- Abdominal Trauma and Injuries
- Trauma and Emergency Care Studies
- Trauma Management and Diagnosis
- Pelvic and Acetabular Injuries
- Ultrasound in Clinical Applications
- Cardiac Arrest and Resuscitation
- Pleural and Pulmonary Diseases
- Appendicitis Diagnosis and Management
- Sepsis Diagnosis and Treatment
- Abdominal Surgery and Complications
- Hyperglycemia and glycemic control in critically ill and hospitalized patients
- Trauma, Hemostasis, Coagulopathy, Resuscitation
- Traumatic Brain Injury and Neurovascular Disturbances
- Hip and Femur Fractures
- Electrolyte and hormonal disorders
- Diabetic Foot Ulcer Assessment and Management
- Long-Term Effects of COVID-19
- Sympathectomy and Hyperhidrosis Treatments
- Infective Endocarditis Diagnosis and Management
- Restraint-Related Deaths
- Cardiac Valve Diseases and Treatments
- Traumatic Ocular and Foreign Body Injuries
- Pregnancy-related medical research
- Cerebral Venous Sinus Thrombosis
- Hemodynamic Monitoring and Therapy
Hamad General Hospital
2011-2025
Hamad Medical Corporation
2013-2025
Qatar Airways (Qatar)
2013
University Hospital of Wales
2009
Background: Serum troponin T (TnT) is a common marker of myocardial injury. However, its implication in the absence clinical evidence cardiac reason not well established. Aims: The aim this study was to identify implications positive TnT traumatic chest injury (TCI) patients regardless involvement. Materials and Methods: We conducted retrospective analysis all TCI admitted level 1 trauma center between 2008 2011. Patients who underwent testing were divided into two groups: Group (positive...
BACKGROUND Pulmonary contusion (PC) is the most frequent blunt chest injury which could be used to identify patients at high-risk of clinical deterioration. We aimed investigate correlation between PC volume and outcome in with trauma (BCT). MATERIAL AND METHODS BCT were identified retrospectively from prospectively collected registry database over a 2-year period. Contusion was measured expressed as percentage total lung (CTCV) using three-dimensional reconstruction thoracic CT images on...
For multidisciplinary treatment, intrahospital transfer of seriously injured patients is considered a challenging and risky process. Here we describe the successful treatment 38-year-old male who was involved in motor vehicle collision sustained multiple severe injuries. He admitted with hemorrhagic shock due to intra-abdominal retroperitoneal bleeding, addition lung contusion, an unstable fracture pelvis, thoracic spine fracture, lower long-bone fractures. A prompt resuscitation carried...
Traumatic hemothorax is a common complication of chest trauma; however, the timeline for its resolution, even with tube thoracostomy, remains unclear. To determine time to resolution ensure safe discharge based on radiography (CXR) findings. A retrospective observational study was conducted at Hamad General Hospital, Qatar, from June 2014 October 2019, including all patients diagnosed via computed tomography (CT) following trauma. Based initial imaging study, divided into right, left, and...
Introduction: The optimal ratio of platelets (PLTs) to packed red blood cell (PRBC) in trauma patients requiring massive transfusion protocol (MTP) is still controversial. This report aims describe the effect attaining a high PLT:PRBC (≥1:1.5) within 4 h postinjury on outcomes receiving MTP. Methods: Over 24-month period, records all adult with traumatic injury who received MTP were retrospectively reviewed. Data analyzed respect ([high-MTP ≥1:1.5] [HMTP] vs. [low-MTP <1:1.5] [LMTP]) given...
We aimed to assess the utility of shock index (SI) predict need for massive transfusion protocol (MTP) in patients with solid organ injury (SOI) a Level 1 Trauma center.We conducted retrospective analysis SOI between 2011 and 2014. Patients were categorized according on-admission SI into low (< 0.8) high (≥0.8) group.A total 4500 admitted trauma, them 572 sustained SOIs (289 had ≥0.8). In comparison SI, younger, higher severity scores (ISS) lower Injury Severity Score (TRISS); (p < 0.001)....
Blunt bowel and mesenteric injury (BBMI) is frequently a difficult diagnosis at initial presentation. We aimed to study the predictors for early outcomes in patients with BBMI. Data were collected retrospectively from database registry between January 2008 December 2011 only Level I trauma unit Qatar. Patients BBMI divided into Group A (surgically treated within 8 hours) B (treated after hours). analyzed χ 2 , Student's t test, multivariate regression analysis performed appropriately. Among...
Background . The management and outcomes of occult hemopneumothorax in blunt trauma patients who required mechanical ventilation are not well studied. We aimed to study with on could be carefully managed without tube thoracostomy. Methods Chest were prospectively evaluated. presence was confirmed by CT scanning. Hospital length stay, complications, outcome recorded. Results A total 56 chest ventilatory support included a mean age 36 ± 13 years. Hemopneumothorax conservatively 72% cases 28%...
