Official Publication of the National Center for Trauma Research
Trauma Monthly
2251-7464
2251-7472
24
6
2019
11
01
Motorcycling adolescents as child neglect: A health emergency in Iran
1
2
EN
Hamed
Seddighi
0000-0002-6214-4830
Social Welfare Department, Student Research Committee, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
hseddighi@gmail.com
Ibrahim
Salmani
Department of Health in Disaster and Emergency, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
e.salmanin@gmail.com
Homeira
Sajjadi
Social Welfare Management Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran.
safaneh_s@yahoo.com
10.30491/tm.2019.104264
No Abstract.
Motorcycle,Child Neglect,Emergency,Iran
https://www.traumamon.com/article_104264.html
https://www.traumamon.com/article_104264_8dc770836c9ccf269410b09055855c34.pdf
Official Publication of the National Center for Trauma Research
Trauma Monthly
2251-7464
2251-7472
24
6
2019
11
01
Lessons Learned; Hospital Emergency Evacuation in Ilam, Iran
3
4
EN
Elham
Shafiei
Clinical Research Development Unit, Shahid Mostafa Khomeini hospital, Ilam University of Medical Sciences, Ilam, Iran
shafiei-e@medilam.ac.ir
Kosar
Yousefi
Clinical Research Development Unit, Shahid Mostafa Khomeini hospital, Ilam University of Medical Sciences, Ilam, Iran
kosaryousefi20@gmail.com
Ali
Sahebi
Clinical Research Development Unit, Shahid Mostafa Khomeini hospital, Ilam University of Medical Sciences, Ilam, Iran
ali.sahebi.phd@gmail.com
10.30491/tm.2019.104265
No Abstract.
Hospital,Fire,Evacuation,Emergency,Iran
https://www.traumamon.com/article_104265.html
https://www.traumamon.com/article_104265_ef4ac64bf2c37c25395d07a41a4b392f.pdf
Official Publication of the National Center for Trauma Research
Trauma Monthly
2251-7464
2251-7472
24
6
2019
11
01
Pain Management in a Case of Severe Electrocution Injury and Resultant Quadruple Amputation
5
8
EN
Shigong
Guo
0000-0003-3227-5503
Oxford Centre for Enablement, Nuffield Orthopaedic Centre, Oxford, UK
shigong@doctors.org.uk
Munim
Moiz
Oxford Centre for Enablement, Nuffield Orthopaedic Centre, Oxford, UK
munim.moiz@nhs.net
David
Henderson Slater
Oxford Centre for Enablement, Nuffield Orthopaedic Centre, Oxford, UK
david.henderson-slater@ouh.nhs.uk
10.30491/tm.2019.104266
<strong>Background:</strong> A 33-year-old patient presented to the Oxford Centre for Enablement for rehabilitation following severe electrical burn injuries requiring bilateral below elbow amputations, right below knee amputation and a left midfoot amputation.<br /> <strong>Specific issues:</strong> Chronic pain at the amputation sites as well as phantom limb initially proved challenging to manage medically however were eventually controlled with careful consideration of analgesic regimens. Pain was measured using the Numeric Pain Rating Scale. A likely attributing cause for the pain was peripheral neuropathy.<br /> <strong>Management:</strong> A combination of neuropathic agents and opioids helped to control pain. These analgesic included amitriptyline, gabapentin, pregabalin, tramadol and morphine in various regimens. Paracetamol and ibuprofen were also used.<br /> <strong>Implications:</strong> Rigorous search strategies were created which interrogated the MEDLINE, EMBASE, CINAHL, PsycINFO databases for studies reporting limb pain management in electrocution injuries. A total of 841 studies were found with 583 screened after removal of duplicates. No RCTs could be identified investigating limb pain management in electrical injuries. Case reports and case series have described various treatment options including nerve blocks, neuropathic analgesia, physiotherapy, botulinum toxin, fracture fixation and even the use of Virtual Reality headsets. We discuss this available evidence. No consensus exists as to the optimum management approach of pain in such patients. From our experience with this patient we suggest that a multi- modal analgesic approach is likely to be needed in such patients and should therefore be considered. Level 1 research into pain management in electrocution injuries is required.
