Penetrating and blunt trauma to the neck: clinical presentation, assessment and emergency management.
Authors: Perdonck P, de Schoutheets JC, Monsieurs KG, Van Laer C, Vander Poorten V, Vanderveken O
Abstract
Penetrating and blunt trauma to the neck: clinical presentation, assessment ana emergency management. In Belgium, and even in Western Europe, penetrating and blunt injury to the neck is relatively uncommon in both the civilian and military populations. Pre-hospital and emergency assessment and management will therefore always prove challenging, as individual exposure to this specific type of injury remains low. Historically, the neck has been divided into three anatomical zones with specific landmarks...
Source: B-ENT - March 24, 2018 Category: ENT & OMF Tags: B-ENT Source Type: research
Tracheal damage.
We present a review of the incidence, mechanisms of injury, clinical presentations, diagnosis, initial airway management, anaesthetic considerations and definitive treatment in the case of tracheal damage from blunt/penetrating trauma and inhalation injuries.
PMID: 29558579 [PubMed - in process] (Source: B-ENT)
Source: B-ENT - March 24, 2018 Category: ENT & OMF Tags: B-ENT Source Type: research
Complex intubation, cricothyrotomy and tracheotomy.
Authors: Leach R, Hachimi Idrissi S, Meulemans J, Monsieurs K, Vanderveken O, Vander Poorten V
Abstract
Complex intubation, cricothyrotomy and tracheotomy. Successful management of a difficult airway begins with recognizing the potential problem. When the patient cannot breathe spontaneously, oxygenation and ventilation should start first with bag-valve ventilation, with or without an airway adjunct such as a Mayo cannula, followed by an orotrache4l intubation attempt, performed by an experienced emergency doctor. If orotracheal intubation fails, a quick decision must be made regarding surgical options. In...
Source: B-ENT - March 24, 2018 Category: ENT & OMF Tags: B-ENT Source Type: research
Long-term complications after facial, pharyngeal, laryngeal and tracheal traumas.
Authors: Lawson G, Yde L, Miller B, Francois PM, Hachimi IS, Watelet JB, Van der Vorst S
Abstract
Long-term complications after facial, pharyngeal, laryngeal and tracheal traumas.
OBJECTIVE: To review and summarize the existing evidence for long-term anatomical and functional complications after pharyngeal, laryngeal and tracheal traumas.
DATA SOURCES: The MEDLINE database and the bibliographies of relevant studies were selected, analysed and appraised prior to December 2015.
METHODS: With regard to the search strategy, the selected items were: ((long-term complications) AND pharyng...
Source: B-ENT - March 24, 2018 Category: ENT & OMF Tags: B-ENT Source Type: research
Disaster medicine.
Authors: Sabbe MB
Abstract
Disaster medicine. Once we define the characteristics of both a disaster in general and specific disaster categories, the unique aspects of disaster or emergency management and disaster medicine become much easier to understand. The cornerstone of disaster medicine has an ethical aspect, namely how, as medical professionals, we must move from our daily practice in which we employ almost unlimited resources as required by each patient to a collective ethics situation in which a limited set of resources must be used to maximize the number of victims treated, so as to reach an optim...
Source: B-ENT - March 24, 2018 Category: ENT & OMF Tags: B-ENT Source Type: research
Coordination of actions in disaster situations.
Authors: Sabbe MB
Abstract
Coordination of actions in disaster situations. The essential concept of disaster medicine is to create appropriate proportions of resources to needs. The different operational steps will be described in this chapter. The aim is to minimize human fatalities while reducing the risk of long- and short-term physical and psychological complications.
PMID: 29558583 [PubMed - in process] (Source: B-ENT)
Source: B-ENT - March 24, 2018 Category: ENT & OMF Tags: B-ENT Source Type: research
Principles of hospital disaster management: an integrated and multidisciplinary approach.
Authors: Hendrickx C, Hoker SD, Michiels G, Sabbe MB
Abstract
Principles of hospital disaster management: an integrated and multidisciplinary approach. Hospitals play an important role during a disaster response, and are also at risk for internal incidents. We propose an integrated and multidisciplinary approach towards hospital disaster management and preparedness. In addition to response strategies, much attention is given to risk assessment and preparedness in the pre-incident phase and to business continuity planning (BCP) in the post-incident phase. It is essential to train key players and all personn...
Source: B-ENT - March 24, 2018 Category: ENT & OMF Tags: B-ENT Source Type: research
Civilian law: from occupational medicine to occupational event.
