» Emergency type

Spinal immobilisation for trauma patients

Read the full article
There is no evidence from randomised controlled trials (RCTs) on the effectiveness of spinal mobilisations on neurological injury, spinal stability, mortality and adverse effects in trauma patients.
Spinal immobilisation encompasses the use of various devices and strategies aimed at stabilising the spinal …

Full Story »

Spinal fixation surgery for acute traumatic spinal cord injury

Read the full article
There is insufficient evidence to assess the benefits and harms associated with spinal fixation surgery in patients with traumatic spinal cord injuries.  Some evidence suggests spinal fixation surgery might be helpful in promoting recovery and mobilisation following traumatic spinal cord injury.
Spinal fixation …

Full Story »

Psychosocial interventions for the prevention of disability following traumatic physical injury

Read the full article
There is no convincing evidence from RCTs for the effectiveness of psychosocial interventions for the prevention of disability following traumatic physical injury. More RCTs with large sample sizes are needed to confirm this conclusion.
The impact of traumatic physical injury is associated …

Full Story »

Helicopter emergency medical services for adults with major trauma

Read the full article
An accurate composite estimate of the benefit of helicopter emergency medical services (HEMS) could not be determined using the evidence identified in this review. The question of which elements of HEMS are most beneficial for patients has not been fully answered, and …

Full Story »

Damage control surgery for abdominal trauma

Read the full article
Evidence that supports the efficacy of damage control surgery (DCS) with respect to traditional laparotomy in patients with major abdominal trauma is limited and its benefit cannot be established. Patients with major trauma are usually unstable and are at risk of complications …

Full Story »

Surgical interventions for diaphyseal fractures of the radius and ulna in children

Read the full article
There is insufficient evidence from RCTs on the type of surgery most effective in treating fractures of the radius and ulna in children. Also, there is lack of evidence on when surgery is a prerequisite.
Diaphyseal fractures of the radius and ulna …

Full Story »

Replacement arthroplasty versus internal fixation for extracapsular hip fractures in adults

Read the full article
There is still a lack of evidence on the effectiveness of replacement arthroplasty compared to internal fixation for extracapsular hip fractures in adults.
Internal fixation of extracapsular fractures, using extramedullary or intramedullary devices, has been developed over the last 50 years. Internal …

Full Story »

Osteotomy, compression and other modifications of surgical techniques for internal fixation of extracapsular hip fractures

Read the full article
There is insufficient evidence on the effectiveness of osteotomy for internal fixation of trochanteric hip fractures. Additionally, there was inadequate evidence on the use of compression of the fracture, reaming of the femur, cement augmentation and hydroxyapatite coating of the lag screw.
Many …

Full Story »

Electric fans for reducing adverse health impacts in heatwaves

Read the full article
Heatwaves are hot weather events, which breach regional or national thresholds, that last for several days. They are likely to occur with increasing frequency in some parts of the world. The potential consequences were illustrated in Europe in August 2003 when there …

Full Story »

Dressings for superficial and partial thickness burns

Read the full article
Despite some potentially positive findings, the evidence, which largely derives from trials with methodological shortcomings, is of limited usefulness in aiding clinicians in choosing suitable treatments.
An acute burn wound is a complex and evolving injury. Extensive burns produce, in addition to local …

Full Story »