阿尔及利亚地震灾后中国危重伤员远程空中转运

目的 总结紧急远程航空医疗运送的经验，分析影响空运的多种因素。方法 通过2003年5月阿尔及利亚地震灾后，中方5名危重伤员的航空转运的实践，就转运计划、医务人员和医疗设备的配置、空中监护、心理干预等对远程航空医疗运送的作用和影响进行分析和总结。结果 5名危重伤员均安全转运至目的地。结论 制订周密的转运计划和进行细致的安排是成功转运的重要条件；灾害伤员的心理干预对安全转运有着特殊意义。     

阿尔及利亚地震灾后中国危重伤员远程空中转运

目的 总结紧急远程航空医疗运送的经验，分析影响空运的多种因素。方法通过2003年5月阿尔及利亚地震灾后，中方5名危重伤员的航空转运的实践，就转运计划、医务人员和医疗设备的配置、空中监护、心理干预等对远程航空医疗运送的作用和影响进行分析和总结。结果 5名危重伤员均安全转运至目的地。结论制订周密的转运计划和进行细致的安排是成功转运的重要条件；灾害伤员的心理干预对安全转运有着特殊意义。     

实施地震伤员大规模航空医疗转运条件的分析

2008年5月12日14时28分,我国四川省汶川地区发生了里氏8．0级地震。地震给当地人民的生命财产造成了重大损失,除死亡人数外,受伤人数突破40万,需住院治疗伤员数超过8万。为了使伤员得到及时有效的救治,同时使伤员的心理创伤得到较好的抚慰,     

创伤评分与伤情早期检诊在"5·12"地震伤员救治中的作用探讨

2008年5月12日,我国四川省汶川地区发生8.0级特大地震,造成重大人员伤亡.截止2008年6月12日,官方宣布的死亡人数已达69 159人,受伤人数已达374 141人.绵阳市中心医院作为重灾区惟一的三级甲等综合医院,从5月12口汶川大地震发生后2 min开始收治伤员,先后共收治地震伤员近2 000例.     

汶川大地震灾区伤员的远程空中转运

2008年5月12日,四川省汶川发生8.0级强烈地震,造成重大人员伤亡,目前统计死亡人数超过8万人.受伤人数超过20万人.根据国家抗震救灾指挥部的指示,华西医院作为全国最大的医院之一和西部医学中心,在抗震救灾中作为医疗救治中心,共收治伤病员2500名,其中住院病人1500余人.由于伤病员多集中在骨科、胸外科和脑外科,需要分流到全国各地的医院进行诊治,故华西医院派遣医疗救护队进行远程空中转运救援.空中转运救援是病危医疗的一部分,它提供医院问危重和严重外伤病员的转运,了解医学转运方面的知识和空中医学转运的速度,将有助于安全合适地转运病人[1].     

汶川大地震中颅脑损伤的救治与反思

2008年5月12日四川汶川发生的里氏8.0级大地震,造成近9万人死亡或失踪,37万多人受伤,是我国自1976年唐山大地震以来最为严重的地震灾难.近百年来,世界范围内因地震造成的死亡人数已达200多万人,占各种自然灾害死亡人数的58%[1].     

地震致颅脑损伤20例

2008年5月12日,四川省汶川县发生里氏8.0级强烈地震.地震所致的伤员有181人转运我院,其中入住我院神经外科的伤员20例,占11.6%,经治疗全部康复出院.现报告如下.     

芦山地震伤员伤情特点及早期救治转运（附52例分析）

自2008年5月12日以来我国发生了多次地震，我们亲历的2008年5月12日汶川地震震级最高、烈度最大、损失最严重，2013年4月20日8时02分四川省雅安市芦山县发生7.0地震。我院作为第一支到达雅安市宝兴灵关镇的救援队伍第一时间收治转送伤员，本文就其伤情特点，早期救治及转运处理等报告如下。     

深航转运地震伤员出川的做法与体会

2008年5月12日,四川汶川地区发生8.0级特大地震.自5月20日至31日,中国民航完成了四川I省人民政府安排的大规模转运重伤员任务,国航、东航Jll航、深航、鹰联航5家航空公司共执行99班包机,分别将3495名重伤员从成都转运至广州、上海、南京、沈阳,南宁、合肥、珠海、青岛、深圳、烟台、柳州、福州、济南、无锡、大连、杭州、温州和太原等19个城市治疗.同机运送的还有家属陪护人员3168人,医护人员941人次.为支援四JII灾区的抗震救灾工作,国航、东航、Jll航、深航、鹰联航5家航空公司专门改装了9架飞机,用于灾区重伤员的运输.其中,从5月21日至5月30日止,深航共飞行22个班次,从成都空运地震伤员746名、家属(陪护)人员674名、护送医护人员211人次、机务人员12人次和记者3名,分别转送至深圳、南宁、南京、广州、合肥、济南、无锡和温州(表1).现将深航转运地震伤员出川的做法与体会介绍如下.     

一批35例烧伤伤员远程转运组织工作的成功经验

目的 总结组织35例烧伤伤员一次性远程转运的成功经验.方法 2006年5月黑龙江某地35例不同程度烧伤伤员,通过航空转运至北京.对转运的组织、指挥工作中的成功经验进行分析、总结.结果 专家医疗组到达后,经20h充分做好转运前准备工作,经4h航空转运,全部伤员均安全、顺利到达接收地.结论 转运前迅速处理危及生命的并发症,稳定伤情,防治继发损伤;制定转运计划,安排转运工具、人员,备齐相关器材、药品,协调出发地、接收地的陆空、空陆衔接,尽量缩短转运时间;任务布置明确,落实确实,责任到人是保证本批伤员长途转运成功实施的关键.     