Pain,analgesia,Amputation
https://www.traumamon.com/article_104266.html
https://www.traumamon.com/article_104266_309587e9d6cc8b9574846f24cf47e7f2.pdf
Official Publication of the National Center for Trauma Research
Trauma Monthly
2251-7464
2251-7472
24
6
2019
11
01
Cubital Tunnel Syndrome: An Entrapment Neuropathy Which May Arise from Vascular Malformation
9
12
EN
Mohammadreza
Emamhadi
Brachial Plexus and Peripheral Nerve Injury Center, Guilan University of Medical Sciences, Rasht, Iran
neurosurgery96@yahoo.com
Shahrokh
Yousefzadeh-Chabok
Guilan Road Trauma Research Center, Poursina Hospital, School of Medicine, Guilan University of Medical Sciences, Rasht, Iran
neurosurgery97@yahoo.com
Alireza
Mehrvarz
Department of Pathology, Golsar Hospital, Rasht, Iran
alireza_mehrvarz@yahoo.com
Sasan
Andalib
0000-0003-0904-0925
Neuroscience Research Center, Department of Neurosurgery, Poursina Hospital, Guilan University of Medical Sciences, Rasht, Iran
andalib@gums.ac.ir
10.30491/tm.2019.104267
Vascular malformation as a cause of cubital tunnel syndrome has not yet been reported. Cubital tunnel syndrome (CuTS), the most common entrapment neuropathy of the ulnar nerve at elbow level, is also the second most common entrapment neuropathy in the upper extremity, regardless of carpal tunnel syndrome. Here, we report CuTS due to vascular malformation in a 63-year-old woman. The ulnar nerve at the distal part of tunnel was markedly compressed. There was no connection between the lesion and the ulnar nerve. The diagnosis was made by using histopathology, and thereafter the lesion was fully resected. Pain in her ring and little fingers disappeared one month after resection of the malformation.
Cubital Tunnel Syndrome,Ulnar Nerve,vascular malformation
https://www.traumamon.com/article_104267.html
https://www.traumamon.com/article_104267_a508fc43f0f55fca33755fe17cdfd1d8.pdf
Official Publication of the National Center for Trauma Research
Trauma Monthly
2251-7464
2251-7472
24
6
2019
11
01
Post-traumatic Intradiploic Leptomeningeal Cyst in Adult: A Case Report and Mini-Review of Literature
13
17
EN
Hossein
Ghalaenovi
Assistant professor of Neurosurgery, Iran University of Medical Sciences, Tehran, Iran
hghalaenovi@gmail.com
Nourallah
Eshraghi
MD, Department of Neurosurgery, Qom University of Medical Sciences, Qom, Iran
neshraghi@yahoo.com
Arash
Fattahi
0000-0002-1874-6527
Assistant professor of Neurosurgery, Iran University of Medical Sciences, Tehran, Iran
fatahi.a@iums.ac.ir
Mohsen
Benam
Resident of Neurosurgery, Iran University of Medical Sciences, Tehran, Iran
mohsen.benam@yahoo.com
10.30491/tm.2019.104268
Post-traumatic intradiploic leptomeningeal cyst (IDPTLC) manifests as an internal table disruption of the skull concomitant with a dural defect and intact external table after a previous skull fracture. It is very rare, especially in adults. We present a 30-year-old male with right occipital IDPTLC treated with duraplasty with allograft and cranioplasty with autograft ribs. Seventeen cases of IDPTLC in adulthood since 1978 were found in the literature; to the best of our knowledge, ours is the eighteenth case. Considering the possible etiology at the time of the first trauma, torn dura matter was not healed and retracted overtime. Also due to intracranial CSF pulsation, the disrupted inner table was widened and continuous force on the diploe caused a thinned swollen external table. We recommended performing overlying cranioplasty with autologous bone (rib or normal external table) with the edge of the duraplasty and the cranioplasty placed at different sites.
