounded personnel treatment in central military-fleet clinical hospital.
PubMed ID
8754084 View in PubMed
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[Experience in organizing surgical care during the combat operations in the Chechen Republic].

https://arctichealth.org/en/permalink/ahliterature208242
Source
Voen Med Zh. 1997 Jun;318(6):4-12, 80
Publication Type
Article
Date
Jun-1997
Author
P G Briusov
V I Khrupkin
Source
Voen Med Zh. 1997 Jun;318(6):4-12, 80
Date
Jun-1997
Language
Russian
Publication Type
Article
Keywords
General Surgery - organization & administration
Humans
Military Medicine - organization & administration
Military Personnel
Multiple Trauma - surgery
Russia
Transportation of Patients - organization & administration
Triage - organization & administration
War
Wounds, Gunshot - surgery
Abstract
In the article the final analysis of organization of surgical care during the local military conflict in northern Caucasus was presented. The real possibilities of different medical units such as single medical company and medical squadron of special assignment was described. Also concrete contents of emergency specialized surgical care and its role in improvement of outcomes in patients with combined combat injuries was reflected. Mortality in this patients was decreased from 25.2 to 12.8%. The defects of surgical care were analyzed and the main ways of improvement of surgical care in local military conflict were presented. In the result of using the principle of moving the medical care closer to the wounded in the whole system of consecutive care the mortality was decreased up to 1.3%.
PubMed ID
9412060 View in PubMed
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[Experience of organization of the skilled and emergency specialized surgical care rendered during the armed conflicts in the North Caucasus].

https://arctichealth.org/en/permalink/ahliterature183742
Source
Voen Med Zh. 2003 Jul;324(7):13-20, 96
Publication Type
Article
Date
Jul-2003
Author
A E Deviatkin
V K Zuev
V A Ivantsov
S N Tatarin
Iu N Fokin
Source
Voen Med Zh. 2003 Jul;324(7):13-20, 96
Date
Jul-2003
Language
Russian
Publication Type
Article
Keywords
General Surgery - organization & administration
Hospitals, Military - organization & administration
Humans
Military Medicine - organization & administration
Multiple Trauma - surgery - therapy
Retrospective Studies
Russia
Transportation of Patients - organization & administration
Traumatology - organization & administration
War
Abstract
At present the hepatosurgery in the Vishnevsky Central Military Clinical Hospital has become one of the most perspective and rapidly developing directions of the surgery. The authors present the review of hepatosurgery development in the hospital with the detailed analysis of treatment results at each stage of development, the description of technical support of the new methods for conducting the complex operations on liver. For the short time (since 1991) we have passed the way from atypical hepatic resections up to the liver autotransplantation. The importance of additional surgical manipulations and procedures facilitating the surgery, the postoperative period and improving the operation results are underlined.
PubMed ID
12962066 View in PubMed
Less detail

[Medical care provision to the victim children of Haiti].

https://arctichealth.org/en/permalink/ahliterature135098
Source
Anesteziol Reanimatol. 2011 Jan-Feb;(1):27-9
Publication Type
Article
Author
V G Bagaev
A S Saratovskii
V A Mitish
L B Puzhitskii
P A Medinskii
N A Zhuravlev
D Iu Basargin
D A Vorob'ev
Source
Anesteziol Reanimatol. 2011 Jan-Feb;(1):27-9
Language
Russian
Publication Type
Article
Keywords
Adolescent
Anesthesia - methods
Child
Child, Preschool
Crush Syndrome - surgery
Earthquakes
Emergency Medical Services - organization & administration
Haiti
Humans
Infant
Infant, Newborn
Mass Casualty Incidents
Medical Missions, Official
Multiple Trauma - surgery
Russia
Abstract
Treatment and diagnostic measures, including anesthesia during catastrophes and natural disasters are a world known problem. The paper presents the experience of anesthetic care provision during specialized surgical care to the victim children of the earthquake in Haiti. The materials of analysis were 529 anesthesias conducted to 72 children, who were in the treatment for crush syndrome, skeletal and concomitant injury. The peculiarities of anesthesia during the treatment of wound process depending on the stage of surgery are brought into view. During the preparatory phase the optimal type of anesthesia is inhalation and intravenous anesthesia, whereas for the defect closure (main stage) all types of anesthesia, including balanced endotracheal and combined anesthesia were used.
PubMed ID
21510063 View in PubMed
Less detail

Observations from the American Association for the Surgery of Trauma fifty-fifth annual meeting, September 1995.

https://arctichealth.org/en/permalink/ahliterature213120
Source
Int J Trauma Nurs. 1996 Jan-Mar;2(1):4-6
Publication Type
Conference/Meeting Material
Article

[Qualified and emergency specialized surgical care for those with wounds to the extremities].

https://arctichealth.org/en/permalink/ahliterature208243
Source
Voen Med Zh. 1997 Jun;318(6):34-8, 80
Publication Type
Article
Date
Jun-1997
Author
V V Iurkevich
E Z Fidarov
V A Bauér
Source
Voen Med Zh. 1997 Jun;318(6):34-8, 80
Date
Jun-1997
Language
Russian
Publication Type
Article
Keywords
Arm Injuries - surgery
Blast Injuries - surgery
Emergencies
First Aid
Hospitals, Military
Humans
Leg Injuries - surgery
Microsurgery
Military Personnel
Multiple Trauma - surgery
Russia
War
Wounds, Gunshot - surgery
Abstract
Experience of organization of the surgical care in the military hospital to 438 wounded in extremities during armed conflict in Republic of Chechnya is generalized. Maximum reduction of stages of medical evacuation of the wounded in extremities, approaching of the qualified and urgent specialized surgical care directly to the region of battle actions, use of opportunities for it one-moment rendering corresponded to principles of the modern military-medical doctrine. Due to realization of the requirements of the doctrine life of many wounded ++ was saved, terms of treatment, medical and social rehabilitation are reduced. Besides lethality, treatment cost and numbers of transferring to the reserve from the Armed Forces were reduced.
PubMed ID
9412058 View in PubMed
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20 records – page 1 of 2.