Knee injury and Osteoarthritis Outcome Score (KOOS) - validation of a Swedish version

The Knee injury and Osteoarthritis Outcome Score (KOOS) is a self-administered instrument measuring outcome after knee injury at impairment, disability, and handicap level in five subscales. Reliability, validity, and responsiveness of a Swedish version was assessed in 142 patients who underwent arthroscopy because of injury to the menisci, anterior cruciate ligament, or cartilage of the knee. The clinimetric properties were found to be good and comparable to the American version of the KOOS. Comparison to the Short Form-36 and the Lysholm knee scoring scale revealed expected correlations and construct validity. Item by item, symptoms and functional limitations were compared between diagnostic groups. High responsiveness was found three months after arthroscopic partial meniscectomy for all subscales but Activities of Daily Living.     

Endovascular management of carotid-cavernous fistulas

Objective To investigate endovascular treatment of traumatic direct carotid-cavernous fistulas （CCF） and their complications such as pseudoaneurysms. Methods： Over a five-year period, 22 patients with traumatic direct CCFs were treated endovascularly in our institution. Thirteen patients were treated once with the result of CCF occluded, 8 twice and 1 three times. Treatment modalities included balloon occlusion of the CCF, sacrifice of the ipsilateral internal carotid artery with detachable balloon, coll embolization of the cavernous sinus and secondary pseudoaneurysms, and covered-stem management of the pseudoaneurysms. Results All the direct CCFs were successfully managed endovascularly. Four patients developed a pseudoaneurysm after the occlusion of the CCF with an incidence of pseudoaneurysm formation of 18.2% （4/22）. A total number of 8 patients experienced permanent occlusion of the ICA with a rate of ICA occlusion reaching 36.4% （8/22）. Followed up through telephone consultation from 6 months to 5 years, all did well with no recurrence of CCF symptoms and signs. Conclusion Traumatic direct CCFs can be successfully managed with endovascular means. The pseudoaneurysms secondary to the occlusion of the CCFs can be occluded with stent-assisted coiling and implantation of covered stents.     

The acutely limping child

Acute limping may be the result of multiple pathologies in children. The differential diagnosis varies based on the age of the child. Irrespective of age, the initial imaging work-up includes AP and frog leg radiographs of the pelvis and ultrasound; MRI may sometimes be helpful. In children less than 3 years, infections and trauma are most frequent. MRI is the imaging modality of choice when osteomyelitis is clinically suspected. Between the ages of 3 and 10 years, transient synovitis of the hip and Legg-Calvé-Perthes disease are main considerations but infection, inflammation and focal bony lesions are also considered. In children over 10 years, slipped capital femoral epiphysis also is considered.     

Do Balance Board Training Programs Reduce the Risk of Ankle Sprains in Athletes?

Introduction Ankle sprains are the most common musculo-skeletal injury that occurs in athletes,particularly in sports that require jumping and landing on one foot such as soccer,and basketball(1-4).These injuries often result in significant time loss from participation,long-term disability,and have a major impact on health care costs and resources(5-8).     

High Intensity Interval Training:New Insights

KEY POINTS ·High-intensity interval training(HIT)is characterized by repeated sessions of relatively brief，intermittent exercise.often performed with an“a11 out”effort or at an intensity close to that which elicits peak oxygen uptake(i.e.，≥90%of VO2 peak).     

Developmental validation of the PowerPlex(®) ESI 16 and PowerPlex(®) ESI 17 Systems: STR multiplexes for the new European standard

In response to the ENFSI and EDNAP groups’ call for new STR multiplexes for Europe, Promega^® developed a suite of four new DNA profiling kits. This paper describes the developmental validation study performed on the PowerPlex^® ESI 16 (European Standard Investigator 16) and the PowerPlex^® ESI 17 Systems. The PowerPlex^® ESI 16 System combines the 11 loci compatible with the UK National DNA Database^®, contained within the AmpFlSTR^® SGM Plus^® PCR Amplification Kit, with five additional loci: D2S441, D10S1248, D22S1045, D1S1656 and D12S391. The multiplex was designed to reduce the amplicon size of the loci found in the AmpFlSTR^® SGM Plus^® kit. This design facilitates increased robustness and amplification success for the loci used in the national DNA databases created in many countries, when analyzing degraded DNA samples. The PowerPlex^® ESI 17 System amplifies the same loci as the PowerPlex^® ESI 16 System, but with the addition of a primer pair for the SE33 locus. Tests were designed to address the developmental validation guidelines issued by the Scientific Working Group on DNA Analysis Methods (SWGDAM), and those of the DNA Advisory Board (DAB). Samples processed include DNA mixtures, PCR reactions spiked with inhibitors, a sensitivity series, and 306 United Kingdom donor samples to determine concordance with data generated with the AmpFlSTR^® SGM Plus^® kit. Allele frequencies from 242 white Caucasian samples collected in the United Kingdom are also presented. The PowerPlex^® ESI 16 and ESI 17 Systems are robust and sensitive tools, suitable for the analysis of forensic DNA samples. Full profiles were routinely observed with 62.5 pg of a fully heterozygous single source DNA template. This high level of sensitivity was found to impact on mixture analyses, where 54–86% of unique minor contributor alleles were routinely observed in a 1:19 mixture ratio. Improved sensitivity combined with the robustness afforded by smaller amplicons has substantially improved the quantity of data obtained from degraded samples, and the improved chemistry confers exceptional tolerance to high levels of laboratory prepared inhibitors.