Motor Vehicle Accident Fatalities for the Week Ending, February 16, 2007

Record of the Fatalities for Motor Vehicle Accidents in Iowa per week.

Motor Vehicle Accident Fatalities for the Week Ending, March 2, 2007

Record of the Fatalities for Motor Vehicle Accidents in Iowa per week.

Motor Vehicle Accident Fatalities for the Week Ending, February 23, 2007

Record of the Fatalities for Motor Vehicle Accidents in Iowa per week.

Trauma in the elderly caused by traffic accident: integrative review

OBJECTIVE To describe the scientific knowledge produced about trauma in the elderly caused by traffic accidents in healthcare area studies. METHODS Integrative review of studies from 2003 to 2013 searched in LILACS, SciELO, PubMed and CINHAL databases. We used combination of the descriptors injuries, wounds and accidents, in English, Portuguese and Spanish languages. RESULTS 32 studies were selected. In the thematic analysis, three categories emerged: epidemiological data from traffic accidents involving elderly; traffic accidents with elderly pedestrians; and trauma care in the elderly. We observed increased incidence of trauma in most countries and pedestrians represented a large part of the victims. Among these, the elderly are the most vulnerable group. CONCLUSION Studies showed that trauma care in the elderly need protocols and professionals with training in gerontology specialized in trauma care services.

Clinical treatment adherence of health care workers and students exposed to potentially infectious biological material

OBJECTIVE To assess adherence to clinical appointments by health care workers (HCW) and students who suffered accidents with potentially infectious biological material. METHOD A retrospective cross-sectional study that assessed clinical records of accidents involving biological material between 2005 and 2010 in a specialized unit. RESULTS A total of 461 individuals exposed to biological material were treated, of which 389 (84.4%) were HCWs and 72 (15.6%) students. Of the 461 exposed individuals, 307 (66.6%) attended a follow-up appointment. Individuals who had suffered an accident with a known source patient were 29 times more likely to show up to their scheduled follow-up appointments (OR: 29.98; CI95%: 16.09-55.83). CONCLUSION The predictor in both univariate and multivariate analyses for adherence to clinical follow-up appointment was having a known source patient with nonreactive serology for the human immunodeficiency virus and/or hepatitis B and C.

Accidental intoxication of the infant-juvenile population in households: profiles of emergency care

OBJECTIVE Analyzing profiles of intoxication and accidental poisoning of infant-juvenile population (0-24 years) in the household, treated at a reference facility for Emergency and Primary Care, during the year 2013. METHOD A descriptive, cross-sectional study. Data were analyzed using Epi-Info, by way of simple and bivariate analyzes. The project was approved by the Research Ethics Committee (protocol 405.578). RESULTS There were 45 intoxications, with a prevalence of males (60.0%), aged 1-4 years (71.1%). Among children under one, there was a higher frequency of pesticide poisoning (66.6%), between the ages of 1-4 by cleaning products (34.4%), and between 5-9 years of age by pharmacological substances (66.6%). The primary assistance was provided only at health institutions, with hospital admissions in 24.4% of the cases. CONCLUSION The importance of prevention through legislation is evident, in order to ensure greater safety in packaging of various products, and community awareness to eliminate risks in the household environment.

Motor Vehicle Accident Fatalities for the Week Ending, March 9, 2007

Record of the Fatalities for Motor Vehicle Accidents in Iowa per week.

Motor Vehicle Accident Fatalities for the Week Ending, March 16, 2007

Record of the Fatalities for Motor Vehicle Accidents in Iowa per week.

Motor Vehicle Accident Fatalities for the Week Ending, March 30, 2007

Record of the Fatalities for Motor Vehicle Accidents in Iowa per week.

Motor Vehicle Accident Fatalities for the Week Ending, March 23, 2007

Record of the Fatalities for Motor Vehicle Accidents in Iowa per week.

Embolie gazeuse dans un contexte suicidaire

L'embolie gazeuse représente une pathologie rare, potentiellement létale, rencontrée le plus souvent comme complication iatrogène d'un geste invasif chirurgical ou médical (insertion de voie veineuse centrale), mais également dans d'autres situations (accidents de plongée, traumatismes, ventilation non invasive) ou même intentionnelle suicidaire. Nous rapportons le cas d'une patiente de 31 ans connue pour des troubles de la personnalité, avec de multiples antécédents de tentamens médicamenteux, par ingestion de débris de verre ou de solution désinfectante pour les mains (Sterilium®), ayant nécessité plus d'une centaine d'hospitalisations dans le milieu psychiatrique. Cette patiente est admise aux urgences pour un nouvel abus médicamenteux par 20 comprimés de Détensor® (chlorhydrate de diphénhydramine et 8-chlor-théophylline), médicament sédatif et hypnotique en vente libre. Environ 16 heures après l'admission, la patiente s'injecte par le cathéter veineux du pli du coude gauche une quantité inconnue d'air à l'aide d'une seringue de 10 ml dérobée dans le service. L'examen clinique révèle une patiente normotendue, normocarde, avec une saturation de 95% à l'air ambiant et un status sans particularité. La gazométrie montre une insuffisance respiratoire partielle avec légère hypoxémie (pression artérielle d'oxygène (PaO2) à 73,1 mm Hg; borne inférieure prédite pour l'âge à 80,2 mm Hg). L'électrocardiogramme est sans particularité et la radiographie du thorax ne montre pas d'anomalie décelable, en l'occurrence pas d'air dans les troncs pulmonaires. La patiente est mise immédiatement sous oxygénothérapie à haute concentration de 100% et gardée en position couchée et monitorée. L'adhérence au traitement est limitée, de seulement 20 minutes. Nous n'avons pas recours à la manoeuvre de Durant (décubitus latéral gauche). La voie veineuse périphérique est rapidement enlevée. L'évolution est favorable, la gazométrie se normalisant après 4 heures (PaO2 à 94 mm Hg à l'air ambiant). La patiente est transférée en milieu psychiatrique pour suite de prise en charge de sa pathologie psychiatrique. Conclusions: Ce cas clinique illustre une pathologie rare, un tentamen par embolie gazeuse dans un contexte hospitalier et nous a déterminé à revoir la littérature sur l'épidémiologie, la présentation clinique, l'évolution, les tests diagnostiques, les complications, le traitement et le pronostic de l'embolie gazeuse qu'elle soit iatrogène, accidentelle ou auto-infligée.

Motor Vehicle Accident Fatalities for the Week Ending, April 13, 2007

Record of the Fatalities for Motor Vehicle Accidents in Iowa per week.

Motor Vehicle Accident Fatalities for the Week Ending, April 27, 2007

Record of the Fatalities for Motor Vehicle Accidents in Iowa per week.