Intradiploic,Leptomeningeal cyst,adult,Duraplasty,Cranioplasty
https://www.traumamon.com/article_104268.html
https://www.traumamon.com/article_104268_92013d92914fd07bf5fdc1ae82c4c366.pdf
Official Publication of the National Center for Trauma Research
Trauma Monthly
2251-7464
2251-7472
24
6
2019
11
01
Psychometric Evaluation of the Safe Road-crossing Behaviors Scale: A Study among Iranian University Students
18
23
EN
Mehdi
Mirzaie Alavijeh
Social Development & Health Promotion Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran
mehdimirzaiea@yahoo.com
Behrooz
Hamzeh
Research Center for Environmental Determinants of Health Research Institute for Health, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran
behrooz_hamzeh@yahoo.com
Raziyeh
Piroozeh
Research Center for Environmental Determinants of Health Research Institute for Health, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran
r_pirouzeh@yahoo.com
Farzad
Jalilian
Social Development & Health Promotion Research Center, Health Institute, Kermanshah University of Medical Sciences, Kermanshah, Iran
f_jalilian@yahoo.com
10.30491/tm.2019.104269
<strong>Background:</strong> Millions of pedestrians are seriously injured, disabled, or lose their lives in road traffic accidents annually. The availability of a standard scale specifically for predicting road-crossing behaviors would be beneficial in research applications and in tailoring interventions.<br /> <strong>Objectives:</strong> The purpose of the current research was to psychometrically evaluate the safe road-crossing behaviors scale based on the Prototype Willingness Model (PWM) among college students.<br /> <strong>Methods:</strong> In this cross-sectional study, a purposive and multi-stage sampling method was used to select 315 students from Kermanshah University of Medical Sciences (KUMS) during 2018. The studied social-cognitive determinants from the PWM included attitude, subjective norms, prototype, intention, and willingness. Participants completed a written self-report questionnaire. Data was analyzed using SPSS (ver. 20.0). Exploratory factor analysis (EFA) with VARIMAX rotation was applied to determine the number and composition of constructs.<br /> <strong>Results:</strong> Five factors were extracted. The calculated Kaiser–Meyer–Olkin (KMO) value was 0.806. Overall, the PWM constructs explained 64.39% of the variance in the hypothesized model. Cronbach’s alpha for the measured constructs of attitude, subjective norms, prototype, intention, and willingness were 0.87, 0.81, 0.68, 0.71, and 0.61, respectively.<br /> <strong>Conclusion:</strong> The present study provides some support from among students at an Iranian university for the internal validity and reliability of the safe road-crossing behaviors scale. This scale could be used in planning interventions for the promotion of safe road-crossing behaviors among pedestrians.
Attitude,pedestrian,Students
https://www.traumamon.com/article_104269.html
https://www.traumamon.com/article_104269_1badd03ffa7533ff5ff90c3a8f544bfa.pdf
Official Publication of the National Center for Trauma Research
Trauma Monthly
2251-7464
2251-7472
24
6
2019
11
01
Job Stress and Job Burnout Based on Personality Traits among Emergency Medical Technicians
24
31
EN
Mohammadkarim
Bahadori
0000-0002-7157-9908
Health Management Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
bahadori_57@yahoo.com
Ramin
Ravangard
Health Human Resources Research Center, School of Management & Information Sciences, Shiraz University of Medical Sciences, Shiraz, Iran
ra_ravangard@yahoo.com
Mehdi
Raadabadi
0000-0001-8380-9064
Students Scientific Research Center, Tehran University of Medical Sciences, Tehran, Iran
mehdiraadabadi@gmail.com
Sayyed Morteza
Hosseini-Shokouh
Health Management Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
hosainysh.morteza@gmail.com
Mohammad Javad
Behzadnia
0000-0002-3062-0839
Trauma Research Center, Baqiyatallah University of Medical Sciences, Tehran, Iran
behzadnia@bmsu.ac.ir
10.30491/tm.2019.104270
<strong>Background:</strong> Emergency medical services employees, the first people providing pre-hospital services for critically ill or injured patients, are constantly exposed to many stressful factors that can lead to job burnout in the long run. The level of job burnout varies according to employees' personality traits.<br /> <strong>Objectives:</strong> The present study aimed to investigate job stress and job burnout based on the personality traits of emergency medical service technicians of the Tehran Disaster and Emergency Medical Management Center.<br /> <strong>Methods:</strong> This cross-sectional, descriptive study was conducted in 2018 on all operational staff of the Tehran Disaster and Emergency Medical Management Center (N = 1551). A sample of 308 personnel was selected using the stratified random sampling method proportional to size and simple random sampling method. The required data was collected using a four-part questionnaire which measured demographic characteristics and included the Health and Safety Executive Job Stress Questionnaire, the Maslach Burnout Questionnaire, and the revised Costa and McCrae NEO Five-Factor Inventory (NEO-FFI). The collected data was analyzed using SPSS 22.0.<br /> <strong>Results:</strong> Reducing exhaustion, job stress, and neuroticism and strengthening conscientiousness and agreeableness among emergency medical services employees are very important issues. Reducing working hours, examining factors of dissatisfaction and stressors in the workplace, and improving welfare facilities can decrease job burnout among employees. Moreover, the heads and managers of pre-hospital emergency services should plan to provide continuous training in stress management skills at emergency bases in order to reduce job stress among employees.
