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C Newman

Publications and source records attributed to C Newman.

115 records · Page 7Linked to original sources
PubMedDate not supplied

Accuracy of the Prehospital Index in identifying major hemorrhage in trauma victims.

PURPOSE: To determine the sensitivity of the Prehospital Index (PHI) in identifying patients with severe blood loss, a one-year review was conducted at a regional trauma facility. METHODS: The study population consisted of 217 consecutive trauma admissions (ages 3 to 88 years). Patients were managed using standard resuscitation techniques; blood transfusions were ordered at the discretion of attending physicians and did not follow any preplanned protocol. Medical records were examined to determine total blood requirements for each patient during the first 12 hours of hospitalization, the emergency department (ED) disposition, and final outcome of treatment. The following clinical variables were analyzed (unpaired t-test) to determine their value as predictors of blood loss: age, gender, mechanism of injury, initial vital signs, revised trauma score, PHI, and injury severity score. RESULTS: Forty-two percent (92 patients) received transfusions during the first 12 hours of hospitalization. The best predictor of blood loss was the Prehospital Index. Of the total group, 45% had a PHI greater than 3; 77% (75/98) of these patients required transfusion and received an average of 7.1 units of packed cells. Fifty-five percent (119/217) had a PHI less than or equal to 3; 86% (102/119) of these patients did not require transfusion. CONCLUSION: The data suggest that patients with PHI scores greater than 3 require close hemodynamic monitoring to rule out significant blood loss and may warrant immediate cross-matching on arrival to the ED.

Adolescent↗
PubMedDate not supplied

Blood biochemistry reflects seasonal nutritional and reproductive constraints in the eurasian badger (Meles meles).

Physiological responses to nutritional and reproductive constraints were explored in a wild population of Eurasian badgers (Meles meles) inhabiting Wytham Woods, Oxfordshire, United Kingdom. We compared seasonal blood levels of lipid and protein compounds to variables describing the sex, age, body condition, wounds, testes position, and flea abundance of the badgers. We found seasonal variations in albumin/globulins and urea/creatinine ratios matched by differences in body condition. High creatinine, urea, and triglycerides levels were obtained in animals in poor nutritional condition and with low levels of body fat. The maintenance of urea/creatinine ratios indicates that the badger does not demonstrate a stage of protein conservation in periods of food scarcity during the summer or periods of cold weather. Hypercholesterolaemia, especially in fat animals, was confirmed. We also offer baseline levels of metabolites commonly used in clinical biochemistry for their further use in the analysis of the status and the management of wild badger populations.

Adipose Tissue↗
PubMedDate not supplied

Comparison of conventional and computed arthrotomography with MR imaging in the evaluation of the shoulder.

To compare conventional arthrography and computed arthrotomography (CAT) with magnetic resonance (MR) imaging in the evaluation of the shoulder, we studied 18 patients who underwent conventional double contrast arthrography and CAT, and T1-, balanced, and T2-weighted MR imaging. The arthrograms were independently reviewed by two of the authors and the MR images were independently reviewed by three other authors in a systematic fashion with the aid of a prewritten evaluation form. The findings were compared among reviewers and between imaging methods. We found MR comparable to conventional arthrography in the evaluation of the rotator cuff; however, MR also enabled evaluation of tendonitis, which could not be accomplished with conventional arthrography. Because of MR's superior soft tissue imaging capability, we were able to stage the impingement syndrome. Magnetic resonance also allowed evaluation of the glenoid labrum and capsuloligamentous structures and assessment of instability in a fashion similar to CAT. In most cases, information obtained from MR equaled or exceeded that obtained from conventional arthrography and CAT. With refinement in technique and increased experience, we believe that MR may replace arthrography in the evaluation of the shoulder.

Adolescent↗