Authors: Mpotos N, Watelet JB
Abstract
Civilian law:from occupational medicine to occupational event. Despite the growing importance of objective measurements, the health effects of many occupational risk factors are currently not fully quantified. Occupational noise, as a widespread risk factor, is illustrative in this regard; there is a strong body of evidence linking it to an important health outcome (hearing loss), but it is less decisively associated with others (such as psychological disorders). It is also distinct from environmental noise, and therefore falls under the responsibility of employers as...
Source: B-ENT - March 24, 2018 Category: ENT & OMF Tags: B-ENT Source Type: research
Hearing prevention experience.
Conclusions: 1) In line with European and Belgian legislation in this context, tremendous efforts have been made by the Belgian military for information about and sensitization regarding the issue of NIHL. 2) The high variety of positions, functions and environmental factors in a military setting makes the inventory of noise exposures complex and extensive. 3) Efficacious ear protection systems have been rapidly implemented in relation to the most exposed work conditions and, finally, extended to all potential dangerous environments. 4) The use of OAEs was not only a pivotal element in the screening of military staff, but ...
Source: B-ENT - March 24, 2018 Category: ENT & OMF Tags: B-ENT Source Type: research
Fundamentals in expertise medicine.
Authors: Boniver R
Abstract
Fundamentals in expertise medicine. The author describes how a medical expert appointed to assess damages to physical integrity must proceed. The individual is appointed an expert either directly by the Court of Justice, or appointed sapiteur by a colleague in order to give his opinion on a subject in which he is specialized.
PMID: 29558587 [PubMed - in process] (Source: B-ENT)
Source: B-ENT - March 24, 2018 Category: ENT & OMF Tags: B-ENT Source Type: research
Draf III frontal sinusotomy: influence of patient characteristics on outcome.
CONCLUSION: The results of Draf III frontal sinusotomy were positive in the long term. Previous frontal sinus surgery, the presence of allergy or aspirin-exacerbated respiratory disease (AERD), asthma, smoking, and variants in frontal recess anatomy did not affect outcome. Osteoneogenesis and chronic mucosal inflammation could be controlled by creating a large drainage pathway.
PMID: 29553611 [PubMed] (Source: B-ENT)
Source: B-ENT - March 21, 2018 Category: ENT & OMF Tags: B-ENT Source Type: research
Is blood type really a risk factor for epistaxis?.
CONCLUSIONS: Our study indicates that in the Turkish population, the 0 blood type is over-represented in patients with idiopathic epistaxis versus the general population. We conclude that blood type 0 is a risk factor for idiopathic epistaxis in the Turkish population.
PMID: 29553612 [PubMed] (Source: B-ENT)
Source: B-ENT - March 21, 2018 Category: ENT & OMF Tags: B-ENT Source Type: research
In the era of endoscopic sinus surgery, is there still a place for the Caldwell-Luc procedure?.
In this report, we present evidence in favor of the Caldwell-Luc approach to the maxillary antrum in selected cases where endoscopic techniques are inadequate to allow full resolution of the problem. Although this procedure is not as popular as it was in the past, its role in the management of benign paranasal sinus diseases is still important. We focus in particular on use of the Caldwell-Luc procedure for conditions such as fungal mycetoma, foreign body removal, empyema, and benign nasal tumours in areas that are not fully accessible by endoscopy alone. Advantages of this technique are its safety and simplicity; no speci...
Source: B-ENT - March 21, 2018 Category: ENT & OMF Tags: B-ENT Source Type: research
Topographic relationship; sinusitis and paranasal sinus computed tomography.
CONCLUSIONS: No relationship exists between symptoms and paranasal sinus CT findings in patients with chronic rhinosinusitis.
PMID: 29553614 [PubMed] (Source: B-ENT)
Source: B-ENT - March 21, 2018 Category: ENT & OMF Tags: B-ENT Source Type: research
Diagnosis of upper aerodigestive tract tumours using autofluorescence endoscopy in south east asian patients.
CONCLUSIONS: Autofluorescence endoscopy was effective in detecting upper aerodigestive tract tumours, with excellent discrimination between benign and malignant phenotypes; this methodology is an ideal adjunct to white light endoscopy.
PMID: 29553615 [PubMed] (Source: B-ENT)
Source: B-ENT - March 21, 2018 Category: ENT & OMF Tags: B-ENT Source Type: research
