Assuntos
Tomada de Decisão Clínica/métodos , Infecções por Coronavirus/prevenção & controle , Infecções por Coronavirus/terapia , Medicina Baseada em Evidências/métodos , Guias como Assunto , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Pneumonia Viral/terapia , Betacoronavirus , COVID-19 , Humanos , SARS-CoV-2RESUMO
State-of-the-art medical care of the victims of current conflicts is generating large quantities of quality clinical data as a by-product. Observational research based on these data is beginning to have a profound influence on the clinical management of both military and civilian trauma patients. Computational modelling based on these datasets may offer the ability to investigate clinical treatment strategies that are practically, ethically or scientifically impossible to investigate on the front line. This article reviews the potential of this novel technology to aid development of treatment for blast lung and other unresolved medical scenarios.
Assuntos
Traumatismos por Explosões/fisiopatologia , Biologia Computacional/métodos , Modelos Biológicos , Síndrome do Desconforto Respiratório/fisiopatologia , Simulação por Computador , HumanosRESUMO
As a result of national guidance in the UK, the number of computed tomography brains performed in patients with minor head injury has increased significantly. The aim of this survey was to establish the requirement for general anaesthesia and tracheal intubation in the management of emergency department patients requiring an urgent computed tomography of the brain. About 300 consecutive scans in emergency department patients were reviewed. The majority (>90%) did not require anaesthetic airway management despite an overall acute scan diagnosis rate of around 25% and 30 day mortality of 10%.