Job Stress,Job Burnout,personality traits,Emergency Medical Service Technicians
https://www.traumamon.com/article_104270.html
https://www.traumamon.com/article_104270_c8c783e17a2cccebdf53599f378f8c15.pdf
Official Publication of the National Center for Trauma Research
Trauma Monthly
2251-7464
2251-7472
24
6
2019
11
01
Correlation between Post-Operation Center-Trochanteric Distance (CTD) and Tip Apex Distance (TAD) changes in Intertrochanteric Fractures Treated by Dynamic Hip Screw
32
37
EN
Adel
Ebrahimpour
Taleghani Hospital Research Development Committee, Department of Orthopedics, Shahid Beheshti University of Medical Science, Tehran, Iran
adel.ebrahimpour@gmail.com
Amin
Karimi
Taleghani Hospital Research Development Committee, Department of Orthopedics, Shahid Beheshti University of Medical Science, Tehran, Iran
amin.karimi@gmail.com
Mehrdad
Sadighi
0000-0002-4333-3126
Taleghani Hospital Research Development Committee, Department of Orthopedics, Shahid Beheshti University of Medical Science, Tehran, Iran
mehrdad_1330@yahoo.com
Mohammadreza
Sajjadi
Taleghani Hospital Research Development Committee, Department of Orthopedics, Shahid Beheshti University of Medical Science, Tehran, Iran
arashsajadi55@gmail.com
Mohammad Ali
Okhovatpour
Taleghani Hospital Research Development Committee, Department of Orthopedics, Shahid Beheshti University of Medical Science, Tehran, Iran
okhovatpour@gmail.com
Amir
Irani
Taleghani Hospital Research Development Committee, Department of Orthopedics, Shahid Beheshti University of Medical Science, Tehran, Iran
amirsabagh@gmail.com
Reza
Zandi
0000-0002-0095-6745
Taleghani Hospital Research Development Committee, Department of Orthopedics, Shahid Beheshti University of Medical Science, Tehran, Iran
reza.zandi@sbmu.ac.ir
10.30491/tm.2019.104271
<strong>Background:</strong> One of the most common injuries and an important cause of mortality and morbidity in the elderly is intertrochanteric fracture. The dynamic hip screw (DHS) is one of the best procedures for fixation of these fractures; however, using DHS is accompanied by failure risk.<br /> <strong>Objectives:</strong> Therefore, with the purpose of reducing failure risk, this study aimed to evaluate the correlation between post-operation CTD and TAD, NSA changes in patients with intertrochanteric fractures.<br /> <strong>Methods:</strong> In this case series study, patients with intertrochanteric fracture treated with DHS between September 2015 and January 2016 were included. The exclusion criteria were pathologic fracture, multiple fractures, greater trochanter fracture, soft-tissue issues, A3OTA type, patients who missed the follow-up period, history of previous hip fracture or dislocation, and TAD>25mm. Ultimately, 24 patients were included in this study. Two surgeons reviewed the anteroposterior (AP) and lateral (Lat) radiographs. The measures of TAD, CTD, and NSA after six-months of follow-up were assessed. In addition, variables such as demographic data, fracture side, duration of operation, blood loss volume, weight bearing day, and Harris hip score (HHS) were analyzed. The relationship between post-operation CTD and TAD, NSA changes after six months of follow-up was analyzed. All data was analyzed using SPSS 20 software (SPSS, IBM Inc., USA). The significance level for all tests was considered to be 0.05.<br /> <strong>Results:</strong> This study evaluated 24 patients. The mean age of the patients was 69.9 ± 12.00 years, and 15 (62.5%) of them were male. No significant correlations were seen in the collected data, especially CTD and NSA changes after six-months of follow-up (<em>p</em>>0.05). Maximum and minimum TAD values after surgery were 25.6 and 11.0, respectively. Maximum and minimum TAD values at the six-month follow-up were 34.9 and 11.0, respectively. Mean TAD was constant at 19.8±5.3 in postoperative and follow-up measurements. This shows that patients experienced increases in TAD and others experienced decreases in TAD within the six months of follow-up.<br /> <strong>Conclusion:</strong> The results showed that despite the abnormal CTD after surgery, the risk of TAD changes increased. Generally, TAD is a well-established radiographic measurement for predicting the risk of cut-out. CTD and TAD can be used together or separately to predict the risk of DHS screw cut-out in patients with intertrochanteric fractures in future studies.
Intertrochanteric fracture,Center-Trochanteric Distance,Tip Apex Distance,Dynamic Hip Screw
https://www.traumamon.com/article_104271.html
https://www.traumamon.com/article_104271_690c8bf90bb2ecdffd115a81b24e5e60.pdf