A prehospital paediatric tension viscerothorax presenting as a tension pneumothorax: a diagnostic dilemma

Jones, Christopher W.; Tzannes, Alex; Reid, Cliff

doi:10.1136/emj.2010.097220

Cited by 2 publications

(1 citation statement)

References 12 publications

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“… For this category all 27 articles could be retrieved. Of the 13 articles in the trauma systems and care theme, four articles were on the management of different trauma populations, including burn victims requiring escharotomy [ 136 ], pediatric diaphragmatic injuries [ 137 ], pregnant patients [ 138 ], and minor head injuries [ 139 ]. Four articles were on triage [ 140 – 143 ], four were on trauma system assessment or design [ 144 – 147 ], and one was on prehospital levels of care [ 148 ].…”

Section: Resultsmentioning

confidence: 99%

Looking back to inform the future: a review of published paramedicine research

Cavanagh

Blanchard

Weiss

et al. 2023

BMC Health Serv Res

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Objective Paramedicine has evolved in ways that may outpace the science informing these changes. Examining the scholarly pursuits of paramedicine may provide insights into the historical academic focus, which may inform future endeavors and evolution of paramedicine. The objective of this study was to explore the existing discourse in paramedicine research to reflect on the academic pursuits of this community. Methods We searched Medline, Embase, CINAHL, Google Scholar and Web of Science from January, 2006 to April, 2019. We further refined the yield using a ranking formula that prioritized journals most relevant to paramedicine, then sampled randomly in two-year clusters for full text review. We extracted literature type, study topic and context, then used elements of qualitative content, thematic, and discourse analysis to further describe the sample. Results The initial search yielded 99,124 citations, leaving 54,638 after removing duplicates and 7084 relevant articles from nine journals after ranking. Subsequently, 2058 articles were included for topic categorization, and 241 papers were included for full text analysis after random sampling. Overall, this literature reveals: 1) a relatively narrow topic focus, given the majority of research has concentrated on general operational activities and specific clinical conditions and interventions (e.g., resuscitation, airway management, etc.); 2) a limited methodological (and possibly philosophical) focus, given that most were observational studies (e.g., cohort, case control, and case series) or editorial/commentary; 3) a variety of observed trajectories of academic attention, indicating where the evolution of paramedicine is evident, areas where scope of practice is uncertain, and areas that aim to improve skills historically considered core to paramedic clinical practice. Conclusions Included articles suggest a relatively narrow topic focus, a limited methodological focus, and observed trajectories of academic attention indicating where research pursuits and priorities are shifting. We have highlighted that the academic focus may require an alignment with aspirational and direction setting documents aimed at developing paramedicine. This review may be a snapshot of scholarly activity that reflects a young medically directed profession and systems focusing on a few high acuity conditions, with aspirations of professional autonomy contributing to the health and social well-being of communities.

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Section: Resultsmentioning

confidence: 99%

Looking back to inform the future: a review of published paramedicine research

Cavanagh

Blanchard

Weiss

et al. 2023

BMC Health Serv Res

View full text Add to dashboard Cite

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Traumatic diaphragmatic rupture in pediatric age: review of the literature

Marzona

Parri

Nocerino

et al. 2016

Eur J Trauma Emerg Surg

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Purpose Despite a rising incidence in proximal humeral fractures, there is still no evidence for the best treatment option, especially for elderly patients. The aim of this retrospective cohort study was to evaluate health-related quality of life (HRQoL), functional outcome, pain and social participation in elderly patients, after operative and nonoperative treatment of displaced 3-and 4-part proximal humeral fractures. Methods 150 patients aged ≥ 65, treated for a displaced 3-or 4-part proximal humeral fracture between 2004 and 2014, were invited to participate. Eventually 91 patients (61%) participated, of which 32 non-operatively treated patients were matched to 32 of the 59 operatively treated patients by propensity score matching. The EQ-5D, DASH, VAS for pain and WHODAS 2.0 Participation in Society domain were administered. Complications and reinterventions were registered. Results No significant difference was found between the two treatment groups in HRQoL (p = 0.43), function (p = 0.78) and pain (p = 0.19). A trend toward better social participation in the operative group (p = 0.09) was found. More complications and reinterventions occurred in the operative group than the nonoperative group, with 9 versus 5 complications (p = 0.37) and 8 versus 2 reinterventions (p = 0.08). Conclusions In this study, we found no evidence of a difference in HRQoL, functional outcome or pain 1-10 years after operative or nonoperative treatment in patients of 65 and older with a displaced 3-or 4-part humeral fracture. Operatively treated patients showed a trend toward better social participation but also higher reintervention rates.

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A prehospital paediatric tension viscerothorax presenting as a tension pneumothorax: a diagnostic dilemma

Abstract: This article reports a case of a paediatric pre-hospital tension viscerothorax, and it subsequent management. It also discusses the difficulty in diagnosing this condition in the pre-hospital arena.

Cited by 2 publications

References 12 publications

Looking back to inform the future: a review of published paramedicine research

Looking back to inform the future: a review of published paramedicine research

Traumatic diaphragmatic rupture in pediatric age: review of the literature

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