Early surgical stabilization of rib fractures (SSRF) is better, but delayed SSRF is not worse

Comment on; Belaroussi Y, Drevet G, Soldea V, et al. When to proceed to surgical rib fixation?-A single-institution clinical experience. J Thorac Dis 2023;15;323-34

Otto Greiffenstein una voz FM

Lo que más recuerdo de Ottico es que me hacía cosquillas en el dedo índice con su bigote. A Sello Negro (su caballo) y verlo siempre con un tanque de oxígeno verde al lado de su cama. Tres años, 11 meses y 28 días, definitivamente no fueron suficientes para conocer al personaje que todos me cuentan que fue. Para mí siempre ha sido y será, simplemente, mi abuelo o como mi papá dice, mi ángel de la guarda.Comunicador (a) SocialPregrad

El retorno al trabajo de las personas en condición de discapacidad en Colombia. Un análisis a la luz de la realidad

Un análisis que permite evidenciar la coyuntura real del retorno de las personas en condición de discapacidad a sus labores, , en Colombia, donde la reubicación o retorno de esta población, ha sido la causante de controversias en tres vías; no únicamente desde el punto de vista del trabajador, sino también por parte del Estado y el empleador, lo que exige que este tema sea abordado desde múltiples perspectivas que desentrañen esta realidad. La primer de estas es el Estado cuando se enfrenta con el reto de identificar los principales obstáculos del retorno de la población discapacitada, esto con el fin comprender y establecer criterios reales que estimulen en la práctica cambios positivos frente a este fenómeno social. En cuanto al empleador, es necesario comprender los factores que incrementan la violación de los derechos del trabajador; es decir, la dicotomía que existe entre la estabilidad laboral que el empleador debe garantizar y la productividad. Lo anterior debido a la naturaleza capitalista de las empresas y a la necesidad de contar con personal completamente “óptimo” con el fin de explotar su capacidad de trabajo, cosificando al trabajador y catalogándolo como un objeto de producción.An analysis that makes it possible to show the real situation of the return of persons with disabilities to their work, in Colombia, where the relocation or return of this population has been the cause of controversies in three ways; not only from the point of view of the worker, but also by the State and the employer, which requires that this issue be approached from multiple perspectives that unravel this reality. The first of these is the State when faced with the challenge of identifying the main obstacles to the return of the disabled population, this in order to understand and establish real criteria that stimulate in practice positive changes in the face of this social phenomenon. As for the employer, it is necessary to understand the factors that increase the violation of the worker's rights; that is, the dichotomy that exists between job stability that the employer must guarantee and productivity. This is due to the capitalist nature of the companies and the need to have completely "optimal" personnel in order to exploit their work capacity, reifying the worker and classifying it as an object of production.Abogado (a)Pregrad

Aportes y logros del convenio de cooperación en física

Después de haber descrito el desarrollo de las diversas etapas del convenio de cooperación mutua científico-técnica entre Alemania y el Departamento de Física de la Universidad Nacional en Bogotá, presentamos ahora un análisis de las circunstancias históricas que a nuestro juicio favorecieron el inicio y la realización del convenio: las contribuciones y aportes de las dos partes implicadas en éste programa, y los principales logros.In this paper, we present an analysis of the historical circumstances that favored the technical cooperation agreement between the Federal German Republic and the Physics Department of the Universidad Nacional de Colombia. The contributions and the success of such an agreement

Does Vehicle Intrusion Alone Still Predict Injury: A Retrospective Analysis of Mechanism as Trauma Activation Criteria

Background: Current Centers for Disease Control (CDC) Guidelines for ‘Field Triage of Injured’ recommend patients involved in automobile collisions with greater than 12 inches of intrusion on the driver side or 18 inches on the passenger compartment should meet criteria for trauma activations. However, previous studies suggest that mechanism-of-injury (MOI) criteria only is a moderate predictor for patients who require trauma center resources given the introduction of “crumple zones” to cars. Crumple zones have been incorporated into modern vehicle design as a safety feature. The objective of this study was to determine if vehicle intrusion alone as MOI criteria necessitates trauma activation. We hypothesized that vehicle intrusion as the MOI results in overtriage. Methods: A retrospective, single center chart review of all adult patients involved in motor vehicle collisions (MVC) presenting to a Level 1 trauma center from July 2016 to March 2022 was performed. Patients were divided by MOI criteria: vehicle intrusion alone vs. multiple MOI activation criteria. Univariate analyses were conducted to evaluate clinical outcomes with statistical significance set at p0.05). The vehicle intrusion only group had a higher reported incidence of seatbelt use (n=1589/2098, 75.7% vs n=525/842, 62.4%, p=0.001), and a lower injury severity score (5.3 +/- 6.6 vs 6.3+/- 7.5, p=0.004). The average number of CT scans performed between the two groups was slightly higher in the multiple MOI group but likely not clinically relevant (3.1+/- 1.5 vs 3.3 +/- 1.5, p=0.001). The MOI only group had a higher incidence of ED discharge (n=1335/2098, 63.6% vs n=450/842, 53.4%, p=0.001), lower ICU admission (n=210/2098, 10.1% vs n=116/842, 13.8%, p=0.004), and fewer in-hospital procedures (n=345/2098, 16.4% vs n=168/842, 20.0%, p=0.03). Conclusion: This study expanded upon previous MOI literature to specifically focus on vehicle intrusion criteria by analyzing discharge results, injury profiles, and CT scans in addition to ICU admissions and mortality. With increasing demand to optimize resource utilization, the results from this study suggest that vehicle intrusion MOI criteria alone may not be an accurate predictor for trauma center transport. Future studies are needed to evolve trauma triage guidelines to minimize unnecessary costs without compromising the care provided to trauma patients