2 research outputs found
MANAGEMENT OF HIP DISLOCATION IN EMERGENCY DEPARTMENT
Get PDFHip dislocations following trauma are a common occurrence in the emergency room. Since the hip is a ball and socket joint with concomitant muscular and ligamentous attachments, it often takes a large amount of force to dislocate a hip. Due to the needed force, hip dislocations frequently come together with additional serious injuries. 90% of the time, hip trauma appears as a posterior dislocation when detected because the anterior ligaments are stronger. The rectus femoris, gluteal muscles, and short external rotators make up dynamic muscular support. 95% of patients who had a hip dislocation following a car accident also had an accompanying injury that needed hospital treatment. Therefore, a thorough neurologic and musculoskeletal evaluation with further x-rays or CT scans for assessment is required in cases with native hip dislocation. Standard AP (anteroposterior) scans of the pelvis often show hip dislocations clearly. However, a cross-table lateral of the injured joint is often included in comprehensive imaging. Hip dislocations can be more difficult to reduce than other types of dislocations, and most patients need procedural anaesthesia to make the reduction easier. Before considering surgical reduction, experts advise making up to three closed reduction efforts. However, 10% of hip dislocations may not be treatable in the emergency room and require surgical reduction under general anaesthesia
Chlorhexidine versus Povidone-Iodine for the prevention of Surgical Site Infections: A review.
Get PDFBackgroundSurgical Site Infections (SSIs) are the third most frequently reported health care-associated infection and it remain a major clinical problem despite improvements in prevention, as they are associated with significant mortality and morbidity. Prevention strategies for SSIs are based on reducing the risk of infection by bacteria, So many antiseptic agents are used, the most common one are Chlorhexidine and Povidone-Iodine.AimsTo discuss the findings of RCTs that compare Chlorhexidine versus Povidone-Iodine in the prevention of Surgical Site Infections (SSIs).Methods This systematic review was carried out, including PubMed, Google Scholar, and EBSCO that examining randomized trials of Chlorhexidine and Povidone-Iodine to summarize the major RCT that compare Chlorhexidine versus Povidone-Iodine in the prevention of Surgical Site Infections (SSIs).Results The review included six randomized studies that compare between Chlorhexidine and Povidone-Iodine for the prevention of SSIs. The findings showed that many studies prefer using Chlorhexidine over Povidine-Iodine to reduce SSIs, few studies prefer using PVI as antiseptic and other studies reported that there is no significant difference between both. ConclusionMajority of results prefer using Chlorhexidine than Povidone-Iodine as antiseptics but there were few findings prefer PVI and other studies reported that there was no significant difference between using them as antiseptics.
