Assuntos
Síndrome de Ehlers-Danlos/terapia , Músculos Intercostais/irrigação sanguínea , Traumatismo Múltiplo/terapia , Adulto , Aneurisma/diagnóstico por imagem , Aneurisma/terapia , Angiografia Digital , Artérias/lesões , Colágeno/genética , Colágeno Tipo I , Cadeia alfa 1 do Colágeno Tipo I , Diagnóstico Diferencial , Síndrome de Ehlers-Danlos/diagnóstico por imagem , Síndrome de Ehlers-Danlos/genética , Embolização Terapêutica , Humanos , Masculino , Traumatismo Múltiplo/diagnóstico por imagem , Precursores de Proteínas/genéticaRESUMO
Alcohol-impaired driving is a major issue confronting today's society. New legislation is emerging to help curtail this ongoing problem. To evaluate the legislative effects in terms of outcome pertaining to injured drivers, we analyzed the records of 116 consecutive motor vehicle drivers who were admitted to our trauma center over a 16-month period. Medical reports, police reports, and drivers' abstracts were reviewed. Of the 116 drives, 61 (53%) had blood alcohol concentrations that exceeded the legal limit (blood alcohol level greater than or equal to 100 mg/dL) on arrival at the emergency department. Only four of these patients were ticketed for driving under the influence and received the mandatory suspension of their driver's license. None was convicted of this offense, which carries criminal charges and a revocation of the driver's license. Mechanisms for efficient collection of blood specimens and mandatory occurrence reporting are two recommendations that merit investigation to obviate further escape of injured, intoxicated drivers from the legal net. In addition, alcohol rehabilitation and education cannot be overlooked and should warrant strong societal support.
Assuntos
Acidentes de Trânsito , Intoxicação Alcoólica , Condução de Veículo , Acidentes de Trânsito/legislação & jurisprudência , Intoxicação Alcoólica/diagnóstico , Condução de Veículo/legislação & jurisprudência , Etanol/sangue , Humanos , Illinois , Jurisprudência , Estudos Retrospectivos , Ferimentos e Lesões/etiologia , Ferimentos e Lesões/patologiaRESUMO
Two protocols were developed to study the efficacy of both chest radiography and dynamic computed tomography (CT) of the thorax in screening for traumatic aortic injury. Both protocols demonstrated a definite role for dynamic CT in excluding aortic injury in patients with normal initial chest radiographs. The authors studied 164 patients, and preliminary results indicated a high reliability for this method. Their algorithm, with 6-month follow-up, yielded both 100% sensitivity and a 100% negative predictive value. Unnecessary aortography, with its associated morbidity and cost, was decreased by 73%.