Abstract Background This study aimed to determine the incidence and outcome of post‐traumatic ( PT ) intra‐abdominal hypertension IAH abdominal compartment syndrome ACS after advances in haemostatic resuscitation. Methods is a prospective cohort from J anuary 2009– D ecember 2011 involving patients with haemorrhagic shock. Patients' demographics, fluid resuscitation (<24 h) damage control laparotomy DCL ), morbidity mortality were assessed. Patients divided into group 1 (no 2 needed)....
Primary Objective: We aimed to assess the utility of bispectral index (BIS) monitoring diagnose brain death (BD) in patients with severe traumatic injury (TBI).Research Design and methods: A prospective observational study was conducted for TBI between 2012 2014.Main outcomes And results: This included 62 a mean age 32.5 ± 10.5 years. Nine had BD on admission sustainable BIS value 0. Fifty-three were not initially diagnosed values 2–56. Forty-four deteriorated BD, their respective...
Abstract Despite technological advances in the management of blunt abdominal trauma, rate bowel anastomotic leakage (AL) remains high. The etiology AL is multifactorial, but insufficient blood perfusion considered to play a substantial role pathogenesis. In recent years, angiography with Indocyanine green (ICG), fluorescent dye, has been introduced clinical practice assess organ several conditions. Given scarcity publications describing use ICG trauma patients as potentially useful strategy...
Background: We aimed to assess the management and outcome of occult pneumothorax determine factors associated with failure observational in patients blunt chest trauma (BCT). Methods: Patients BCT were retrospectively identified from database over 4 years. Data analyzed compared on basis initial (conservative vs. tube thoracostomy). Results: Across study period, 1928 admitted BCT, which 150 (7.8%) found have pneumothorax. The mean patient age was 32.8 ± 13.7 years, majority male (86.7%)....
Abstract Background The constellation of the initial hyperglycemia, proinflammatory cytokines and severity injury among trauma patients is understudied. We aimed to evaluate patterns effects on‐admission hyperglycemia inflammatory response in a level 1 center. hypothesized that higher readings blood glucose are associated with severe injuries worse in‐hospital outcomes patients. Methods A prospective, observational study was conducted for adult who were admitted tested glucose, hemoglobin...
Prehospital administration of tranexamic acid (TXA) to injured patients is increasing worldwide. However, optimal TXA dose and need a second infusion on hospital arrival remain undetermined. We investigated the efficacy safety in-hospital in receiving 1 g prehospital setting. hypothesized that improves survival trauma patients.A prospective, double-blind, placebo-controlled randomized, clinical trial included adult settings. Patients were then blindly randomized Group I (second 1-g TXA) II...
To determine the causes, predictors and outcomes of re-intubation.Retrospective analysis data collected from trauma base registry was conducted to identify extubation failure cases in Trauma ICU at Hamad General Hospital, only Level I center Qatar between January 2009 December 2010. Demographics, mechanism Injury, complications, injury severity score (ISS), Glasgow Coma Scale (GCS), ICU-length stay (LOS), mortality were analyzed among patients who need reintubation within 48 hrs after (group...
This is an interim analysis of the Beta-blocker (Propranolol) use in traumatic brain injury (TBI) based on high-sensitive troponin status (BBTBBT) study. The BBTBBT ongoing double-blind placebo-controlled randomized clinical trial with a target sample size 771 patients TBI. We sought, after attaining 50% size, to explore impact early administration beta-blockers (BBs) adrenergic surge, pro-inflammatory cytokines, and TBI biomarkers linked high-sensitivity T (HsTnT). Patients were stratified...
We aimed to assess the pattern and impact of sternal injury with rib fracture in a Level 1 trauma center.We conducted retrospective review registry data identify patients who presented between 2010 2017. Data were analyzed compared without fracture.We identified 212 traumatic injury, them 119 (56%) had associated fractures. In comparison those no fracture, fractures older (40.1 ± 13.6 vs. 37.8 14.5), frequently involved traffic accidents (75% 71%), higher chest abbreviated scale (AIS 2.8 0.6...
to study the association between optic nerve sheath diameter (ONSD) and intracranial pressure (ICP) in patients with moderate-to-severe brain injury.A retrospective cohort of traumatic injury (TBI) was conducted 2010 2014. Data were analyzed compared according ICP monitoring cutoff values. Outcomes included hypertension (ICH) mortality.A total 167 a mean age 33 ± 14 years, them 96 had monitored. values correlated ONSD measurement (r = 0.21, P 0.04). Patients who developed ICH more likely...