injury severity score: a prognosis index in multiple injuries patients. 400 cases report

For the early, objective and quantitative evaluation of prognostic in multiple injuries patients, the authors would like to introduce in their current practice the injury severity score [ISS]. This clinical score is based on the abbreviated injury scale [AIS] witch divide the human body into four parts: head, face, trunk and limbs. Mean ISS equal 35.8 while mortality rate reach 52%. The matter of fact is that mortality is proportional to ISS rise: when the ISS is between 30 and 40, mortality reach 50%; when ISS is lower, prognostic improve, but when it exceed 50, prognosis is awfull. For a best evaluation of prognossis of polytraumatised, the authors propose to group head and face injuries in a same column of cotation and to divide trunkular injuries into chest and abdominal injuries

effect of dopamine on the renal function of shocked patients. About two observations

Two patients, representing a shock and an oligo-anuric renal insufficiency have been treated with 2.5 to 7.5 mcg/kg of dopamine. The result was a resuming of diuresis, a normalization of the hemodynamic situation with a normal heart beat rate and without any anomaly of the auriculo-ventricular conduction. This study emphasizes the effect of dopamine on the renal function during hemodynamic failures complicated with oligo-anuria

Hypomagnesemia. A danger present everyday. About 2 observations

Two cases of major hypomagnesemia were diagnosed following prolonged parenteral nutrition. The parenteral nutrients had not included this trace element because it is not locally available. The authors stress its importance and the necessity to include it in the Moroccoan therapeutic arsenal

[Enteric nutrition in children with denutrition]

Since it was first described by E. Levy, enteric nutritional assistance has been used successfully in surgical and medical denutritions. The authors have applied this method on 34 children whose ages range from 8 months to 16 years, suffering from denutrition among which 10 protein caloric malnutritions. This first Moroccan experience is based on the use of a cheap mixture of a hyperprotidic flour basis of local production. Enteric reanimation in cases of protein caloric malnutritions improves the prognosis, contributes to the recovery and improves the psychomotor development as well. As for surgical denutritions, enteric reanimation with a low and continuous flow has unabled better defense against infection, quick reconstitution of the losses of substance and a better cicatrization of the walls