The early management of gunshot wounds Part II: the abdomen, extremities and special situations

Whitfield, C.; Garner, Jeff

doi:10.1177/1460408607084151

Cited by 5 publications

(4 citation statements)

References 166 publications

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“…In some countries, other specialists outside radiologists and paramedical workers were trained in USS and other disciplines like interventional radiology, 29 trauma medicine, [30][31][32] anesthesia, [33][34][35] emergency medicine, [36][37][38][39][40][41][42] cardiology, 43,44 rheumatology, [45][46][47] gastroenterology, 48 parasitology, 49 and neurology. 50 The accuracy of the scans performed by these trained workers was similar to scans performed by radiologists.…”

Section: Comparison Indicators and Resultsmentioning

confidence: 99%

Accuracy of Ultrasounds in the Diagnosis of Placenta Previa by Nonradiologists in Cameroon

Florent¹,

Ohanda²,

Fouedjio³

et al. 2016

Donald School Journal of Ultrasound in Obstetrics and Gynecology

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Objectives: Ultrasound evaluation could ensure early diagnoses prior to the onset of clinical manifestations. The use of ultrasound as a diagnostic tool for varying disease states is gaining ground in Africa; however, its operator dependence constitutes a major setback. Our main goal was to evaluate the accuracy of ultrasound in the diagnosis of placenta previa (PP) in Cameroon, and especially its use by nonradiologists. Materials and methods:We carried out a cross-sectional prospective study in the maternity unit of the Yaoundé Central Hospital during a period of 13 months (December 1, 2014 to December 31, 2015. Our study population involved women with prior cesarean section irrespective of the indication at least 28 weeks of gestational age. During surgery the diagnosis was confirmed. We included all women with a past history of cesarean section who underwent a 3rd trimester ultrasound scan (USS), especially in the last 4 weeks preceding the cesarean section. Results:The mean age of our study population was 28.02 years (± 6.13 years), with age extremes at 13 and 44 years respectively. Out of 761 women who underwent cesarean section, 153 had been diagnosed preoperatively with PP. All the USSs were transabdominal. Third trimester scans irrespective of the operator had a sensitivity of 82, and 99% specificity. Among the operators, radiologists and obstetricians had the best sensitivity rates (83 and 81% respectively) as against 71.4% among other operators. Conclusion:Ultrasound scanning is important in the antenatal period as a diagnostic tool for PP when carried out by radiologists and obstetricians. Routine use of the transvaginal and transperineal routes should be encouraged so as to gain in accuracy during 3rd trimester scanning. However, the nonradiologists need to be trained because of the accuracy lapses involving the USSs which they carry out.

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Section: Comparison Indicators and Resultsmentioning

confidence: 99%

Accuracy of Ultrasounds in the Diagnosis of Placenta Previa by Nonradiologists in Cameroon

Florent¹,

Ohanda²,

Fouedjio³

et al. 2016

Donald School Journal of Ultrasound in Obstetrics and Gynecology

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show abstract

“…Despite improvements in the technical specification and speed of CT scanners, the biggest problem with using CT in the assessment of trauma is that in most institutions resuscitation has to be interrupted to transport the patient to the radiology department, potentially compromising outcomes [65,66].…”

Section: Computed Tomographymentioning

confidence: 99%

Non-Operative Management of Liver Trauma

Swift

Garner

2012

J R Army Med Corps

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The liver is one of the commonest intra-abdominal organs injured worldwide in blunt and penetrating trauma and its management has evolved significantly in the last 30 years. Mandatory laparotomy has been replaced by an acceptance that for most blunt hepatic trauma, a selective non-operative approach is safe and effective with a failure rate ie the need to proceed to delayed laparotomy of approximately 10%. There is a markedly lower rate of complications in those that are managed non-operatively. Adjuncts to this conservative regimen such as angioembolisation and delayed laparoscopy to treat biliary peritonitis increase the chances of avoiding laparotomy. This belief in non-operative management has also been transferred to some degree to penetrating liver trauma, where there is a gradual accumulation of evidence to support this non-operative approach in a carefully selected group of patients. This article examines the evidence supporting the selective non-operative management of both blunt and penetrating liver trauma and describes the outcomes and complications.

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“…2005;. 7: 143-154 The early management of gunshot wounds Part II: the abdomen extremities and special situations Whitfield, C. and Garner, J.P. 2007; . 9: 47-71…”

mentioning

confidence: 99%

Index for Volumes 1—11

2009

Trauma

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The early management of gunshot wounds Part II: the abdomen, extremities and special situations

Cited by 5 publications

References 166 publications

Accuracy of Ultrasounds in the Diagnosis of Placenta Previa by Nonradiologists in Cameroon

Accuracy of Ultrasounds in the Diagnosis of Placenta Previa by Nonradiologists in Cameroon

Non-Operative Management of Liver Trauma

Index for Volumes 1—11

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